Korea University Researchers Reveal Revealing How WEE1 Drives Cancer Resistance to Immunotherapy

SEOUL, South Korea, July 15, 2025 /PRNewswire/ -- Immune checkpoint blockade (ICB) therapies have revolutionized cancer treatment, yet many tumors remain resistant. Now, researchers at Korea University identifies the protein kinase WEE1 as a key driver of this resistance. They discovered that, outside its traditional role in the cell nucleus as tumor suppressor, cytoplasmic WEE1 fosters tumor growth and immune evasion by enhancing AKT hyperactivation. Targeting WEE1 with clinically available inhibitors may re-sensitize tumors to immunotherapy, offering new hope for treatment-resistant cancer patients.

Immune checkpoints are regulatory proteins that prevent the immune system from attacking healthy tissues. Some cancer cells exploit these checkpoints to avoid immune detection. Immune checkpoint blockade (ICB)—a therapy that uses antibodies to block these deceptive signals—can unleash the immune system to destroy cancer.

However, a major challenge in oncology remains: why do some tumors resist ICB?

In a landmark study, researchers from Korea University have discovered a surprising answer: the protein WEE1, traditionally known as a cell cycle regulator and tumor suppressor, can paradoxically drive immune resistance when located in the cytoplasm of cancer cells.

Highlighting the significance of this achievement, Professor Tae Woo Kim from the Department of Biochemistry and Molecular Biology at Korea University College of Medicine, Seoul, Republic of Korea reveals, "Our findings uncover a non-canonical oncogenic mechanism of cytoplasmic WEE1 and provide a proof of principle that targeting WEE1 is an appealing combinational strategy to overcome refractory tumor to ICB therapy." This study was published in Volume 13, Issue 6 of Cancer Immunology Research journal on June 04, 2025.

RNA samples were obtained from patients with metastatic melanoma and non–small cell lung cancer who were undergoing ICB treatment. These patients were categorized as responders and non-responders, and their transcriptomic signatures were analyzed to understand WEE1 expression levels. The team found that WEE1 expression was significantly elevated in non-responders, correlating with poor prognosis, high tumor proliferation, and cancer stem cell (CSC)-like features.

Mechanistically, the transcription factor NANOG upregulates WEE1. Once phosphorylated by AKT, WEE1 relocates from the nucleus to the cytoplasm, where it activates the HSP90A–TCL1A–AKT loop, sustaining AKT hyperactivation.

Elucidating the molecular mechanism, Dr. Hyo-Jung Lee, the first author of the study, explains, "WEE1 is phosphorylated by AKT and then translocated in the cytosol, in which it phosphorylates HSP90A, consequently enhancing chaperon activity of HSP90A toward TCL1A, an AKT coactivator. Subsequently, stabilization of TCL1A results in an increase of its proteins levels, leading to amplification of the WEE1/HSP90A1/TCL1A/AKT auto-loop that promotes immune-refractory phenotypes and CSC-like properties of tumor cells."

Importantly, this study reveals the paradoxical role of cytoplasmic WEE1. While its canonical function involves DNA repair and tumor suppression in the nucleus, its non-canonical cytoplasmic role promotes tumor progression and immune resistance. These findings underscore the potential of WEE1 expression levels as predictive biomarkers for selecting patients who may benefit from ICB combination therapies.

Discussing the therapeutic implications of WEEI inhibitors, Prof. Kim comments, "Importantly, inhibiting WEE1 with a clinically relevant drug, adavosertib (AZD1775), sensitizes NANOG+ immune-refractory tumors to ICB and reinvigorates antitumor immunity via abrogating the autoamplifying loop triggered by AKT-dependent cytoplasmic WEE1."

This proof-of-concept study may also extend to other cell cycle regulators with similar dual functions, such as p21, p27, and CHK1, thereby broadening the landscape of therapeutic targets and paving the way for the development of novel treatment strategies.

Reference

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SOURCE Korea University College of Medicine