Activation of STING in response to partial-tumor radiation exposure Journal Article


Authors: Mathieu, M.; Budhu, S.; Nepali, P. R.; Russell, J.; Powell, S. N.; Humm, J.; Deasy, J. O.; Haimovitz-Friedman, A.
Article Title: Activation of STING in response to partial-tumor radiation exposure
Abstract: Purpose: To determine the mechanisms involved in partial volume radiation therapy (RT)-induced tumor response. Methods and Materials: We investigated 67NR murine orthotopic breast tumors in Balb/c mice and Lewis lung carcinoma (LLC cells; WT, Crispr/Cas9 Sting KO, and Atm KO) injected in the flank of C57Bl/6, cGAS, or STING KO mice. RT was delivered to 50% or 100% of the tumor volume using a 2 × 2 cm collimator on a microirradiator allowing precise irradiation. Tumors and blood were collected at 6, 24, and 48 hours post-RT and assessed for cytokine measurements. Results: There is a significant activation of the cGAS/STING pathway in the hemi-irradiated tumors compared with control and to 100% exposed 67NR tumors. In the LLC model, we determined that an ATM-mediated noncanonical activation of STING is involved. We demonstrated that the partial exposure RT-mediated immune response is dependent on ATM activation in the tumor cells and on the STING activation in the host, and cGAS is dispensable. Our results also indicate that partial volume RT stimulates a proinflammatory cytokine response compared with the anti-inflammatory profile induced by 100% tumor volume exposure. Conclusions: Partial volume RT induces an antitumor response by activating STING, which stimulates a specific cytokine signature as part of the immune response. However, the mechanism of this STING activation, via the canonical cGAS/STING pathway or a noncanonical ATM-driven pathway, depends on the tumor type. Identifying the upstream pathways responsible for STING activation in the partial RT-mediated immune response in different tumor types would improve this therapy and its potential combination with immune checkpoint blockade and other antitumor therapies. © 2023 Elsevier Inc.
Keywords: immunohistochemistry; signal transduction; controlled study; unclassified drug; nonhuman; animal cell; mouse; animal tissue; immune system; breast cancer; tumor volume; radiotherapy; interleukin 1beta; animal experiment; animal model; radiation exposure; radiation response; cytokines; immune response; tumors; tumor protein; tumor volumes; atm protein; radiosensitivity; real time polymerase chain reaction; tumor growth; mammals; host cell; interleukin 15; anti-tumors; lewis carcinoma; complementary dna; tumor necrosis factor; orthotopic; chemical activation; leukemia inhibitory factor; tumor response; panoramic radiography; tumor immunogenicity; cytokine response; methods and materials; sting protein; male; female; article; crispr-cas9 system; breast tumour; cgas protein; partial volumes
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 117
Issue: 4
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 2023-11-15
Start Page: 955
End Page: 965
Language: English
DOI: 10.1016/j.ijrobp.2023.05.032
PUBMED: 37244631
PROVIDER: scopus
PMCID: PMC11334988
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Adriana Haimovitz-Friedman -- Source: Scopus
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MSK Authors
  1. Simon Nicholas Powell
    331 Powell
  2. John Laurence Humm
    433 Humm
  3. James Russell
    41 Russell
  4. Joseph Owen Deasy
    523 Deasy
  5. Sadna Budhu
    86 Budhu
  6. Prerna R. Nepali
    9 Nepali
  7. Mickael Francois Marie Mathieu
    10 Mathieu