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

Wei Zhou, Heng Liu, Zhe Yuan, Joseph Zundell, Martina Towers, Jianhuang Lin, Simona Lombardi, Hao Nie, Brennah Murphy, Tyler Yang, Chen Wang, Liping Liao, Aaron R. Goldman, Toshitha Kannan, Andrew V. Kossenkov, Ronny Drapkin, Luis J. Montaner, Daniel T. Claiborne, Nan Zhang, Shuai WuRugang Zhang

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

ARID1A, encoding a subunit of the SWI/SNF complex, is mutated in ∼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.

Original languageEnglish (US)
Pages (from-to)740-756.e10
JournalCancer cell
Volume41
Issue number4
DOIs
StatePublished - Apr 10 2023

Keywords

  • anti-PD-L1
  • ARID1A
  • humanized mouse model
  • immune checkpoint blockade
  • inflammasome
  • mevalonate pathway
  • ovarian cancer
  • Pyroptosis
  • statin
  • SWI/SNF

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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