Department of Chemistry & Institutes of Biomedical Sciences, Fudan University, Shanghai, China.
Ann Med. 2023 Dec;55(1):2210845. doi: 10.1080/07853890.2023.2210845.
BACKGROUND: With high recurrence and metastatic rates, triple-negative breast cancer (TNBC) has few therapy choices. The innate immune stimulator of interferon genes protein (STING) pathway has emerged as a critical foundation for improving anticancer immunotherapy. Although 2',3'-cGAMP has been shown to have therapeutic potential as a STING agonist in subcutaneous solid tumour treatments in mice, the effect of cGAMP in metastatic malignancies has received less attention. METHODS: Bioluminescence imaging technology was applied to monitor TNBC tumour cell metastasis in living mice. Serum biochemical test and blood routine examination of mice were used to demonstrate cGAMP administration had no toxicity. The activation of DCs and CD8+ T cells was demonstrated by flow cytometry. The pharmacological mechanism of cGAMP for suppressing breast tumour metastasis was also explored. RESULTS: cGAMP treatment substantially suppressed tumour development and metastasis without adverse effects. cGAMP activated the cGAS-STING-IRF3 pathway, which modified the tumour immune milieu to reverse the Epithelial-Mesenchymal Transition (EMT) and PI3K/AKT pathways and prevent tumour metastasis. It was postulated and proven that cGAMP had a pharmacological mechanism for reducing breast tumour metastasis. CONCLUSION: The findings suggest that cGAMP could be useful in the immunotherapy of immune-insensitive metastatic breast cancer.
背景:三阴性乳腺癌(TNBC)具有较高的复发和转移率,因此治疗选择有限。干扰素基因蛋白(STING)途径的先天免疫刺激剂已成为改善抗癌免疫疗法的重要基础。虽然 2',3'-cGAMP 已被证明具有作为 STING 激动剂在小鼠皮下实体瘤治疗中的治疗潜力,但 cGAMP 在转移性恶性肿瘤中的作用受到的关注较少。
方法:应用生物发光成像技术监测活鼠体内 TNBC 肿瘤细胞转移。血清生化试验和小鼠血常规检查表明 cGAMP 给药无毒性。通过流式细胞术证明 DCs 和 CD8+T 细胞的激活。还探讨了 cGAMP 抑制乳腺癌转移的药理学机制。
结果:cGAMP 治疗可显著抑制肿瘤发展和转移,无不良反应。cGAMP 激活了 cGAS-STING-IRF3 通路,该通路改变了肿瘤免疫微环境,逆转上皮间质转化(EMT)和 PI3K/AKT 通路,从而防止肿瘤转移。假设并证明 cGAMP 具有降低乳腺癌转移的药理学机制。
结论:这些发现表明,cGAMP 可用于治疗免疫敏感转移性乳腺癌的免疫疗法。
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