Study reveals dual role of anti-cancer inhibitor

TG2, an enzyme known to help cancers spread more quickly, also plays a role in regulating T-cells, according to a Northwestern Medicine study published in the Journal for Immunotherapy of Cancer.

Inhibiting TG2 in non-cancer cells also boosted immune activity, a phenomenon that could be leveraged in cancer therapy, according to Daniela Matei, MD, the Diana, Princess of Wales Professor of Cancer Research, chief of Reproductive Science in Medicine in the Department of Obstetrics and Gynecology and senior author of the study.

"If we create a drug that inhibits TG2, it could work in cancer cells and in host cells," said Matei, who is also a professor of Medicine in the Division of Hematology and Oncology.

Matei's laboratory has studied the impact of elevated TG2 expression in ovarian cancer for a decade, consistently finding that TG2 increases ovarian cancer's spread to other locations in the body. However, what impact TG2 has in normal cells remained unknown.

In the current study, Matei and co-author Bin Zhang, MD, PhD, professor of Medicine in the Division of Hematology and Oncology and of Microbiology-Immunology, studied the effects of knocking out expression of the gene that codes for TG2 in mouse models of ovarian cancer.

The investigators discovered that, surprisingly, loss of TG2 in healthy cells is accompanied by a more robust immune response. Without TG2, an imbalance in STAT proteins causes increased cytotoxic T-cell activity, leading to reduced tumor progression.

TG2 is necessary in the body, so we believe loss of TG2 triggers this compensatory mechanism."

Daniela Matei, MD

Matei and collaborators are currently exploring strategies to inhibit TG2 in cancer cells, but now are designing inhibitors that will work in immune cells as well.

"Our current inhibitor is designed to block adhesion of cancer cells to the extracellular matrix, but other approaches can degrade the entire TG2 protein — which could help kill cancer cells, alter anti-tumor immunity and delay cancer progression," Matei said.

Zhang and Matei are members of the Robert H. Lurie Comprehensive Cancer Center of Northwestern University.

This research was supported by U.S. Department of Veterans Affairs grant I01 BX000792-06, the Diana Princess of Wales endowed Professorship from the Robert H. Lurie Comprehensive Cancer Center, the Walter S. and Lucienne Driskill Immunotherapy Research fund and UEFISCDI grant PN-III-P1-1.1-TE- 2019-0670.