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NQO1 targeting prodrug triggers innate sensing to overcome checkpoint blockade resistance

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  • Xiaoguang Li

    (University of Texas Southwestern Medical Center
    Shanghai Jiao Tong University School of Medicine)

  • Zhida Liu

    (University of Texas Southwestern Medical Center)

  • Anli Zhang

    (University of Texas Southwestern Medical Center)

  • Chuanhui Han

    (University of Texas Southwestern Medical Center)

  • Aijun Shen

    (University of Texas Southwestern Medical Center)

  • Lingxiang Jiang

    (Indiana University School of Medicine)

  • David A. Boothman

    (Indiana University School of Medicine)

  • Jian Qiao

    (University of Texas Southwestern Medical Center)

  • Yang Wang

    (University of Texas Southwestern Medical Center)

  • Xiumei Huang

    (Indiana University School of Medicine)

  • Yang-Xin Fu

    (University of Texas Southwestern Medical Center)

Abstract

Lack of proper innate sensing inside tumor microenvironment (TME) limits T cell-targeted immunotherapy. NAD(P)H:quinone oxidoreductase 1 (NQO1) is highly enriched in multiple tumor types and has emerged as a promising target for direct tumor-killing. Here, we demonstrate that NQO1-targeting prodrug β-lapachone triggers tumor-selective innate sensing leading to T cell-dependent tumor control. β-Lapachone is catalyzed and bioactivated by NQO1 to generate ROS in NQO1high tumor cells triggering oxidative stress and release of the damage signals for innate sensing. β-Lapachone-induced high mobility group box 1 (HMGB1) release activates the host TLR4/MyD88/type I interferon pathway and Batf3 dendritic cell-dependent cross-priming to bridge innate and adaptive immune responses against the tumor. Furthermore, targeting NQO1 is very potent to trigger innate sensing for T cell re-activation to overcome checkpoint blockade resistance in well-established tumors. Our study reveals that targeting NQO1 potently triggers innate sensing within TME that synergizes with immunotherapy to overcome adaptive resistance.

Suggested Citation

  • Xiaoguang Li & Zhida Liu & Anli Zhang & Chuanhui Han & Aijun Shen & Lingxiang Jiang & David A. Boothman & Jian Qiao & Yang Wang & Xiumei Huang & Yang-Xin Fu, 2019. "NQO1 targeting prodrug triggers innate sensing to overcome checkpoint blockade resistance," Nature Communications, Nature, vol. 10(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:10:y:2019:i:1:d:10.1038_s41467-019-11238-1
    DOI: 10.1038/s41467-019-11238-1
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    Cited by:

    1. Xuan Wang & Yingqi Liu & Chencheng Xue & Yan Hu & Yuanyuan Zhao & Kaiyong Cai & Menghuan Li & Zhong Luo, 2022. "A protein-based cGAS-STING nanoagonist enhances T cell-mediated anti-tumor immune responses," Nature Communications, Nature, vol. 13(1), pages 1-22, December.

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