Claudia Galassi, PhD
Weill Cornell Medicine
Recent studies, including our own, have shown that targeting glycolysis can enhance antitumor immunity and improve immune checkpoint blockade (ICB) efficacy. We previously demonstrated that LDH inhibition with GNE-140 restores T cell cytotoxicity and infiltration while destabilizing Tregs, thereby enhancing ICB responses in glycolytic tumors such as melanoma and triple-negative breast cancer (TNBC). We therefore hypothesize that metabolic reprograming with LDH inhibition will potentiate adoptive cell transfer (ACT) therapy in melanoma and TNBC. Using both genetic (LDH-A knockdown) and pharmacological (GNE-140) approaches in TNBC 4T1 and melanoma B16 models, we are evaluating the impact of tumor glycolysis on ACT efficacy. We are assessing therapeutic effects and biodistribution of adoptively transferred tumor-specific T cells upon targeting LDH in vivo. Moreover, by ex vivo immune profiling we are investigating T-cell functional and metabolic phenotypes. Preliminary evidence in the B16 model suggests enhanced responsiveness of glycolysis‑low tumors to ACT with pre-activated CD8⁺ Pmel relative to glycolysis‑high tumors. Our findings aim to define how metabolic modulation via LDH inhibition can improve ACT outcomes in melanoma and TNBC, offering a novel combinatorial strategy for enhancing immunotherapy efficacy in solid tumors.
Claudia Galassi, PhD