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索拉非尼联合 STAT3 敲低触发 ER 应激诱导的 HCC 细胞凋亡和 cGAS-STING 介导的抗肿瘤免疫。

Sorafenib combined with STAT3 knockdown triggers ER stress-induced HCC apoptosis and cGAS-STING-mediated anti-tumor immunity.

机构信息

Institute of Immunopharmaceutical Sciences, School of Pharmaceutical Sciences, Shandong University, Jinan, China.

Institute of Immunopharmaceutical Sciences, School of Pharmaceutical Sciences, Shandong University, Jinan, China.

出版信息

Cancer Lett. 2022 Oct 28;547:215880. doi: 10.1016/j.canlet.2022.215880. Epub 2022 Aug 16.


DOI:10.1016/j.canlet.2022.215880
PMID:35981569
Abstract

Sorafenib is the first-line treatment for advanced hepatocellular carcinoma (HCC). However, it is difficult to alleviate this disease process using single-agent chemotherapy. Using combination therapies for advanced HCC has become a major trend. Given that STAT3 overexpression is involved in chemotherapy resistance and the immune escape of HCC cells, it has become a potential therapeutic target for HCC in recent years. GEO database analysis showed that STAT3 levels in tumor tissues from non-responders were significantly higher than those in responders to sorafenib. Our studies demonstrated that STAT3 knockdown promoted sorafenib-induced ER stress-induced apoptosis. Importantly, the DNA released by dead HCC cells stimulated the cGAS-STING signaling pathway in CD103 DCs and promoted type I interferon production, thus, enhancing the anti-tumor function of CD8 T and NK cells. In conclusion, our results revealed that the combination strategy of sorafenib and STAT3 knockdown might be a potential treatment strategy for HCC, directly and efficiently disturbing the tumor features of HCC cells while improving the tumor microenvironment via the cGAS-STING-Type I IFNs axis of DCs, inducing anti-HCC immune responses.

摘要

索拉非尼是治疗晚期肝细胞癌(HCC)的一线药物。然而,单一化疗药物很难缓解这种疾病过程。因此,联合治疗晚期 HCC 已成为一种主要趋势。近年来,STAT3 过表达参与 HCC 细胞的化疗耐药和免疫逃逸,已成为 HCC 的潜在治疗靶点。GEO 数据库分析显示,对索拉非尼无应答者的肿瘤组织中 STAT3 水平明显高于有应答者。我们的研究表明,STAT3 敲低可促进索拉非尼诱导的 ER 应激诱导的细胞凋亡。重要的是,死亡 HCC 细胞释放的 DNA 可刺激 CD103 DC 中的 cGAS-STING 信号通路,促进 I 型干扰素的产生,从而增强 CD8 T 和 NK 细胞的抗肿瘤功能。总之,我们的结果表明,索拉非尼和 STAT3 敲低的联合策略可能是 HCC 的一种潜在治疗策略,通过 DC 的 cGAS-STING-I 型 IFNs 轴直接且有效地干扰 HCC 细胞的肿瘤特征,同时改善肿瘤微环境,诱导抗 HCC 免疫反应。

相似文献

[1]
Sorafenib combined with STAT3 knockdown triggers ER stress-induced HCC apoptosis and cGAS-STING-mediated anti-tumor immunity.

Cancer Lett. 2022-10-28

[2]
Hyperbaric oxygen facilitates teniposide-induced cGAS-STING activation to enhance the antitumor efficacy of PD-1 antibody in HCC.

J Immunother Cancer. 2022-8

[3]
IL-22 signaling promotes sorafenib resistance in hepatocellular carcinoma via STAT3/CD155 signaling axis.

Front Immunol. 2024

[4]
SC-2001 overcomes STAT3-mediated sorafenib resistance through RFX-1/SHP-1 activation in hepatocellular carcinoma.

Neoplasia. 2014-7

[5]
DNMT3b/OCT4 expression confers sorafenib resistance and poor prognosis of hepatocellular carcinoma through IL-6/STAT3 regulation.

J Exp Clin Cancer Res. 2019-11-26

[6]
Sorafenib and its derivative SC-49 sensitize hepatocellular carcinoma cells to CS-1008, a humanized anti-TNFRSF10B (DR5) antibody.

Br J Pharmacol. 2013-2

[7]
Chemical and genetic inhibition of STAT3 sensitizes hepatocellular carcinoma cells to sorafenib induced cell death.

Int J Biol Sci. 2018-4-25

[8]
Melatonin Increases the Sensitivity of Hepatocellular Carcinoma to Sorafenib through the PERK-ATF4-Beclin1 Pathway.

Int J Biol Sci. 2019-7-21

[9]
Inflammatory microenvironment of fibrotic liver promotes hepatocellular carcinoma growth, metastasis and sorafenib resistance through STAT3 activation.

J Cell Mol Med. 2021-2

[10]
Napabucasin deactivates STAT3 and promotes mitoxantrone-mediated cGAS-STING activation for hepatocellular carcinoma chemo-immunotherapy.

Biomaterials. 2025-2

引用本文的文献

[1]
Mechanisms of sorafenib-induced cardiotoxicity: ER stress induces upregulation of ATF3, leading to downregulation of NDUFS1 expression and mitochondrial dysfunction.

Front Pharmacol. 2025-8-13

[2]
IGFBP3-mediated effects of an effective combination therapy on HCC.

Sci Rep. 2025-8-19

[3]
Unlocking the therapeutic potential of the STING signaling pathway in anti-tumor treatment.

Clin Exp Med. 2025-8-12

[4]
Targeting MCM10 disrupts cancer stemness and counteracts sorafenib resistance in hepatocellular carcinoma.

Cancer Gene Ther. 2025-8-1

[5]
Sex-determining region Y-Box 4 promotes the progression of advanced hepatocellular carcinoma and enhances regulatory T-cell infiltration and immune suppression.

Cytojournal. 2025-6-2

[6]
IFNγ augments TKI efficacy by alleviating protein unfolding stress to promote GSDME-mediated pyroptosis in hepatocellular carcinoma.

Cell Death Dis. 2025-7-11

[7]
LncRNA TMPO-AS1 facilitates cervical cancer cell tumorigenesis and ferroptosis resistance via interaction with LCN2.

Sci Rep. 2025-7-2

[8]
Targeting USP18 overcomes acquired resistance in hepatocellular carcinoma by regulating NCOA4 deISGylation and ferroptosis.

Cell Death Dis. 2025-6-13

[9]
Demystifying the cGAS-STING pathway: precision regulation in the tumor immune microenvironment.

Mol Cancer. 2025-6-12

[10]
Immune microenvironment in hepatocellular carcinoma: from pathogenesis to immunotherapy.

Cell Mol Immunol. 2025-6-11

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