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.