A RIPK1-specific PROTAC degrader achieves potent antitumor activity by enhancing immunogenic cell death

  • Immunity. 2024 May 15:S1074-7613(24)00230-9. doi: 10.1016/j.immuni.2024.04.025.
Jonathan Mannion  1 Valentina Gifford  1 Benjamin Bellenie  2 Winnie Fernando  1 Laura Ramos Garcia  1 Rebecca Wilson  1 Sidonie Wicky John  1 Savita Udainiya  1 Emmanuel C Patin  3 Crescens Tiu  1 Angel Smith  1 Maria Goicoechea  1 Andrew Craxton  4 Nathalia Moraes de Vasconcelos  1 Naomi Guppy  1 Kwai-Ming J Cheung  2 Nicholas J Cundy  2 Olivier Pierrat  2 Alfie Brennan  2 Theodoros I Roumeliotis  5 Graeme Benstead-Hume  5 John Alexander  1 Gareth Muirhead  1 Scott Layzell  6 Wenxin Lyu  7 Victoria Roulstone  3 Mark Allen  8 Holly Baldock  8 Arnaud Legrand  1 Florian Gabel  2 Natalia Serrano-Aparicio  2 Chris Starling  1 Hongyan Guo  9 Jason Upton  10 Mads Gyrd-Hansen  7 Marion MacFarlane  4 Benedict Seddon  6 Florence Raynaud  2 Ioannis Roxanis  1 Kevin Harrington  3 Syed Haider  1 Jyoti S Choudhary  5 Swen Hoelder  2 Tencho Tenev  11 Pascal Meier  12
Affiliations
  • 1. The Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
  • 2. Centre for Cancer Drug Discovery at the Institute of Cancer Research, London SM2 5NG, UK.
  • 3. Division of Radiotherapy and Imaging, The Institute of Cancer Research, London SW3 6JB, UK.
  • 4. MRC Toxicology Unit, University of Cambridge, Gleeson Building, Cambridge CB2 1QR, UK.
  • 5. Functional Proteomics Group, The Institute of Cancer Research, London SW3 6JB, UK.
  • 6. Institute of Immunity and Transplantation, University College London, London NW3 2PP, UK.
  • 7. Department of Immunology and Microbiology, LEO Foundation Skin Immunology Research Center, University of Copenhagen, Copenhagen, Denmark.
  • 8. Biological Services Unit, The Institute of Cancer Research, London SW3 6JB, UK.
  • 9. Department of Microbiology and Immunology, LSU Health Shreveport, Shreveport, LA, USA.
  • 10. Department of Biological Sciences, Auburn University, Auburn, AL, USA.
  • 11. The Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London SW3 6JB, UK. Electronic address: [email protected].
  • 12. The Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London SW3 6JB, UK. Electronic address: [email protected].
Abstract

Receptor-interacting serine/threonine-protein kinase 1 (RIPK1) functions as a critical stress sentinel that coordinates cell survival, inflammation, and immunogenic cell death (ICD). Although the catalytic function of RIPK1 is required to trigger cell death, its non-catalytic scaffold function mediates strong pro-survival signaling. Accordingly, Cancer cells can hijack RIPK1 to block Necroptosis and evade immune detection. We generated a small-molecule proteolysis-targeting chimera (PROTAC) that selectively degraded human and murine RIPK1. PROTAC-mediated depletion of RIPK1 deregulated TNFR1 and TLR3/4 signaling hubs, accentuating the output of NF-κB, MAPK, and IFN signaling. Additionally, RIPK1 degradation simultaneously promoted RIPK3 activation and Necroptosis induction. We further demonstrated that RIPK1 degradation enhanced the immunostimulatory effects of radio- and immunotherapy by sensitizing Cancer cells to treatment-induced TNF and interferons. This promoted ICD, antitumor immunity, and durable treatment responses. Consequently, targeting RIPK1 by PROTACs emerges as a promising approach to overcome radio- or immunotherapy resistance and enhance Anticancer therapies.

Keywords
RIPK1; TLR3; TNF; anticancer immunity; cell death; immunotherapy; inflammation; interferon; necroptosis; radiotherapy.
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