5-氟尿嘧啶的疗效需要由肿瘤细胞内在的 STING 触发的抗肿瘤免疫。
5-Fluorouracil efficacy requires anti-tumor immunity triggered by cancer-cell-intrinsic STING.
机构信息
Department of Dermatology, Hunan Key Laboratory of Medical Epigenomics, The Second Xiangya Hospital, Central South University, Changsha, China.
Yale Stem Cell Center, New Haven, CT, USA.
出版信息
EMBO J. 2021 Apr 1;40(7):e106065. doi: 10.15252/embj.2020106065. Epub 2021 Feb 22.
5-Fluorouracil (5-FU) is a widely used chemotherapeutic drug, but the mechanisms underlying 5-FU efficacy in immunocompetent hosts in vivo remain largely elusive. Through modeling 5-FU response of murine colon and melanoma tumors, we report that effective reduction of tumor burden by 5-FU is dependent on anti-tumor immunity triggered by the activation of cancer-cell-intrinsic STING. While the loss of STING does not induce 5-FU resistance in vitro, effective 5-FU responsiveness in vivo requires cancer-cell-intrinsic cGAS, STING, and subsequent type I interferon (IFN) production, as well as IFN-sensing by bone-marrow-derived cells. In the absence of cancer-cell-intrinsic STING, a much higher dose of 5-FU is needed to reduce tumor burden. 5-FU treatment leads to increased intratumoral T cells, and T-cell depletion significantly reduces the efficacy of 5-FU in vivo. In human colorectal specimens, higher STING expression is associated with better survival and responsiveness to chemotherapy. Our results support a model in which 5-FU triggers cancer-cell-initiated anti-tumor immunity to reduce tumor burden, and our findings could be harnessed to improve therapeutic effectiveness and toxicity for colon and other cancers.
5-氟尿嘧啶(5-FU)是一种广泛应用的化疗药物,但在体内具有免疫功能的宿主中,5-FU 疗效的确切机制在很大程度上仍难以捉摸。通过模拟 5-FU 对小鼠结肠和黑色素瘤肿瘤的反应,我们报告称,5-FU 通过激活肿瘤细胞内在的 STING 引发抗肿瘤免疫,从而有效降低肿瘤负担。虽然 STING 的缺失不会在体外诱导 5-FU 耐药,但体内有效的 5-FU 反应需要肿瘤细胞内在的 cGAS、STING 和随后的 I 型干扰素(IFN)产生,以及骨髓来源细胞对 IFN 的感应。在缺乏肿瘤细胞内在的 STING 的情况下,需要更高剂量的 5-FU 才能降低肿瘤负担。5-FU 治疗会导致肿瘤内 T 细胞增加,而 T 细胞耗竭会显著降低 5-FU 在体内的疗效。在人类结直肠标本中,较高的 STING 表达与更好的生存和对化疗的反应性相关。我们的研究结果支持这样一种模型,即 5-FU 触发肿瘤细胞启动抗肿瘤免疫以降低肿瘤负担,我们的发现可以被利用来提高结肠癌和其他癌症的治疗效果和毒性。
相似文献
Proc Natl Acad Sci U S A. 2024-10-8
Cancer Immunol Immunother. 2021-8
引用本文的文献
MedComm (2020). 2025-6-9
Int J Nanomedicine. 2025-4-26
J Immunother Cancer. 2025-4-29
Naunyn Schmiedebergs Arch Pharmacol. 2025-4-14
本文引用的文献
Cancer Discov. 2020-1
Cell Rep. 2019-10-29
Cancer Cell. 2018-6-28
Nature. 2017-10-19
Surg Oncol Clin N Am. 2017-10
Trends Immunol. 2017-8-19