Immune checkpoint inhibitors have revolutionized cancer treatment by harnessing the power of the body’s immune system. However, many patients do not respond to available therapies, highlighting an urgent need to identify new immunosuppressive pathways and therapeutic targets. We discovered that production of adenosine by the CD39-CD73 axis is an important immune checkpoint that promote cancer. With support from the Canadian Institutes of Health Research, we are defining the molecular ecosystem governing adenosine-mediated effects in cancer. Specifically, we study the impact of the adenosine production via CD39 and CD73 and transport across ENT1 and ENT2 in various immune cell populations.
We also leverage large multi-omics datasets to identify new mechanisms of immunotherapy resistance. We work closely with collaborators of the Terry Fox Institute Marathon-of-Hope Cancer Centers network, the Francis Crick Institute and Roche’s immunotherapy Centers of Research Excellence (imCORE). Our consortium allows us to investigate, at an unprecedented level, the landscape of genomic, transcriptomic and proteomic associations with immunotherapy clinical responses.
With partners in Belgium, France and Germany, and with our GCI collaborator Dr Morag Park, we are mapping the adaptation of triple-negative breast cancer to chemo-immunotherapy. This project leverages spatial transcriptomics and multiplex analysis of primary and metastatic lesions from 3 large randomized clinical trials.
We recently discovered that blocking or deleting ENT1, the major regulator of extracellular adenosine concentrations, significantly enhanced CD8+ T cell-dependent anti-tumor immunity. Using gene-targeted mice and preclinical cancer models, we are now characterizing the cell-specific function of ENT1 and ENT2 in various immune cell populations.
Using bioinformatics, we discovered Protease-activated receptor-2 (PAR2) as a potential new target to overcome resistance to immune checkpoint inhibitors. PAR2 is a receptor activated by specific tumor proteases and involved in pathophysiological inflammation. We are investigating the impact of PAR2 on tumor immunity using gene-targeted mice and proteomics analysis of human tumors, and will identify patient populations that may benefit from PAR2-targeted therapy.
With collaborators at CHUM and Ottawa Hospital Research Institute, we are defining the immune landscape and functional interactions at single-cell level of rare ovarian cancers. Our goal is to identify new biomarkers for diagnosis and new treatment trajectories, including immunotherapies and antibody-drug conjugates.