European Research Institute for the Biology of Ageing, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Division of Cell Biology and Cancer Genomics Center, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Nature. 2022 Jul;607(7918):366-373. doi: 10.1038/s41586-022-04847-2. Epub 2022 Jun 15.
Chromosomal instability (CIN) drives cancer cell evolution, metastasis and therapy resistance, and is associated with poor prognosis. CIN leads to micronuclei that release DNA into the cytoplasm after rupture, which triggers activation of inflammatory signalling mediated by cGAS and STING. These two proteins are considered to be tumour suppressors as they promote apoptosis and immunosurveillance. However, cGAS and STING are rarely inactivated in cancer, and, although they have been implicated in metastasis, it is not known why loss-of-function mutations do not arise in primary tumours. Here we show that inactivation of cGAS-STING signalling selectively impairs the survival of triple-negative breast cancer cells that display CIN. CIN triggers IL-6-STAT3-mediated signalling, which depends on the cGAS-STING pathway and the non-canonical NF-κB pathway. Blockade of IL-6 signalling by tocilizumab, a clinically used drug that targets the IL-6 receptor (IL-6R), selectively impairs the growth of cultured triple-negative breast cancer cells that exhibit CIN. Moreover, outgrowth of chromosomally instable tumours is significantly delayed compared with tumours that do not display CIN. Notably, this targetable vulnerability is conserved across cancer types that express high levels of IL-6 and/or IL-6R in vitro and in vivo. Together, our work demonstrates pro-tumorigenic traits of cGAS-STING signalling and explains why the cGAS-STING pathway is rarely inactivated in primary tumours. Repurposing tocilizumab could be a strategy to treat cancers with CIN that overexpress IL-6R.
染色体不稳定性(CIN)驱动癌细胞进化、转移和治疗耐药性,并与预后不良相关。CIN 导致微核破裂后将 DNA 释放到细胞质中,从而触发 cGAS 和 STING 介导的炎症信号激活。这两种蛋白被认为是肿瘤抑制因子,因为它们促进细胞凋亡和免疫监视。然而,在癌症中 cGAS 和 STING 很少失活,尽管它们与转移有关,但尚不清楚为什么在原发性肿瘤中不会出现功能丧失突变。在这里,我们表明 cGAS-STING 信号的失活选择性地损害了表现出 CIN 的三阴性乳腺癌细胞的存活。CIN 触发依赖于 cGAS-STING 途径和非经典 NF-κB 途径的 IL-6-STAT3 介导的信号。托珠单抗是一种临床上用于靶向 IL-6 受体(IL-6R)的药物,通过阻断 IL-6 信号可以选择性地损害培养的表现出 CIN 的三阴性乳腺癌细胞的生长。此外,与不显示 CIN 的肿瘤相比,染色体不稳定肿瘤的生长明显延迟。值得注意的是,这种可靶向的脆弱性在体外和体内表达高水平 IL-6 和/或 IL-6R 的多种癌症类型中是保守的。总之,我们的工作证明了 cGAS-STING 信号的促肿瘤特性,并解释了为什么 cGAS-STING 途径在原发性肿瘤中很少失活。重新利用托珠单抗可能是治疗过度表达 IL-6R 的 CIN 癌症的一种策略。
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