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非侵入性物理等离子体激活三阴性乳腺癌中的干扰素基因刺激因子通路,并与宿主免疫反应增强相关。

Non-invasive physical plasma activates stimulator of interferon genes pathway in triple negative breast cancer and is associated with increased host immune response.

作者信息

Wang Guilin, Arnholdt Marcel, Koch André, Enderle Markus D, Hahn Markus, Brucker Sara Y, Weiss Martin

机构信息

Department of Women's Health, University of Tübingen, Tübingen, Germany.

Department of General Surgery (Breast Surgery), the Affiliated Hospital of Southwest Medical University, Luzhou, China.

出版信息

Front Immunol. 2025 Jul 24;16:1631530. doi: 10.3389/fimmu.2025.1631530. eCollection 2025.

Abstract

Triple-negative breast cancer (TNBC), characterized by the absence of ER, PR, and HER2 receptors, remains one of the most aggressive breast cancer subtypes, with limited therapeutic options and a high relapse rate. While immune checkpoint inhibitors (ICIs) have shown promise by leveraging TNBC's immunogenic profile, their use is often accompanied by significant toxicity, necessitating the development of safer immunomodulatory strategies. Non-invasive physical plasma (NIPP), a novel low thermal plasma technology that can be generated using various gases, including argon, and producing reactive oxygen and nitrogen species (RONS), has emerged as a potential alternative. This study investigates the capacity of direct (argon plasma devitalization, APD) and indirect (plasma-treated solution, PTS) plasma modalities to induce cytotoxicity and activate immune signaling via the stimulator of interferon genes (STING) pathway in TNBC. Dose-dependent RONS generation by APD and PTS correlated with reduced viability and apoptosis induction in MDA-MB-231 TNBC cells. Both plasma modalities caused DNA damage and upregulated key proteins in the STING pathway, including γ-H2AX, p-STING, and p-TBK1, with sustained activation observed up to 24 hours post-treatment. Furthermore, STING-dependent transcription of IFN-β and interferon-stimulated genes (ISGs) confirmed the immunogenic potential of NIPP. Conditioned media from plasma-treated TNBC cells induced M1 polarization in THP-1-derived macrophages, an effect significantly reduced upon specific STING inhibition with H-151. The immunomodulatory effects of NIPP were validated in patient-derived TNBC organoids, where plasma treatment disrupted organoid structure, reduced viability, and promoted M1 macrophage polarization. Collectively, these findings highlight the dual cytotoxic and immunostimulatory potential of NIPP in TNBC through STING pathway activation, claiming it as a promising, low-toxicity component in combination with conventional immunotherapy.

摘要

三阴性乳腺癌(TNBC)的特征是缺乏雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体2(HER2),它仍然是最具侵袭性的乳腺癌亚型之一,治疗选择有限且复发率高。虽然免疫检查点抑制剂(ICI)通过利用TNBC的免疫原性特征显示出前景,但其使用往往伴随着显著的毒性,因此需要开发更安全的免疫调节策略。非侵入性物理等离子体(NIPP)是一种新型的低热等离子体技术,可以使用包括氩气在内的各种气体产生,并产生活性氧和氮物种(RONS),已成为一种潜在的替代方法。本研究调查了直接(氩等离子体灭活,APD)和间接(等离子体处理溶液,PTS)等离子体模式在TNBC中通过干扰素基因刺激物(STING)途径诱导细胞毒性和激活免疫信号的能力。APD和PTS产生的剂量依赖性RONS与MDA-MB-231 TNBC细胞活力降低和凋亡诱导相关。两种等离子体模式均导致DNA损伤,并上调了STING途径中的关键蛋白,包括γ-H2AX、p-STING和p-TBK1,在治疗后24小时观察到持续激活。此外,IFN-β和干扰素刺激基因(ISG)的STING依赖性转录证实了NIPP的免疫原性潜力。来自等离子体处理的TNBC细胞的条件培养基诱导THP-1衍生的巨噬细胞发生M1极化,在用H-151特异性抑制STING后,这种效应显著降低。NIPP的免疫调节作用在患者来源的TNBC类器官中得到验证,等离子体处理破坏了类器官结构,降低了活力,并促进了M1巨噬细胞极化。总的来说,这些发现突出了NIPP通过激活STING途径在TNBC中具有双重细胞毒性和免疫刺激潜力,表明它是与传统免疫疗法联合使用的一种有前景的低毒性成分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef0/12328447/567e7d366328/fimmu-16-1631530-g001.jpg

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