Department of Cell Biology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Department of Pathology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Cancer Cell. 2020 Sep 14;38(3):400-411.e6. doi: 10.1016/j.ccell.2020.05.020. Epub 2020 Jul 2.
Telomerase is an attractive target for anti-tumor therapy as it is almost universally expressed in cancer cells. Here, we show that treatment with a telomere-targeting drug, 6-thio-2'-deoxyguanosine (6-thio-dG), leads to tumor regression through innate and adaptive immune-dependent responses in syngeneic and humanized mouse models of telomerase-expressing cancers. 6-thio-dG treatment causes telomere-associated DNA damages that are sensed by dendritic cells (DCs) and activates the host cytosolic DNA sensing STING/interferon I pathway, resulting in enhanced cross-priming capacity of DCs and tumor-specific CD8 T cell activation. Moreover, 6-thio-dG overcomes resistance to checkpoint blockade in advanced cancer models. Our results unveil how telomere stress increases innate sensing and adaptive anti-tumor immunity and provide strong rationales for combining telomere-targeting therapy with immunotherapy.
端粒酶是抗肿瘤治疗的一个有吸引力的靶点,因为它几乎在癌细胞中普遍表达。在这里,我们展示了用端粒靶向药物 6-硫代-2'-脱氧鸟苷(6-thio-dG)治疗会导致肿瘤消退,这是通过在端粒酶表达癌症的同源和人源化小鼠模型中通过先天和适应性免疫依赖的反应实现的。6-thio-dG 治疗会导致端粒相关的 DNA 损伤,这些损伤被树突状细胞(DC)感知,并激活宿主细胞质 DNA 感应 STING/干扰素 I 途径,从而增强 DC 的交叉呈递能力和肿瘤特异性 CD8 T 细胞的激活。此外,6-thio-dG 克服了晚期癌症模型中对检查点阻断的耐药性。我们的结果揭示了端粒应激如何增强先天感知和适应性抗肿瘤免疫,并为将端粒靶向治疗与免疫治疗相结合提供了强有力的理由。
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