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At the heart of this research is a newly identified immunometabolic pathway that helps TNBC tumors evade the body's immune system.
Here's how it works: an enzyme called fatty acid synthase (FASN) drives fat production within tumor cells. In doing so, it suppresses the expression of MHC-I molecules on the tumor cell surface — the molecular "flags" that normally signal to the immune system that a cell should be destroyed. Without these flags, TNBC tumors become effectively invisible to the immune system, allowing them to grow and spread unchecked.
Dr. Plasilova's research proposes that by inhibiting FASN, MHC-I expression can be restored — essentially making these hidden tumors visible again. This, in turn, activates CD8+ T-cells, the immune system's frontline cancer-killing cells, to recognize and attack the tumor.
The team will use TVB-2640 (denifanstat), a clinical-grade FASN inhibitor, in combination with PD-1 blockade (a widely used immunotherapy approach) to test whether this dual strategy can meaningfully improve treatment outcomes.
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