Harding Shane M, Benci Joseph L, Irianto Jerome, Discher Dennis E, Minn Andy J, Greenberg Roger A
Department of Cancer Biology, Basser Center for BRCA, Abramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, 421 Curie Boulevard, Philadelphia, Pennsylvania 19104, USA.
Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Nature. 2017 Aug 24;548(7668):466-470. doi: 10.1038/nature23470. Epub 2017 Jul 31.
Inflammatory gene expression following genotoxic cancer therapy is well documented, yet the events underlying its induction remain poorly understood. Inflammatory cytokines modify the tumour microenvironment by recruiting immune cells and are critical for both local and systemic (abscopal) tumour responses to radiotherapy. A poorly understood feature of these responses is the delayed onset (days), in contrast to the acute DNA-damage responses that occur in minutes to hours. Such dichotomous kinetics implicate additional rate-limiting steps that are essential for DNA-damage-induced inflammation. Here we show that cell cycle progression through mitosis following double-stranded DNA breaks leads to the formation of micronuclei, which precede activation of inflammatory signalling and are a repository for the pattern-recognition receptor cyclic GMP-AMP synthase (cGAS). Inhibiting progression through mitosis or loss of pattern recognition by stimulator of interferon genes (STING)-cGAS impaired interferon signalling. Moreover, STING loss prevented the regression of abscopal tumours in the context of ionizing radiation and immune checkpoint blockade in vivo. These findings implicate temporal modulation of the cell cycle as an important consideration in the context of therapeutic strategies that combine genotoxic agents with immune checkpoint blockade.
基因毒性癌症治疗后的炎症基因表达已有充分记录,但诱导其发生的潜在机制仍知之甚少。炎性细胞因子通过招募免疫细胞来改变肿瘤微环境,对于放疗的局部和全身(远隔效应)肿瘤反应至关重要。这些反应中一个尚未得到充分理解的特征是延迟发作(数天),这与数分钟到数小时内发生的急性DNA损伤反应形成对比。这种二分动力学暗示了对DNA损伤诱导的炎症至关重要的额外限速步骤。在这里,我们表明双链DNA断裂后通过有丝分裂的细胞周期进程会导致微核的形成,微核先于炎症信号激活,并且是模式识别受体环鸟苷酸-腺苷酸合酶(cGAS)的储存库。抑制有丝分裂进程或通过干扰素基因刺激物(STING)-cGAS丧失模式识别会损害干扰素信号传导。此外,在体内电离辐射和免疫检查点阻断的情况下,STING缺失会阻止远隔效应肿瘤的消退。这些发现表明,在将基因毒性药物与免疫检查点阻断相结合的治疗策略中,细胞周期的时间调控是一个重要的考虑因素。