Identification of RP-54745, an IL-1 Inhibitor Displaying Anticancer Activities for KSHV-Related Primary Effusion Lymphoma.

in Journal of medical virology by Lu Dai, Amrita Choudhary, Jiaojiao Fan, Lu Huang, Zhen Lin, Zhiqiang Qin

TLDR

  • RP-54745, an IL-1 inhibitor, shows promise in suppressing KSHV+ PEL cell growth and hyperinflammation in the tumor microenvironment.
  • The study suggests that targeting IL-1 production and signaling may represent a promising therapeutic strategy against KSHV-related diseases.

Abstract

Kaposi's sarcoma-associated herpesvirus (KSHV) is the etiologic agent of several human cancers, including primary effusion lymphoma (PEL), usually seen in immunocompromised patients while lack of effective therapeutic options. Interleukin-1 (IL-1) family is a major mediator for inflammatory responses and has functional role in both innate and adaptive immunity. We previously showed high activation of multiple IL-1 signaling molecules during KSHV latent and lytic stages, as well as in clinical samples from patients with KSHV-related malignancies. In the current study, we identified RP-54745, a potential antirheumatic compound as IL-1 inhibitor, effectively repressed KSHV + PEL cell growth through inducing tumor cell apoptosis. By using an established PEL xenograft model, we found that RP-54745 treatment suppressed tumor expansion in mice. Also, RP-54745 treatment significantly reduced hyperinflammation in tumor microenvironment including myeloid cells and neutrophils infiltration, as well as blocking IL-1 signaling molecules expression in vivo. In addition, our transcriptome analysis revealed novel cellular genes and mechanisms for anticancer activities of RP-54745. Taken together, our data indicate targeting IL-1 production and signaling may represent promising therapeutic strategies against these virus-associated diseases.

Overview

  • The study investigates the potential therapeutic effects of RP-54745, an IL-1 inhibitor, on Kaposi's sarcoma-associated herpesvirus (KSHV) related diseases, specifically primary effusion lymphoma (PEL).
  • The study builds upon previous research showing high activation of IL-1 signaling molecules during KSHV latent and lytic stages.
  • The primary objective of the study is to evaluate the effectiveness of RP-54745 in suppressing KSHV+ PEL cell growth and hyperinflammation in the tumor microenvironment.

Comparative Analysis & Findings

  • RP-54745, an IL-1 inhibitor, effectively repressed KSHV+ PEL cell growth through inducing tumor cell apoptosis.
  • Treatment with RP-54745 suppressed tumor expansion in a PEL xenograft model and reduced hyperinflammation in the tumor microenvironment.
  • Transcriptome analysis revealed novel cellular genes and mechanisms for anticancer activities of RP-54745.

Implications and Future Directions

  • The study suggests that targeting IL-1 production and signaling may represent a promising therapeutic strategy against KSHV-related diseases.
  • Future studies should investigate the efficacy of RP-54745 in combination with other therapeutic agents and explore its potential in treating other KSHV-related malignancies.
  • Further research is needed to fully understand the molecular mechanisms underlying the anticancer activities of RP-54745 and to identify optimal dosing and treatment regimens.