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RAS Inhibition and Anti-Tumor Immunity in Pancreatic Cancer
RAS Inhibition and Anti-Tumor Immunity in Pancreatic Cancer
RAS Inhibition and Anti-Tumor Immunity in Pancreatic Cancer

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202104637
ISBN  
9798293801480
DDC  
616.99
저자명  
Orlen, Margo Isabelle.
서명/저자  
RAS Inhibition and Anti-Tumor Immunity in Pancreatic Cancer
발행사항  
[Sl] : University of Pennsylvania, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
135 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: A.
주기사항  
Advisor: Stanger, Ben Z.
학위논문주기  
Thesis (Ph.D.)--University of Pennsylvania, 2025.
초록/해제  
요약Mutations in KRAS drive oncogenesis in over 90% of pancreatic ductal adenocarcinoma (PDAC) cases, making it one of the most RAS-addicted cancers. The emergence of allele-specific KRAS inhibitors and broad-spectrum RAS inhibitors has important implications for PDAC, which currently lacks effective treatment options. Beyond promoting tumor cell growth, mutant KRAS shapes an immunosuppressive tumor microenvironment (TME) characterized by abundant myeloid cells and limited T cell infiltration. This immunologically "cold" TME contributes to poor clinical responses to immunotherapy. Thus, there is rationale for using mutant KRAS inhibition as a strategy to increase the susceptibility of PDAC tumors to immune-based therapy. Broad-spectrum RAS inhibitors, such as the RAS(ON) multi-selective inhibitor RMC-7977, are active against a range of RAS driver mutations and resistance mechanisms, including secondary RAS mutations and wild-type RAS. Given the role of RAS in immune cell signaling pathways, particularly in T cells, it remains unknown whether RAS inhibition is compatible with immune modulation. Using immunocompetent mouse models of PDAC, we investigated the role of the adaptive immune system in mediating the anti-tumor effects of RAS inhibition. We found that RAS inhibition reshapes the PDAC TME, promoting T cell infiltration and creating permissive conditions for immunotherapy. T cells remain functional under broad-spectrum RAS inhibition, and can be leveraged with combination immunotherapy, leading to deeper and more durable responses. Our preclinical data suggest that T cell infiltration and other immune features of tumors may help guide the design of future clinical trials. These findings also support the clinical evaluation RAS inhibition with immunotherapy like anti-PD-1, anti-CTLA-4, and CD40 agonists. In summary, concurrent inhibition of mutant and wild-type RAS enhances the efficacy of T cell-based immunotherapies, positioning RAS inhibitors as a promising immune-sensitizing strategy in PDAC.
일반주제명  
Oncology
일반주제명  
Cellular biology
일반주제명  
Therapy
일반주제명  
Molecular biology
일반주제명  
Immunology
키워드  
Immunotherapy
키워드  
Pancreatic cancer
키워드  
Tumor microenvironment
키워드  
Pancreatic ductal adenocarcinoma
기타저자  
University of Pennsylvania Cell and Molecular Biology
기본자료저록  
Dissertations Abstracts International. 87-03A.
전자적 위치 및 접속  
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MARC

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■020    ▼a9798293801480
■035    ▼a(MiAaPQ)AAI32113506
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a616.99
■1001  ▼aOrlen,  Margo  Isabelle.
■24510▼aRAS  Inhibition  and  Anti-Tumor  Immunity  in  Pancreatic  Cancer
■260    ▼a[Sl]▼bUniversity  of  Pennsylvania▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a135  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  A.
■500    ▼aAdvisor:  Stanger,  Ben  Z.
■5021  ▼aThesis  (Ph.D.)--University  of  Pennsylvania,  2025.
■520    ▼aMutations  in  KRAS  drive  oncogenesis  in  over  90%  of  pancreatic  ductal  adenocarcinoma  (PDAC)  cases,  making  it  one  of  the  most  RAS-addicted  cancers.  The  emergence  of  allele-specific  KRAS  inhibitors  and  broad-spectrum  RAS  inhibitors  has  important  implications  for  PDAC,  which  currently  lacks  effective  treatment  options.  Beyond  promoting  tumor  cell  growth,  mutant  KRAS  shapes  an  immunosuppressive  tumor  microenvironment  (TME)  characterized  by  abundant  myeloid  cells  and  limited  T  cell  infiltration.  This  immunologically  "cold"  TME  contributes  to  poor  clinical  responses  to  immunotherapy.  Thus,  there  is  rationale  for  using  mutant  KRAS  inhibition  as  a  strategy  to  increase  the  susceptibility  of  PDAC  tumors  to  immune-based  therapy.  Broad-spectrum  RAS  inhibitors,  such  as  the  RAS(ON)  multi-selective  inhibitor  RMC-7977,  are  active  against  a  range  of  RAS  driver  mutations  and  resistance  mechanisms,  including  secondary  RAS  mutations  and  wild-type  RAS.  Given  the  role  of  RAS  in  immune  cell  signaling  pathways,  particularly  in  T  cells,  it  remains  unknown  whether  RAS  inhibition  is  compatible  with  immune  modulation.  Using  immunocompetent  mouse  models  of  PDAC,  we  investigated  the  role  of  the  adaptive  immune  system  in  mediating  the  anti-tumor  effects  of  RAS  inhibition.  We  found  that  RAS  inhibition  reshapes  the  PDAC  TME,  promoting  T  cell  infiltration  and  creating  permissive  conditions  for  immunotherapy.  T  cells  remain  functional  under  broad-spectrum  RAS  inhibition,  and  can  be  leveraged  with  combination  immunotherapy,  leading  to  deeper  and  more  durable  responses.  Our  preclinical  data  suggest  that  T  cell  infiltration  and  other  immune  features  of  tumors  may  help  guide  the  design  of  future  clinical  trials.  These  findings  also  support  the  clinical  evaluation  RAS  inhibition  with  immunotherapy  like  anti-PD-1,  anti-CTLA-4,  and  CD40  agonists.  In  summary,  concurrent  inhibition  of  mutant  and  wild-type  RAS  enhances  the  efficacy  of  T  cell-based  immunotherapies,  positioning  RAS  inhibitors  as  a  promising  immune-sensitizing  strategy  in  PDAC.
■590    ▼aSchool  code:  0175.
■650  4▼aOncology
■650  4▼aCellular  biology
■650  4▼aTherapy
■650  4▼aMolecular  biology
■650  4▼aImmunology
■653    ▼aImmunotherapy
■653    ▼aPancreatic  cancer
■653    ▼aTumor  microenvironment
■653    ▼aPancreatic  ductal  adenocarcinoma
■690    ▼a0992
■690    ▼a0379
■690    ▼a0212
■690    ▼a0982
■690    ▼a0307
■71020▼aUniversity  of  Pennsylvania▼bCell  and  Molecular  Biology.
■7730  ▼tDissertations  Abstracts  International▼g87-03A.
■790    ▼a0175
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358281▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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