The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses

Immune-checkpoint inhibitors (ICIs) have shown unprecedented success in a subset of immunogenic tumors, however a host of patients with advanced solid tumors fail to respond well or at all to immunotherapy. Refractory tumors commonly display a tumor microenvironment (TME) rich in immunosuppressive m...

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Main Authors: Claudio Scuoppo, Rick Ramirez, Siok F. Leong, Mark Koester, Zachary F. Mattes, Karen Mendelson, Julia Diehl, Franco Abbate, Erin Gallagher, Lila Ghamsari, Abi Vainstein-Haras, Gene Merutka, Barry J. Kappel, Jim A. Rotolo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1522699/full
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author Claudio Scuoppo
Rick Ramirez
Siok F. Leong
Mark Koester
Zachary F. Mattes
Karen Mendelson
Julia Diehl
Franco Abbate
Erin Gallagher
Lila Ghamsari
Abi Vainstein-Haras
Gene Merutka
Barry J. Kappel
Jim A. Rotolo
author_facet Claudio Scuoppo
Rick Ramirez
Siok F. Leong
Mark Koester
Zachary F. Mattes
Karen Mendelson
Julia Diehl
Franco Abbate
Erin Gallagher
Lila Ghamsari
Abi Vainstein-Haras
Gene Merutka
Barry J. Kappel
Jim A. Rotolo
author_sort Claudio Scuoppo
collection DOAJ
description Immune-checkpoint inhibitors (ICIs) have shown unprecedented success in a subset of immunogenic tumors, however a host of patients with advanced solid tumors fail to respond well or at all to immunotherapy. Refractory tumors commonly display a tumor microenvironment (TME) rich in immunosuppressive macrophages (M2-like) that suppress adaptive immunity and promote tumor progression. The ability to reprogram macrophages in the TME into an immune-active state holds great promise for enhancing responses to ICIs. Lucicebtide (previously referred to as ST101) is a peptide antagonist of the transcription factor C/EBPβ, a key activator of the transcriptional program in immunosuppressive macrophages. Here we show that lucicebtide exposure reprograms human immunosuppressive M2-like macrophages to a pro-inflammatory M1-like phenotype, restores cytotoxic T cell activation in immunosuppressed co-culture assays in vitro, and further increases T-cell activity in M1-like/T cell co-cultures. In immunocompetent, macrophage-rich triple-negative breast and colorectal cancer models, lucicebtide induces repolarization of tumor-associated macrophages (TAMs) to a pro-inflammatory M1-like phenotype and suppresses tumor growth. Lucicebtide synergizes with anti-PD-1 therapy and overcomes resistance to checkpoint inhibition in anti-PD-1-refractory tumors, but in vivo responses are impaired by systemic macrophage depletion, indicating that macrophage reprogramming is integral to lucicebtide activity. These results identify lucicebtide as a novel immunomodulator that reprograms immunosuppressive macrophage populations to enhance anti-tumor activity and suggests its utility for combination strategies in cancers with poor response to ICIs.
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spelling doaj-art-9a7a54708a7d4878a64b8e8b0156a89e2025-08-20T02:46:28ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-03-011610.3389/fimmu.2025.15226991522699The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responsesClaudio ScuoppoRick RamirezSiok F. LeongMark KoesterZachary F. MattesKaren MendelsonJulia DiehlFranco AbbateErin GallagherLila GhamsariAbi Vainstein-HarasGene MerutkaBarry J. KappelJim A. RotoloImmune-checkpoint inhibitors (ICIs) have shown unprecedented success in a subset of immunogenic tumors, however a host of patients with advanced solid tumors fail to respond well or at all to immunotherapy. Refractory tumors commonly display a tumor microenvironment (TME) rich in immunosuppressive macrophages (M2-like) that suppress adaptive immunity and promote tumor progression. The ability to reprogram macrophages in the TME into an immune-active state holds great promise for enhancing responses to ICIs. Lucicebtide (previously referred to as ST101) is a peptide antagonist of the transcription factor C/EBPβ, a key activator of the transcriptional program in immunosuppressive macrophages. Here we show that lucicebtide exposure reprograms human immunosuppressive M2-like macrophages to a pro-inflammatory M1-like phenotype, restores cytotoxic T cell activation in immunosuppressed co-culture assays in vitro, and further increases T-cell activity in M1-like/T cell co-cultures. In immunocompetent, macrophage-rich triple-negative breast and colorectal cancer models, lucicebtide induces repolarization of tumor-associated macrophages (TAMs) to a pro-inflammatory M1-like phenotype and suppresses tumor growth. Lucicebtide synergizes with anti-PD-1 therapy and overcomes resistance to checkpoint inhibition in anti-PD-1-refractory tumors, but in vivo responses are impaired by systemic macrophage depletion, indicating that macrophage reprogramming is integral to lucicebtide activity. These results identify lucicebtide as a novel immunomodulator that reprograms immunosuppressive macrophage populations to enhance anti-tumor activity and suggests its utility for combination strategies in cancers with poor response to ICIs.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1522699/fullC/EBPβlucicebtidetumor associate macrophages (TAM)M2-type macrophageanti-pd 1 immunotherapyST101
spellingShingle Claudio Scuoppo
Rick Ramirez
Siok F. Leong
Mark Koester
Zachary F. Mattes
Karen Mendelson
Julia Diehl
Franco Abbate
Erin Gallagher
Lila Ghamsari
Abi Vainstein-Haras
Gene Merutka
Barry J. Kappel
Jim A. Rotolo
The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
Frontiers in Immunology
C/EBPβ
lucicebtide
tumor associate macrophages (TAM)
M2-type macrophage
anti-pd 1 immunotherapy
ST101
title The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
title_full The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
title_fullStr The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
title_full_unstemmed The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
title_short The C/EBPβ antagonist peptide lucicebtide (ST101) induces macrophage polarization toward a pro-inflammatory phenotype and enhances anti-tumor immune responses
title_sort c ebpβ antagonist peptide lucicebtide st101 induces macrophage polarization toward a pro inflammatory phenotype and enhances anti tumor immune responses
topic C/EBPβ
lucicebtide
tumor associate macrophages (TAM)
M2-type macrophage
anti-pd 1 immunotherapy
ST101
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1522699/full
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