Mitogen-Activated Protein Kinase Inhibitors and T-Cell-Dependent Immunotherapy in Cancer

Mitogen-activated protein kinase (MAPK) signaling networks serve to regulate a wide range of physiologic and cancer-associated cell processes. For instance, a variety of oncogenic mutations often lead to hyperactivation of MAPK signaling, thereby enhancing tumor cell proliferation and disease progression. As such, several components of the MAPK signaling network have been proposed as viable targets for cancer therapy. However, the contributions of MAPK signaling extend well beyond the tumor cells, and several MAPK effectors have been identified as key mediators of the tumor microenvironment (TME), particularly with respect to the local immune infiltrate. In fact, a blockade of various MAPK signals has been suggested to fundamentally alter the interaction between tumor cells and T lymphocytes and have been suggested a potential adjuvant to immune checkpoint inhibition in the clinic. Therefore, in this review article, we discuss the various mechanisms through which MAPK family members contribute to T-cell biology, as well as circumstances in which MAPK inhibition may potentiate or limit cancer immunotherapy.

[1]  Zhe Shi,et al.  The Ras/Raf/MEK/ERK signaling pathway and its role in the occurrence and development of HCC , 2016, Oncology letters.

[2]  S. Loi,et al.  Agonist immunotherapy restores T cell function following MEK inhibition improving efficacy in breast cancer , 2017, Nature Communications.

[3]  C. Kramm,et al.  CD137 stimulation and p38 MAPK inhibition improve reactivity in an in vitro model of glioblastoma immunotherapy , 2013, Cancer Immunology, Immunotherapy.

[4]  A. Bardia,et al.  Phase Ib Study of Combination Therapy with MEK Inhibitor Binimetinib and Phosphatidylinositol 3‐Kinase Inhibitor Buparlisib in Patients with Advanced Solid Tumors with RAS/RAF Alterations , 2019, The oncologist.

[5]  A. Vercelli,et al.  The JNK inhibitor D-JNKI-1 blocks apoptotic JNK signaling in brain mitochondria , 2012, Molecular and Cellular Neuroscience.

[6]  Maurizio Pellecchia,et al.  Identification of a new JNK inhibitor targeting the JNK-JIP interaction site , 2008, Proceedings of the National Academy of Sciences.

[7]  A. Winoto,et al.  ERK5 MAPK Regulates Embryonic Angiogenesis and Acts as a Hypoxia-sensitive Repressor of Vascular Endothelial Growth Factor Expression* , 2002, The Journal of Biological Chemistry.

[8]  J. Pouysségur,et al.  The role of erk1 and erk2 in multiple stages of T cell development. , 2005, Immunity.

[9]  J. Hunt,et al.  Critical role of kinase activity of hematopoietic progenitor kinase 1 in anti-tumor immune surveillance , 2019, PloS one.

[10]  D. Morrison,et al.  Inhibition of Ras/Raf/MEK/ERK Pathway Signaling by a Stress-Induced Phospho-Regulatory Circuit. , 2016, Molecular cell.

[11]  Ken Jacobson,et al.  MAP kinases and cell migration , 2004, Journal of Cell Science.

[12]  T. Tan,et al.  Activation of the c-Jun N-terminal kinase pathway by a novel protein kinase related to human germinal center kinase. , 1997, Proceedings of the National Academy of Sciences of the United States of America.

[13]  E. Wagner,et al.  Jun N-terminal kinase 2 modulates thymocyte apoptosis and T cell activation through c-Jun and nuclear factor of activated T cell (NF-AT). , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[14]  Dean M. Messing,et al.  Discovery of PH-797804, a highly selective and potent inhibitor of p38 MAP kinase. , 2011, Bioorganic & medicinal chemistry letters.

[15]  Jianhua Yang,et al.  MEKK2 Is Required for T-cell Receptor Signals in JNK Activation and Interleukin-2 Gene Expression* , 2001, The Journal of Biological Chemistry.

[16]  R. Nahta,et al.  P38 MAPK contributes to resistance and invasiveness of HER2- overexpressing breast cancer. , 2013, Current medicinal chemistry.

[17]  A. Gilmartin,et al.  Discovery of a Highly Potent and Selective MEK Inhibitor: GSK1120212 (JTP-74057 DMSO Solvate). , 2011, ACS medicinal chemistry letters.

[18]  Halli E. Miller,et al.  Immune-Checkpoint Protein VISTA Regulates Antitumor Immunity by Controlling Myeloid Cell–Mediated Inflammation and Immunosuppression , 2019, Cancer Immunology Research.

[19]  David W. Anderson,et al.  SP600125, an anthrapyrazolone inhibitor of Jun N-terminal kinase , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[20]  C. Marshall,et al.  Activation of the Mitogen-Activated Protein Kinase/Extracellular Signal-Regulated Kinase Pathway by Conventional, Novel, and Atypical Protein Kinase C Isotypes , 1998, Molecular and Cellular Biology.

[21]  F. Farhat,et al.  Correlation of P38 Mitogen-Activated Protein Kinase Expression to Clinical Stage in Nasopharyngeal Carcinoma , 2018, Open access Macedonian journal of medical sciences.

[22]  C. Garbe,et al.  The mitogen-activated protein kinase pathway in melanoma part I - Activation and primary resistance mechanisms to BRAF inhibition. , 2017, European journal of cancer.

[23]  T. Kinoshita,et al.  Identification of a selective ERK inhibitor and structural determination of the inhibitor-ERK2 complex. , 2005, Biochemical and biophysical research communications.

[24]  R. Seger,et al.  The MAPK cascades: signaling components, nuclear roles and mechanisms of nuclear translocation. , 2011, Biochimica et biophysica acta.

[25]  S. Alzabin,et al.  Hematopoietic Progenitor Kinase 1 Is a Negative Regulator of Dendritic Cell Activation , 2009, The Journal of Immunology.

[26]  S. Papa,et al.  JNK signalling in cancer: in need of new, smarter therapeutic targets , 2014, British journal of pharmacology.

[27]  Teiji Wada,et al.  Mitogen-activated protein kinases in apoptosis regulation , 2004, Oncogene.

[28]  R. Davis,et al.  Signal Transduction by the JNK Group of MAP Kinases , 2000, Cell.

[29]  T. Tan,et al.  GLK/MAP4K3 overexpression associates with recurrence risk for non-small cell lung cancer , 2016, Oncotarget.

[30]  C. Teuscher,et al.  Activation of p38 MAPK in CD4 T cells controls IL-17 production and autoimmune encephalomyelitis. , 2011, Blood.

[31]  M. Okada,et al.  The novel JNK inhibitor AS602801 inhibits cancer stem cells in vitro and in vivo , 2016, Oncotarget.

[32]  P. Stork,et al.  Regulation of the Small GTPase Rap1 and Extracellular Signal-Regulated Kinases by the Costimulatory Molecule CTLA-4 , 2005, Molecular and Cellular Biology.

[33]  P. Wee,et al.  Epidermal Growth Factor Receptor Cell Proliferation Signaling Pathways , 2017, Cancers.

[34]  Lixin Wei,et al.  Increased p38-MAPK is responsible for chemotherapy resistance in human gastric cancer cells , 2008, BMC Cancer.

[35]  E. Gelfand,et al.  Mitogen-activated protein kinase/extracellular signal-regulated kinase 1/2-dependent pathways are essential for CD8+ T cell-mediated airway hyperresponsiveness and inflammation. , 2009, The Journal of allergy and clinical immunology.

[36]  G. Landreth,et al.  ERK1-Deficient Mice Show Normal T Cell Effector Function and Are Highly Susceptible to Experimental Autoimmune Encephalomyelitis1 , 2005, The Journal of Immunology.

[37]  Investigations of SCIO-469-like compounds for the inhibition of p38 MAP kinase. , 2009, Bioorganic & medicinal chemistry letters.

[38]  Douglas B. Evans,et al.  Proteasome-mediated degradation and functions of hematopoietic progenitor kinase 1 in pancreatic cancer. , 2009, Cancer research.

[39]  George Nicolae Daniel Ion,et al.  In Search of Outliers. Mining for Protein Kinase Inhibitors Based on Their Anti-Proliferative NCI-60 Cell Lines Profile , 2020, Molecules.

[40]  J. Hou,et al.  p38 MAPK-inhibited dendritic cells induce superior antitumour immune responses and overcome regulatory T-cell-mediated immunosuppression , 2014, Nature Communications.

[41]  H. Schaeffer,et al.  Mitogen-Activated Protein Kinases: Specific Messages from Ubiquitous Messengers , 1999, Molecular and Cellular Biology.

[42]  H. Shih,et al.  Nuclear Factor of Activated T Cells c Is a Target of p38 Mitogen-Activated Protein Kinase in T Cells , 2003, Molecular and Cellular Biology.

[43]  R. Atkins,et al.  A pathogenic role for c-Jun amino-terminal kinase signaling in renal fibrosis and tubular cell apoptosis. , 2007, Journal of the American Society of Nephrology : JASN.

[44]  R. Flavell,et al.  c-Jun NH2-Terminal Kinase (JNK)1 and JNK2 Have Distinct Roles in CD8+ T Cell Activation , 2002, The Journal of experimental medicine.

[45]  S. Hedrick,et al.  The Erk2 MAPK Regulates CD8 T Cell Proliferation and Survival1 , 2008, The Journal of Immunology.

[46]  K. Ohkusu-Tsukada,et al.  Targeted inhibition of IL‐10‐secreting CD25− Treg via p38 MAPK suppression in cancer immunotherapy , 2010, European journal of immunology.

[47]  Philippe P Roux,et al.  Activation and Function of the MAPKs and Their Substrates, the MAPK-Activated Protein Kinases , 2011, Microbiology and Molecular Reviews.

[48]  Huai Gao,et al.  The Discovery of VX-745: A Novel and Selective p38α Kinase Inhibitor. , 2011, ACS medicinal chemistry letters.

[49]  J. Siekierka,et al.  T cell activation signals up-regulate p38 mitogen-activated protein kinase activity and induce TNF-alpha production in a manner distinct from LPS activation of monocytes. , 1999, Journal of immunology.

[50]  T. Tan,et al.  MAP4K3/GLK in autoimmune disease, cancer and aging , 2019, Journal of Biomedical Science.

[51]  M. C. Hu,et al.  Hematopoietic progenitor kinase-1 (HPK1) stress response signaling pathway activates IkappaB kinases (IKK-alpha/beta) and IKK-beta is a developmentally regulated protein kinase. , 1999, Oncogene.

[52]  Huitu Liu,et al.  MAPK signal pathways in the regulation of cell proliferation in mammalian cells , 2002, Cell Research.

[53]  Ding Ma,et al.  The p38 MAPK inhibitor BIRB796 enhances the antitumor effects of VX680 in cervical cancer , 2016, Cancer biology & therapy.

[54]  Jenny Bain,et al.  BIRB796 Inhibits All p38 MAPK Isoforms in Vitro and in Vivo* , 2005, Journal of Biological Chemistry.

[55]  The mechanism by which MEK/ERK regulates JNK and p38 activity in polyamine depleted IEC-6 cells during apoptosis , 2014, Apoptosis.

[56]  M. Belvin,et al.  MAP Kinase Inhibition Promotes T Cell and Anti-tumor Activity in Combination with PD-L1 Checkpoint Blockade. , 2016, Immunity.

[57]  V. Lafont,et al.  Evidence for a p21 ras /Raf-1/MEK-1/ERK-2-independent Pathway in Stimulation of IL-2 Gene Transcription in Human Primary T Lymphocytes* , 1999, The Journal of Biological Chemistry.

[58]  Michael Karin,et al.  A liver full of JNK: signaling in regulation of cell function and disease pathogenesis, and clinical approaches. , 2012, Gastroenterology.

[59]  Suzanne F. Jones,et al.  Phase Ib study of the MEK inhibitor cobimetinib (GDC-0973) in combination with the PI3K inhibitor pictilisib (GDC-0941) in patients with advanced solid tumors , 2019, Investigational New Drugs.

[60]  T. Tan,et al.  AhR–ROR-γt complex is a therapeutic target for MAP4K3/GLKhighIL-17Ahigh subpopulation of systemic lupus erythematosus , 2019, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[61]  W. R. Bishop,et al.  Development of MK-8353, an orally administered ERK1/2 inhibitor, in patients with advanced solid tumors. , 2018, JCI insight.

[62]  Jan Richter,et al.  Approval of First CAR-Ts: Have we Solved all Hurdles for ATMPs? , 2019, Cell medicine.

[63]  A. Cuenda,et al.  p38 MAP-kinases pathway regulation, function and role in human diseases. , 2007, Biochimica et biophysica acta.

[64]  E. D. de Vries,et al.  MAPK pathway activity plays a key role in PD‐L1 expression of lung adenocarcinoma cells , 2019, The Journal of pathology.

[65]  M. Prados,et al.  A phase I trial of the MEK inhibitor selumetinib (AZD6244) in pediatric patients with recurrent or refractory low-grade glioma: a Pediatric Brain Tumor Consortium (PBTC) study , 2017, Neuro-oncology.

[66]  Xiaolin Nan,et al.  Ras-GTP dimers activate the Mitogen-Activated Protein Kinase (MAPK) pathway , 2015, Proceedings of the National Academy of Sciences.

[67]  Liuxing Wang,et al.  HPK1 positive expression associated with longer overall survival in patients with estrogen receptor-positive invasive ductal carcinoma-not otherwise specified , 2017, Molecular medicine reports.

[68]  K. Gadkar,et al.  Clinical responses to ERK inhibitor (GDC-0994) treatment combinations predicted using a Quantitative Systems Pharmacology model of MAPK signaling in BRAF(V600E)-mutant colorectal cancer , 2016 .

[69]  V. Keshamouni,et al.  Temporal and quantitative regulation of mitogen-activated protein kinase (MAPK) modulates cell motility and invasion , 2001, Oncogene.

[70]  T. Tan,et al.  GLK-IKKβ signaling induces dimerization and translocation of the AhR-RORγt complex in IL-17A induction and autoimmune disease , 2018, Science Advances.

[71]  S. Mehrotra,et al.  Rescuing Melanoma Epitope-Specific Cytolytic T Lymphocytes from Activation-Induced Cell Death, by SP600125, an Inhibitor of JNK: Implications in Cancer Immunotherapy1 , 2004, The Journal of Immunology.

[72]  T. Tan,et al.  Hematopoietic progenitor kinase 1 negatively regulates T cell receptor signaling and T cell–mediated immune responses , 2007, Nature Immunology.

[73]  J. Gutkind,et al.  Novel insights into G protein and G protein-coupled receptor signaling in cancer. , 2014, Current opinion in cell biology.

[74]  D. Bluemke,et al.  Physical activity and right ventricular structure and function. The MESA-Right Ventricle Study. , 2011, American journal of respiratory and critical care medicine.

[75]  J. Cicenas,et al.  JNK, p38, ERK, and SGK1 Inhibitors in Cancer , 2017, Cancers.

[76]  A. Baker,et al.  The anti-tumor efficacy of 2-deoxyglucose and D-allose are enhanced with p38 inhibition in pancreatic and ovarian cell lines , 2015, Journal of Experimental & Clinical Cancer Research.

[77]  C. Cooke,et al.  Regulation of iNOS by the p44/42 mitogen-activated protein kinase pathway in human melanoma , 2006, Oncogene.

[78]  M. C. Hu,et al.  Hematopoietic progenitor kinase-1 (HPK1) stress response signaling pathway activates IκB kinases (IKK-α/β) and IKK-β is a developmentally regulated protein kinase , 1999, Oncogene.

[79]  L. Cope,et al.  Functional p38 MAPK Identified by Biomarker Profiling of Pancreatic Cancer Restrains Growth through JNK Inhibition and Correlates with Improved Survival , 2014, Clinical Cancer Research.

[80]  M. C. Hu,et al.  Murine p38-δ Mitogen-activated Protein Kinase, a Developmentally Regulated Protein Kinase That Is Activated by Stress and Proinflammatory Cytokines* , 1999, The Journal of Biological Chemistry.

[81]  Taebo Sim,et al.  Discovery of potent and selective covalent inhibitors of JNK. , 2012, Chemistry & biology.

[82]  A. Schulze,et al.  NFATc1 controls the cytotoxicity of CD8+ T cells , 2017, Nature Communications.

[83]  Manish R. Patel,et al.  First-in-Class ERK1/2 Inhibitor Ulixertinib (BVD-523) in Patients with MAPK Mutant Advanced Solid Tumors: Results of a Phase I Dose-Escalation and Expansion Study. , 2017, Cancer discovery.

[84]  R. Campbell,et al.  Characterization of LY2228820 Dimesylate, a Potent and Selective Inhibitor of p38 MAPK with Antitumor Activity , 2011, Molecular Cancer Therapeutics.

[85]  Nancy Y. Ip,et al.  ERKs: A family of protein-serine/threonine kinases that are activated and tyrosine phosphorylated in response to insulin and NGF , 1991, Cell.

[86]  R. Flavell,et al.  JNK is required for effector T-cell function but not for T-cell activation , 2000, Nature.

[87]  H. Schulze-Koops,et al.  The p38 mitogen-activated protein kinase signaling cascade in CD4 T cells , 2006, Arthritis research & therapy.

[88]  G. Rassidakis,et al.  AP-1 Transcription Factors as Regulators of Immune Responses in Cancer , 2019, Cancers.

[89]  P. Lapinski,et al.  Regulation of Ras signal transduction during T cell development and activation. , 2012, American journal of clinical and experimental immunology.

[90]  D. Huo,et al.  The p38 kinases MKK4 and MKK6 suppress metastatic colonization in human ovarian carcinoma. , 2006, Cancer research.

[91]  G. Fanger,et al.  Role of MEKK1 in cell survival and activation of JNK and ERK pathways defined by targeted gene disruption. , 1998, Science.

[92]  M. Barančík,et al.  SB203580, a specific inhibitor of p38-MAPK pathway, is a new reversal agent of P-glycoprotein-mediated multidrug resistance. , 2001, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.