Department of Radiation Oncology, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Shanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, China.
Cancer Med. 2024 Jan;13(2):e6950. doi: 10.1002/cam4.6950.
BACKGROUND AND PURPOSE: As an advanced radiotherapy technique, carbon ion radiotherapy has demonstrated good efficacy and low toxicity for prostate cancer patients, but the radiobiological mechanism of killing tumor cells has not been fully elucidated. This study aims to explore the antitumor effects of carbon ion irradiation (CIR) through investigating the immune response induced by CIR in prostate cancer-bearing mice and the underlying molecular mechanism. MATERIALS AND METHODS: We established subcutaneous transplantation tumor models of prostate cancer to evaluate the tumor inhibition effect of CIR. Investigation of immunophenotype alterations were assessed by flow cytometry. Immunofluorescence, western blot, and real-time quantitative PCR was employed to analyze the activation of cGAS-STING pathway. RESULTS: CIR showed more powerful tumor growth control than photon irradiation in immunocompetent syngeneic C57BL/6 mice. CIR exerts antitumor effect by triggering immune response, characterized by increased CD4 T cells and macrophages in tumor, enhanced CD8 T cells and T effector memory cells in spleen, improved IFN-γ production of CD8 tumor-infiltrating lymphocytes, and reduced exhausted T cells in tumor and spleen. Additionally, production of cytoplasmic double-stranded DNA, protein levels of p-TBK1 and p-IRF3 in the cGAS-STING pathway, and gene expression levels of downstream interferon-stimulated genes were significantly increased after CIR in a dose-dependent manner. Treatment of RM1 tumor-bearing mice with the STING inhibitor C-176 impaired the antitumor effect of CIR. CONCLUSION: The excellent antitumor activity of CIR in immunocompetent prostate cancer-bearing C57BL/6 mice may be attributed to stronger induction of antitumor immune response and higher activation of cGAS-STING pathway.
背景与目的:作为一种先进的放疗技术,碳离子放疗已被证实对前列腺癌患者具有良好的疗效和较低的毒性,但肿瘤细胞杀伤的放射生物学机制尚未完全阐明。本研究旨在通过研究碳离子照射(CIR)在荷瘤小鼠中诱导的免疫反应及其潜在的分子机制,探讨其抗肿瘤作用。
材料与方法:我们建立了前列腺癌皮下移植瘤模型,以评估 CIR 的肿瘤抑制作用。通过流式细胞术评估免疫表型改变。采用免疫荧光、Western blot 和实时定量 PCR 分析 cGAS-STING 通路的激活情况。
结果:与光子照射相比,CIR 在免疫功能正常的同基因 C57BL/6 小鼠中显示出更强的肿瘤生长控制能力。CIR 通过触发免疫反应发挥抗肿瘤作用,表现为肿瘤中 CD4 T 细胞和巨噬细胞增多,脾中 CD8 T 细胞和 T 效应记忆细胞增多,CD8 肿瘤浸润淋巴细胞 IFN-γ产生增强,肿瘤和脾中耗竭 T 细胞减少。此外,CIR 以剂量依赖性方式显著增加细胞质双链 DNA 的产生、cGAS-STING 通路中 p-TBK1 和 p-IRF3 的蛋白水平以及下游干扰素刺激基因的基因表达水平。RM1 荷瘤小鼠用 STING 抑制剂 C-176 处理会损害 CIR 的抗肿瘤作用。
结论:在免疫功能正常的前列腺癌荷瘤 C57BL/6 小鼠中,CIR 具有优异的抗肿瘤活性,可能归因于更强的抗肿瘤免疫反应诱导和更高的 cGAS-STING 通路激活。
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