Anti-tumor efficacy of novel cGAS-STING pathway agonists

PROJECT SUMMARY The goal of this proposal is a molecular and immunological examination of novel compounds that activate innate immune signaling mediated by the proteins cyclic GMP-AMP (cGAMP) synthase (cGAS) and Stimulator of Interferon Genes (STING). Innate immunity is initiated following engagement of pattern recognition receptors by

molecules indicative of microbial infection or dying cells. These lead to the orchestration of adaptive immune responses that subsequently eliminate cancerous or infected tissues. cGAMP is the primary activating ligand of STING and its synthesis is triggered by contact between cGAS and cytosolic DNA. Macrophages, dendritic cells

(DCs), and endothelial cells are exposed to cytosolic DNA following phagocytosis of material from apoptotic cells including those in the tumor microenvironment. STING-mediated signaling leads to secretion of type I interferons (IFN-I) and proinflammatory cytokines that then activate antigen-presenting cells (APCs), thereby facilitating

antigen-directed T-cell killing. STING is, in fact, required for initiating immune responses capable of clearing tumor cells. Intriguingly, pharmacologic activation of STING-dependent processes can lead to spontaneous tumor clearance and even tumor antigen-derived protective immunity in murine models. Numerous efforts are

thus focused on understanding the molecular and immunological bases of STING-mediated therapeutic outcomes as well as identifying new molecular entities that can safely elicit these. Our work has identified six small molecular analogs that induce cGAS-mediated synthesis of cGAMP without affecting cytosolic DNA levels.

These directly activate STING-dependent phenotypes in both human and murine cells. Moreover, intratumoral administration of the original parent molecule in mouse models of cancer led to impaired tumor growth and prolonged animal survival. We hypothesize that our improved analogs, when paired with formulations optimized

for in vivo use, will exhibit enhanced antitumor activity. To our knowledge these represent the first synthetic direct inducers of cGAS-mediated signaling yet described. As such, they are uniquely positioned to establish cGAS (and perhaps STING regulatory proteins in general) as a viable drug target and also reveal new insights into the

role of cGAS-STING in antitumor immunity. We thus propose to undertake a penetrative and comparative characterization of the immunological and molecular responses, anti-tumor capacities, and potential adverse effects of our novel cGAS agonist formulations in murine models of cancer. Results will allow a mechanistic

assessment to be made of their immunotherapeutic utility, especially in comparison to clinically pursued molecules and in therapies involving combination with checkpoint inhibitors. Our historically collaborative group possesses expertise in innate immunity, molecular biology, T cell immunology, and cancer immunotherapy and

is thus well positioned to execute these studies.