Functional tumor cell-intrinsic STING, not host STING, drives local and systemic antitumor immunity and therapy efficacy following cryoablation.

Adaptive Immunity Immunomodulation Sarcoma Translational Medical Research Tumor Microenvironment

Journal

Journal for immunotherapy of cancer
ISSN: 2051-1426
Titre abrégé: J Immunother Cancer
Pays: England
ID NLM: 101620585

Informations de publication

Date de publication:
08 2023
Historique:
accepted: 12 07 2023
medline: 10 8 2023
pubmed: 9 8 2023
entrez: 8 8 2023
Statut: ppublish

Résumé

Despite its potential utility in delivering direct tumor killing and in situ whole-cell tumor vaccination, tumor cryoablation produces highly variable and unpredictable clinical response, limiting its clinical utility. The mechanism(s) driving cryoablation-induced local antitumor immunity and the associated abscopal effect is not well understood. The aim of this study was to identify and explore a mechanism of action by which cryoablation enhances the therapeutic efficacy in metastatic tumor models. We used the subcutaneous mouse model of the rhabdomyosarcoma (RMS) cell lines RMS 76-9 The results show that cryoablation efficacy is dependent on both adaptive immunity and the STING signaling pathway. Contrary to current literature dictating an essential role of host-derived STING activation as a driver of antitumor immunity in vivo, we show that local tumor control, lung metastasis, and the abscopal effect on distant tumor are all critically dependent on a functioning tumor cell-intrinsic STING signaling pathway, which induces inflammatory chemokine and cytokine responses in the cryoablated TME. This reliance extends beyond cryoablation to include intratumoral STING agonist therapy. Additionally, surveys of gene expression databases and tissue microarrays of clinical tumor samples revealed a wide spectrum of expressions among STING-related signaling components. Tumor cell-intrinsic STING pathway is a critical component underlying the effectiveness of cryoablation and suggests that expression of STING-related signaling components may serve as a potential therapy response biomarker. Our data also highlight an urgent need to further characterize tumor cell-intrinsic STING pathways and the associated downstream inflammatory response evoked by cryoablation and other STING-dependent therapy approaches.

Sections du résumé

BACKGROUND
Despite its potential utility in delivering direct tumor killing and in situ whole-cell tumor vaccination, tumor cryoablation produces highly variable and unpredictable clinical response, limiting its clinical utility. The mechanism(s) driving cryoablation-induced local antitumor immunity and the associated abscopal effect is not well understood.
METHODS
The aim of this study was to identify and explore a mechanism of action by which cryoablation enhances the therapeutic efficacy in metastatic tumor models. We used the subcutaneous mouse model of the rhabdomyosarcoma (RMS) cell lines RMS 76-9
RESULTS
The results show that cryoablation efficacy is dependent on both adaptive immunity and the STING signaling pathway. Contrary to current literature dictating an essential role of host-derived STING activation as a driver of antitumor immunity in vivo, we show that local tumor control, lung metastasis, and the abscopal effect on distant tumor are all critically dependent on a functioning tumor cell-intrinsic STING signaling pathway, which induces inflammatory chemokine and cytokine responses in the cryoablated TME. This reliance extends beyond cryoablation to include intratumoral STING agonist therapy. Additionally, surveys of gene expression databases and tissue microarrays of clinical tumor samples revealed a wide spectrum of expressions among STING-related signaling components.
CONCLUSIONS
Tumor cell-intrinsic STING pathway is a critical component underlying the effectiveness of cryoablation and suggests that expression of STING-related signaling components may serve as a potential therapy response biomarker. Our data also highlight an urgent need to further characterize tumor cell-intrinsic STING pathways and the associated downstream inflammatory response evoked by cryoablation and other STING-dependent therapy approaches.

Identifiants

pubmed: 37553183
pii: jitc-2022-006608
doi: 10.1136/jitc-2022-006608
pmc: PMC10414127
pii:
doi:

Substances chimiques

Cytokines 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NCI NIH HHS
ID : F31 CA254259
Pays : United States
Organisme : NIH HHS
ID : S10 OD024981
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA059366
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM007250
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Mohammad Alshebremi (M)

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia.

Suzanne L Tomchuck (SL)

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Jay T Myers (JT)

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Daniel T Kingsley (DT)

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Saada Eid (S)

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Muta Abiff (M)

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Melissa Bonner (M)

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Shahrazad T Saab (ST)

Department of Pathology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Sung Hee Choi (SH)

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Alex Yee-Chen Huang (AY)

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA alex.y.huang@case.edu.
Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Center for Pediatric Immunotherapy, Angie Fowler AYA Cancer Institute, UH Rainbow Babies & Children's Hospital, Cleveland, Ohio, USA.

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