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聚腺苷二磷酸核糖聚合酶(PARP)抑制剂触发 STING 依赖性免疫反应,并增强免疫检查点阻断治疗疗效,与 BRCA 状态无关。

PARPi Triggers the STING-Dependent Immune Response and Enhances the Therapeutic Efficacy of Immune Checkpoint Blockade Independent of BRCAness.

机构信息

Department of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Department of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

Cancer Res. 2019 Jan 15;79(2):311-319. doi: 10.1158/0008-5472.CAN-18-1003. Epub 2018 Nov 27.


DOI:10.1158/0008-5472.CAN-18-1003
PMID:30482774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6588002/
Abstract

PARP inhibitors (PARPi) have shown remarkable therapeutic efficacy against -mutant cancers through a synthetic lethal interaction. PARPi exert their therapeutic effects mainly through the blockade of ssDNA damage repair, which leads to the accumulation of toxic DNA double-strand breaks specifically in cancer cells with DNA repair deficiency (BCRAness), including those harboring mutations. Here we show that PARPi-mediated modulation of the immune response contributes to their therapeutic effects independently of mutations. PARPi promoted accumulation of cytosolic DNA fragments because of unresolved DNA lesions, which in turn activated the DNA-sensing cGAS-STING pathway and stimulated production of type I IFNs to induce antitumor immunity independent of BRCAness. These effects of PARPi were further enhanced by immune checkpoint blockade. Overall, these results provide a mechanistic rationale for using PARPi as immunomodulatory agents to harness the therapeutic efficacy of immune checkpoint blockade. SIGNIFICANCE: This work uncovers the mechanism behind the clinical efficacy of PARPi in patients with both BRCA-wild-type and BRCA-mutant tumors and provides a rationale for combining PARPi with immunotherapy in patients with cancer.

摘要

聚腺苷二磷酸核糖聚合酶(PARP)抑制剂(PARPi)通过合成致死相互作用,对 - 突变癌症显示出显著的治疗效果。PARPi 主要通过阻断 ssDNA 损伤修复发挥其治疗作用,这导致具有 DNA 修复缺陷(BCRAness)的癌细胞中特定的毒性 DNA 双链断裂的积累,包括那些携带 突变的癌细胞。在这里,我们表明,PARPi 介导的免疫反应调节有助于其治疗效果,而与 突变无关。由于未解决的 DNA 损伤,PARPi 促进了细胞溶质 DNA 片段的积累,这反过来又激活了 DNA 感应 cGAS-STING 途径,并刺激产生 I 型 IFNs,从而独立于 BRCAness 诱导抗肿瘤免疫。PARPi 的这些作用通过免疫检查点阻断进一步增强。总之,这些结果为将 PARPi 用作免疫调节剂以利用免疫检查点阻断的治疗效果提供了机制基础。

意义:这项工作揭示了 PARPi 在 BRCA 野生型和 BRCA 突变型肿瘤患者中的临床疗效的背后机制,并为在癌症患者中联合使用 PARPi 和免疫疗法提供了依据。

相似文献

[1]
PARPi Triggers the STING-Dependent Immune Response and Enhances the Therapeutic Efficacy of Immune Checkpoint Blockade Independent of BRCAness.

Cancer Res. 2018-11-27

[2]
Combined PARP and Immune Checkpoint Inhibition in Ovarian Cancer.

Trends Cancer. 2019-9

[3]
An Effective Epigenetic-PARP Inhibitor Combination Therapy for Breast and Ovarian Cancers Independent of BRCA Mutations.

Clin Cancer Res. 2018-4-3

[4]
MEK Inhibition Remodels the Immune Landscape of Mutant Tumors to Overcome Resistance to PARP and Immune Checkpoint Inhibitors.

Cancer Res. 2021-5-15

[5]
[Abnormalities of DNA repair and gynecological cancers].

Bull Cancer. 2017-11

[6]
STING agonism overcomes STAT3-mediated immunosuppression and adaptive resistance to PARP inhibition in ovarian cancer.

J Immunother Cancer. 2023-1

[7]
53BP1 loss elicits cGAS-STING-dependent antitumor immunity in ovarian and pancreatic cancer.

Nat Commun. 2024-8-6

[8]
Overcoming PARPi resistance: Preclinical and clinical evidence in ovarian cancer.

Drug Resist Updat. 2021-3

[9]
PARP Inhibitor Upregulates PD-L1 Expression and Enhances Cancer-Associated Immunosuppression.

Clin Cancer Res. 2017-7-15

[10]
Targeting the ATR/CHK1 Axis with PARP Inhibition Results in Tumor Regression in -Mutant Ovarian Cancer Models.

Clin Cancer Res. 2017-6-15

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Cell Death Dis. 2025-8-23

[2]
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Front Oncol. 2025-8-6

[3]
Immunotherapy for Platinum-Resistant Ovarian Cancer as a Glimmer of Hope.

Cells. 2025-6-29

[4]
A phase II single-arm study of combination pembrolizumab and olaparib in the treatment of patients with advanced biliary tract cancer.

NPJ Precis Oncol. 2025-7-8

[5]
Immunotherapy in metastatic prostate cancer.

Ther Adv Med Oncol. 2025-7-3

[6]
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[7]
Revisiting Genomic Instability, Tumor Microenvironment and Immune Response in High-Grade Serous Ovarian Cancer.

Geburtshilfe Frauenheilkd. 2025-6-11

[8]
PARP inhibitor-induced anti-tumour chemokine response is suppressed by dipeptidyl peptidase 4 (DPP4) in ovarian cancer.

Br J Cancer. 2025-6-27

[9]
Controversies and clinical unknowns in the use of PARP inhibitors in ovarian cancer.

Ther Adv Med Oncol. 2025-6-14

[10]
Phase II study of rucaparib and nivolumab in patients with leiomyosarcoma.

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本文引用的文献

[1]
CXCL9, CXCL10, CXCL11/CXCR3 axis for immune activation - A target for novel cancer therapy.

Cancer Treat Rev. 2018-2

[2]
Mitotic progression following DNA damage enables pattern recognition within micronuclei.

Nature. 2017-8-24

[3]
The multifaceted roles of PARP1 in DNA repair and chromatin remodelling.

Nat Rev Mol Cell Biol. 2017-10

[4]
Human Tumor-Infiltrating Myeloid Cells: Phenotypic and Functional Diversity.

Front Immunol. 2017-2-6

[5]
Immunosuppressive tumor-infiltrating myeloid cells mediate adaptive immune resistance via a PD-1/PD-L1 mechanism in glioblastoma.

Neuro Oncol. 2017-6-1

[6]
Niraparib Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer.

N Engl J Med. 2016-10-7

[7]
Activation of STING-Dependent Innate Immune Signaling By S-Phase-Specific DNA Damage in Breast Cancer.

J Natl Cancer Inst. 2016-10-5

[8]
The Golgi apparatus acts as a platform for TBK1 activation after viral RNA sensing.

BMC Biol. 2016-8-18

[9]
Myeloid cells are required for PD-1/PD-L1 checkpoint activation and the establishment of an immunosuppressive environment in pancreatic cancer.

Gut. 2017-1

[10]
The host STING pathway at the interface of cancer and immunity.

J Clin Invest. 2016-7-1

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