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Publication : Targeting the mevalonate pathway suppresses ARID1A-inactivated cancers by promoting pyroptosis.

First Author  Zhou W Year  2023
Journal  Cancer Cell Volume  41
Issue  4 Pages  740-756.e10
PubMed ID  36963401 Mgi Jnum  J:334759
Mgi Id  MGI:7463777 Doi  10.1016/j.ccell.2023.03.002
Citation  Zhou W, et al. (2023) Targeting the mevalonate pathway suppresses ARID1A-inactivated cancers by promoting pyroptosis. Cancer Cell 41(4):740-756.e10
abstractText  ARID1A, encoding a subunit of the SWI/SNF complex, is mutated in approximately 50% of clear cell ovarian carcinoma (OCCC) cases. Here we show that inhibition of the mevalonate pathway synergizes with immune checkpoint blockade (ICB) by driving inflammasome-regulated immunomodulating pyroptosis in ARID1A-inactivated OCCCs. SWI/SNF inactivation downregulates the rate-limiting enzymes in the mevalonate pathway such as HMGCR and HMGCS1, which creates a dependence on the residual activity of the pathway in ARID1A-inactivated cells. Inhibitors of the mevalonate pathway such as simvastatin suppresses the growth of ARID1A mutant, but not wild-type, OCCCs. In addition, simvastatin synergizes with anti-PD-L1 antibody in a genetic OCCC mouse model driven by conditional Arid1a inactivation and in a humanized immunocompetent ARID1A mutant patient-derived OCCC mouse model. Our data indicate that inhibition of the mevalonate pathway simultaneously suppresses tumor cell growth and boosts antitumor immunity by promoting pyroptosis, which synergizes with ICB in suppressing ARID1A-mutated cancers.
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