Search bioRxiv⌕ Search
Home/Archive/bioRxiv

bioRxiv · 10.64898/2026.01.28.702362

Evexomostat (SDX-7320), a Methionine Aminopeptidase Type 2 (METAP2) Inhibitor, Stimulates Weight Loss and Inhibits Obesity-Accelerated Tumor Growth

Cornelius, P.·Mayes, B. A.·Dannenberg, A. J.·Dufour, P. J.·Little, S.·Guzior, D. V.·Petersen, J. S.·Shanahan, J. M.·Carver, B. J.
View original source ↗Export metadata ↓

Abstract

Obesity and diabetes are associated with worse prognosis for numerous malignancies. Both insulin resistance and altered levels of adipokines may explain the link between obesity and tumor progression. In preclinical models, METAP2 inhibitors induce weight loss and possess anti-tumor activity, but their effects on obesity-accelerated tumor growth are unknown. Here, we investigated the effects of SDX-7320, a novel polymer-conjugated METAP2 inhibitor, on obesity and obesity-accelerated tumor growth. The anti-obesity and metabolic effects of SDX-7320 were evaluated in diet-induced obese (DIO) mice. Pharmacokinetic-pharmacodynamic relationships for SDX-7320 and the active moiety SDX-7539, a fumagillin class METAP2 inhibitor, were assessed in DIO rats. Anti-tumor efficacy of SDX-7320 was assessed in syngeneic models of obesity-accelerated tumor growth. The anti-tumor efficacy of SDX-7320 and tirzepatide, a weight loss agent, were compared in DIO mice with MC38 tumors. Treatment with SDX-7320 stimulated weight loss in obese mice, increased insulin sensitivity, decreased plasma leptin, and increased plasma adiponectin. Pharmacokinetic-pharmacodynamic analysis showed greater anti-obesity efficacy in response to SDX-7320 than SDX-7539. SDX-7320 significantly attenuated obesity-accelerated tumor growth in three different models (B16F10, EO771, MC38). RNA-Seq analysis of MC38 tumors indicated that SDX-7320 suppressed expression of cell cycle genes (decreased G2M checkpoint and E2F target pathways) and increased expression of host immune response genes (elevated interferon alpha- and gamma-response pathways). In obese mice, SDX-7320 led to significantly greater MC38 tumor growth inhibition than tirzepatide, but caused less weight loss. Plasma metabolomics revealed non-overlapping effects of SDX-7320 and tirzepatide, consistent with different mechanisms of action. Taken together, we have shown for the first time that a METAP2 inhibitor attenuates obesity-accelerated tumor growth. Mechanistically, SDX-7320-mediated tumor growth inhibition likely results from both direct anti-tumor effects (given the observed intratumoral changes in the expression of cell cycle and immune response genes), and indirect effects on the host including weight loss, decreased adipose mass, improved insulin sensitivity and normalization of plasma leptin and adiponectin levels. The fact that SDX-7320 caused greater tumor growth inhibition than tirzepatide, yet caused less weight loss, suggests that direct anti-tumor effects significantly contribute to the anti-tumor activity of SDX-7320.

Source connections

Explore related subjects

cancer biologyPreprint

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Cornelius, P., Mayes, B. A., Dannenberg, A. J., Dufour, P. J., Little, S., Guzior, D. V., Petersen, J. S., Shanahan, J. M., Carver, B. J.. 2026-01-30. Evexomostat (SDX-7320), a Methionine Aminopeptidase Type 2 (METAP2) Inhibitor, Stimulates Weight Loss and Inhibits Obesity-Accelerated Tumor Growth. https://doi.org/10.64898/2026.01.28.702362

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related preprints

bioRxiv2026

Tissue resident CD4+ memory T-cells mark response to immune checkpoint inhibition in high-grade glioma

Background: Immune checkpoint inhibitors (ICI) are efficacious in many solid tumors, but response in glioma is restricted to a small subgroup. The determinants of response and resistance to ICI remain poorly understood. Methods: Here we exploit a syngeneic hypermutated high-grade glioma model with dichotomous response to combined PD-1 and CTLA-4 inhibition to unravel determinants of tumor-infiltrating T-cells driving response. Tumor-infiltrating T-cells from ICI-responsive and non-responsive tumors were analyzed by single-cell RNA and T-cell receptor sequencing and tumor-reactive T-cell receptor clonotypes were functionally validated to characterize their transcriptional phenotypes. We verify our findings in IDH1 wildtype glioblastoma patients treated with neoadjuvant pembrolizumab. Results: ICI response was associated with intratumoral clonal expansion of tumor-reactive cytotoxic T-cells and increased infiltration of CXCR6+ CD4+ tissue resident memory T-cells (Trm). CD4 stem-like memory T-cells in responding tumors demonstrated elevated interferon responses, following trajectories toward clonally expanded Trm, versus trajectories toward exhaustion in non-responsive tumors. In responsive tumors, CD4+ Trm interacted with infiltrating CXCR3+ tumor-reactive and clonally expanded, yet transcriptionally versatile cytotoxic T-cells. Probing the post neoadjuvant ICI high-grade glioma patient tissue dataset, we confirmed increased CXCR6 expression in CD4+ T cells and the association of CD4+ Trm with prolonged overall survival. Conclusion: These findings identify CD4 tissue-resident memory T-cells as determinants of ICI response in IDH1 wildtype high-grade glioma and warrant their further investigation to improve immunotherapy outcomes.

cancer biology↗
bioRxiv2026

Circadian gene-network distortion in high-risk neuroblastoma across multiple biological reference contexts

Background: The circadian clock regulates cellular homeostasis, and its disruption has been implicated in aggressive neuroblastoma, particularly in tumours harbouring MYCN- amplification. However, it remains unclear whether alterations are restricted to individual clock genes or extend to circadian gene network coordination. We therefore examined circadian clock network disruption in adverse neuroblastoma across multiple biological contexts. Methods: We estimated circadian gene network dysregulation using Delta-CCD in tumours from two neuroblastoma cohorts (SEQC n=498 and Kocak n=649), comparing clinical features associated with outcome across canonical, adrenal-tissue matched, and developmental references. Robustness was assessed by cross-cohort meta-analysis and leave-one-gene-out analyses. Cox proportional hazards models adjusted for clinical covariates assessed association between individual clock gene expression patient outcome. Results: Delta-CCD was highest in tumours classified as high-risk (study-specific definition) across reference contexts in both cohorts. MYCN-amplified tumours showed a more reference-dependent pattern, strongest in adrenal context, while stage 4 tumours showed a similar but weaker pattern. Additional analyses supported the high-risk signal as a distributed network-level alteration rather than a single-gene phenomenon. Conclusions: High-risk neuroblastoma is characterised by robust disruption of coordinated clock gene network organisation across canonical and tissue-matched references, extending beyond individual clock genes. The extent of circadian dysregulation depends on the reference state used.

cancer biology↗
bioRxiv2026

BAP1 loss and PRAME expression converge to remodel the tumor-immune ecosystem during uveal melanoma progression

Uveal melanoma (UM) is characterized by a small number of recurrent genetic alterations that determine metastatic propensity. BAP1 loss and PRAME expression define the dominant prognostic axes in UM, yet how they promote malignant progression remains unclear. We profiled 190,535 cells from normal uvea, uveal nevus, primary and metastatic UM using single-cell transcriptomics, T cell receptor sequencing, spatial transcriptomics and isogenic perturbation models. Normal melanocytes, nevus cells and UM cells formed a transcriptional continuum marked by loss of differentiation and emergence of neural crest-like, stress-responsive, hypoxic-glycolytic and immune-interacting states. BAP1 loss and PRAME expression imposed distinct but convergent immunoregulatory programs, inducing interferon and TNF-NFkB signaling and MHC-I expression, with HLA-E showing the strongest response. These alterations were accompanied by macrophage and CD8+ T cell remodeling. PRAME-enriched tumor regions formed spatially organized niches enriched for macrophages and plasma cells. These findings define BAP1 loss and PRAME expression as distinct but convergent axes of tumor-immune coevolution and nominate HLA-E as a candidate mediator of immune resistance.

cancer biology↗