Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer

IntroductionIdentification of effective therapies for colorectal cancer (CRC) remains an urgent medical need, especially for the microsatellite stable (MSS) phenotype. In our previous study, potassium oxonate (PO), a uricase inhibitor commonly used for elevating uric acid in mice, unexpectedly showe...

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Main Authors: Yuanyuan Wang, Chenxi Hu, Tianpeng Du, Jiawen Li, Kaiyuan Hui, Xiaodong Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1528004/full
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author Yuanyuan Wang
Chenxi Hu
Tianpeng Du
Jiawen Li
Kaiyuan Hui
Xiaodong Jiang
author_facet Yuanyuan Wang
Chenxi Hu
Tianpeng Du
Jiawen Li
Kaiyuan Hui
Xiaodong Jiang
author_sort Yuanyuan Wang
collection DOAJ
description IntroductionIdentification of effective therapies for colorectal cancer (CRC) remains an urgent medical need, especially for the microsatellite stable (MSS) phenotype. In our previous study, potassium oxonate (PO), a uricase inhibitor commonly used for elevating uric acid in mice, unexpectedly showed remarkable inhibition of tumor growth when combined with anti-programmed death-1 (PD-1). Further research demonstrated that the combination of potassium oxonate and anti-PD-1 could reprogram the immune microenvironment. This study aimed to explore the anti-tumor effect of PO combined with anti-PD-1, and investigate the impact on the immunosuppressive tumor microenvironment (TME).MethodsWe established a syngeneic mouse model of CRC and divided into groups of control group, single drugs group of PO and anti-PD-1, and the combination group. Use the HE staining, immunohistochemistry (IHC) and TUNEL staining of tumor issues to verify the anti-neoplasm of each group. We also tested the changes of TME through flow cytometry of spleen of mice in each group, as well as the IHC of cytokines.ResultsThe co-therapy of PO and anti-PD-1 showed admirable anti-tumor effect compared with the control group and the single drug groups. The TME were tended to an environment beneficial for killing tumors by enhancing chemotactic factor release, increasing CD8+ T cell infiltration and activation, and decreasing the amount of regulatory T cells. Moreover, IFN-γ and IL-2 secretion were found to be enriched in the tumor TME.ConclusionOur study indicated that combination of PO and anti-PD-1 could synergistically suppress CRC progression and altered the tumor microenvironment in favor of antitumor immune responses.
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spelling doaj-art-9e5c4ef66a9944fdbe00657ad1c4f2fe2025-02-07T05:10:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-02-011510.3389/fonc.2025.15280041528004Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancerYuanyuan Wang0Chenxi Hu1Tianpeng Du2Jiawen Li3Kaiyuan Hui4Xiaodong Jiang5Department of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, ChinaDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, ChinaDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, ChinaDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, ChinaIntroductionIdentification of effective therapies for colorectal cancer (CRC) remains an urgent medical need, especially for the microsatellite stable (MSS) phenotype. In our previous study, potassium oxonate (PO), a uricase inhibitor commonly used for elevating uric acid in mice, unexpectedly showed remarkable inhibition of tumor growth when combined with anti-programmed death-1 (PD-1). Further research demonstrated that the combination of potassium oxonate and anti-PD-1 could reprogram the immune microenvironment. This study aimed to explore the anti-tumor effect of PO combined with anti-PD-1, and investigate the impact on the immunosuppressive tumor microenvironment (TME).MethodsWe established a syngeneic mouse model of CRC and divided into groups of control group, single drugs group of PO and anti-PD-1, and the combination group. Use the HE staining, immunohistochemistry (IHC) and TUNEL staining of tumor issues to verify the anti-neoplasm of each group. We also tested the changes of TME through flow cytometry of spleen of mice in each group, as well as the IHC of cytokines.ResultsThe co-therapy of PO and anti-PD-1 showed admirable anti-tumor effect compared with the control group and the single drug groups. The TME were tended to an environment beneficial for killing tumors by enhancing chemotactic factor release, increasing CD8+ T cell infiltration and activation, and decreasing the amount of regulatory T cells. Moreover, IFN-γ and IL-2 secretion were found to be enriched in the tumor TME.ConclusionOur study indicated that combination of PO and anti-PD-1 could synergistically suppress CRC progression and altered the tumor microenvironment in favor of antitumor immune responses.https://www.frontiersin.org/articles/10.3389/fonc.2025.1528004/fullanti-PD-1CRCimmunotherapyimmune microenvironmentpotassium oxonate
spellingShingle Yuanyuan Wang
Chenxi Hu
Tianpeng Du
Jiawen Li
Kaiyuan Hui
Xiaodong Jiang
Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
Frontiers in Oncology
anti-PD-1
CRC
immunotherapy
immune microenvironment
potassium oxonate
title Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
title_full Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
title_fullStr Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
title_full_unstemmed Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
title_short Combination of potassium oxonate with anti-PD-1 for the treatment of colorectal cancer
title_sort combination of potassium oxonate with anti pd 1 for the treatment of colorectal cancer
topic anti-PD-1
CRC
immunotherapy
immune microenvironment
potassium oxonate
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1528004/full
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