Defects in innate immunity render breast cancer initiating cells permissive to oncolytic adenovirus
Laura Ahtiainen1, Cristina Mirantes, Tiina Jahkola
1Transplantation Laboratory, Cancer Gene Therapy Group, Molecular Cancer Biology Program, Haartman Institute, University of Helsinki, Helsinki, Finland. laura.ahtiainen@helsinki.fi
Background:
Cancer stem cells/initiating cells (CSC/CIC), are thought to exist as a small population in malignant tissues. They are resistant to conventional cancer treatments and possibly underlie post-treatment relapse. The CIC population can be targeted with capsid modified oncolytic adenoviruses.
Methodology/Principal Findings:
We studied the mechanisms of innate immunity to oncolytic adenovirus Ad5/3-Delta24 in conventional treatment resistant non-CIC breast cancer cells, breast cancer CD44(+)/CD24(-/low) CIC population and normal breast tissue CD44(+)/CD24(-/low) stem cells. We compared virus recognition by pattern recognition receptors for adenovirus, Toll-like receptors (TLR) 2 and 9 and virus induced type I interferon (IFN) response regulation in these cell types. We show TLR mediated virus recognition in these non-immune cell types. Normal tissue stem cells have intact type I IFN signaling. Furthermore, TLR9 and TLR2 reside constantly in recognition sites, implying constant activation. In contrast, breast cancer CD44(+)/CD24(-/low) CIC have dysregulated innate immune responses featuring dysfunctional virus recognition caused by impaired trafficking of TLR9 and cofactor MyD88 and the absence of TLR2, having a deleterious impact on TLR pattern recognition receptor signaling. Furthermore, the CIC have increased inhibitory signaling via the suppressor of cytokine signaling/Tyro3/Axl/Mer receptor tyrosine kinase (SOCS/TAM) pathway. These defects in contribute to dysfunctional induction of type I IFN response in CIC and therefore permissivity to oncolytic adenovirus.
Conclusions/Significance:
CICs may underlie the incurable nature of relapsed or metastatic cancers and are therefore an important target regarding diagnostic and prognostic aspects as well as treatment of the disease. This study addresses the mechanisms of innate infection immunity in stem cells deepening the understanding of stem cell biology and may benefit not only virotherapy but also immunotherapy in general.
Insights
Cancer stem cells (CSCs) exhibit dysregulated innate immunity, impairing oncolytic adenovirus therapy. Understanding CSC immune evasion mechanisms is crucial for developing effective cancer treatments and improving virotherapy outcomes.
Area of Science:
- Oncology
- Immunology
- Virology
Background:
- Cancer stem cells (CSCs) are a resistant population implicated in cancer relapse.
- Oncolytic adenoviruses are a potential therapeutic strategy targeting CSCs.
Purpose of the Study:
- To investigate the innate immune response mechanisms of breast cancer stem cells (CSCs) to oncolytic adenovirus.
- To compare immune recognition and type I interferon (IFN) response in CSCs versus normal stem cells and non-CSCs.
Main Methods:
- Studied innate immunity to oncolytic adenovirus Ad5/3-Delta24 in breast cancer cells, CSCs, and normal stem cells.
- Compared virus recognition via Toll-like receptors (TLRs) 2 and 9 and type I IFN response.
- Assessed TLR trafficking, cofactor MyD88, and suppressor of cytokine signaling (SOCS/TAM) pathway activity.
Main Results:
- Breast cancer CSCs exhibit dysfunctional virus recognition due to impaired TLR9/MyD88 trafficking and absence of TLR2.
- Normal stem cells possess intact type I IFN signaling with constitutively active TLRs.
- CSCs show increased inhibitory SOCS/TAM signaling, leading to defective type I IFN induction and permissivity to oncolytic adenovirus.
Conclusions:
- Dysregulated innate immunity in CSCs contributes to treatment resistance and relapse.
- Understanding CSC immune evasion is vital for advancing virotherapy and immunotherapy.
- CSCs are a critical target for diagnostic, prognostic, and therapeutic strategies in cancer treatment.
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