The signal transducer and activator of transcription 3 (STAT3) signaling pathway is a key mediator of cancer cell proliferation, survival, and invasion. We discovered YHO-1701 as a small molecule inhibitor of STAT3 dimerization and demonstrated its potent anti-tumor activity using xenograft mouse models as monotherapy and combination therapy with molecular targeted drugs. STAT3 is also associated with cancer immune tolerance; therefore, we used the female CT26 syngeneic mouse model to examine the effect of combining YHO-1701 administration with PD-1/PD-L1 blockade. Pretreatment of the mice with YHO-1701 before starting anti-PD-1 antibody administration resulted in a significant therapeutic effect. In addition, the effect of monotherapy and combination treatment with YHO-1701 was significantly abolished by depleting natural killer (NK) cell activity. YHO-1701 was also found to restore the activity of mouse NK cells under inhibitory conditions in vitro. Furthermore, this combination therapy significantly inhibited tumor growth in an immunotherapy-resistant model of murine CMS5a fibrosarcoma. These results suggest that the combination of YHO-1701 with PD-1/PD-L1 blockade might be a new candidate for cancer immunotherapy involving the enhancement of NK cell activity in the tumor microenvironment.

01 May 2020·Cancer ScienceQ2 · MEDICINE

Antitumor activity of a novel oral signal transducer and activator of transcription 3 inhibitor YHO‐1701

Q2 · MEDICINE

ArticleOA

Author: Tsugane, Momomi ; Taniguchi, Keisuke ; Asakawa, Naoyuki ; Shishido, Yoshiyuki ; Kurita, Akinobu ; Takagi, Akimitsu ; Takahashi, Hiroyuki ; Hirata, Genya ; Asai, Akira ; Nishisaka, Fukiko ; Ogo, Naohisa

AbstractThe signal transducer and activator of transcription 3 (STAT3) signaling pathway is a key mediator of cancer cell proliferation, survival and invasion. Aberrant STAT3 has been demonstrated in various malignant cancers. YHO‐1701 is a novel quinolinecarboxamide derivative generated from STX‐0119. Here, we examined the effect of YHO‐1701 on STAT3 and evaluated antitumor activity of YHO‐1701 as a single agent and in combination. YHO‐1701 inhibited STAT3‐SH2 binding to phospho‐Tyr peptide selectively and more potently than STX‐0119 in biochemical assays. Molecular docking studies with STAT3 suggested more stable interaction of YHO‐1701 with the SH2 domain. YHO‐1701 exhibited approximately 10‐fold stronger activity than STX‐0119 in abrogating the STAT3 signaling pathway of human oral cancer cell line SAS. YHO‐1701 also blocked multi‐step events by inhibiting STAT3 dimerization and suppressed STAT3 promoter activity. As expected, YHO‐1701 exerted strong antiproliferative activity against human cancer cell lines addicted to STAT3 signaling. Orally administered YHO‐1701 showed statistically significant antitumor effects with long exposure to high levels of YHO‐1701 at tumor sites in SAS xenograft models. Moreover, combination regimen with sorafenib led to significantly stronger antitumor activity. In addition, the suppression level of survivin (a downstream target) was superior for the combination as compared with monotherapy groups within tumor tissues. Thus, YHO‐1701 had a favorable specificity for STAT3 and pharmacokinetics after oral treatment; it also contributed to the enhanced antitumor activity of sorafenib. The evidence presented here provides justification using for this approach in future clinical settings.

Scientific ReportsQ3 · CROSS-FIELD

Efficacy of combination treatment using YHO-1701, an orally active STAT3 inhibitor, with molecular-targeted agents on cancer cell lines

Q3 · CROSS-FIELD

ArticleOA

Author: Takahashi, Hiroyuki ; Asai, Akira ; Taniguchi, Keisuke ; Yoshinaga, Akiko ; Konishi, Hiroaki ; Tsugane, Momomi ; Shishido, Yoshiyuki ; Nishisaka, Fukiko

AbstractSignal transducer and activator of transcription 3 (STAT3) plays a critical role in regulating cell growth, survival, and metastasis. STAT3 signaling is constitutively activated in various types of hematologic or solid malignancies. YHO-1701 has been developed as an orally available STAT3 inhibitor. Herein, YHO-1701 in combination with molecular-targeted agents was evaluated. Additive or synergistic effects were observed in a broad spectrum of “combination treatment + cell line” pairs. Of particular interest was the synergistic effect observed when YHO-1701 was combined with imatinib or dasatinib [breakpoint cluster region-abelson (BCR-ABL) inhibitors], osimertinib [epidermal growth factor receptor (EGFR) inhibitor], crizotinib, alectinib, or ceritinib [anaplastic lymphoma kinase (ALK) inhibitors]. The results further showed a close relationship between these synergistic effects and the cellular levels of the key molecules involved in the target pathways for YHO-1701 and each combination drug. The combination of YHO-1701 with alectinib resulted in significantly greater antitumor activity without exhibiting body weight loss in an NCI-H2228 [echinoderm microtubule-associated protein-like 4 (EML4)-ALK fusion] xenograft mouse model. Our results strongly suggest that the logical strategy in combination with the novel STAT3 inhibitor YHO-1701 and other mechanistically different targeted agents, could be a promising approach in future clinical settings.

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Indication	Highest Phase	Country/Location	Organization	Date
Neoplasms	Preclinical	JP	University of Shizuoka	-
Neoplasms	Preclinical	JP	Yakult Honsha Co., Ltd.	-

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