DNA-Containing Exosomes Derived from Cancer Cells Treated with Topotecan Activate a STING-Dependent Pathway and

Yuichi Kitai1,2, Takumi Kawasaki2, Takuya Sueyoshi2

  • 1Department of Immunology, Graduate School of Pharmaceutical Sciences, Hokkaido University, Sapporo, Hokkaido 060-0812, Japan.

Insights

Topotecan (TPT) triggers cancer cell danger signals, activating immune cells and inhibiting tumor growth. This STING-dependent pathway relies on tumor DNA released via exosomes, highlighting a novel mechanism for antitumor immunity.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Danger-associated molecular patterns (DAMPs) from dying cells promote inflammation and anti-tumor immunity.
  • Topotecan (TPT), a topoisomerase I inhibitor, is an anti-cancer agent.

Purpose of the Study:

  • To investigate whether TPT treatment of breast cancer cells induces DAMP secretion.
  • To determine if TPT-induced DAMPs activate dendritic cells (DCs) and potentiate anti-tumor immune responses.
  • To elucidate the role of STING (STimulator of INterferon Genes) in TPT-mediated anti-tumor effects.

Main Methods:

  • Treatment of breast cancer cells with TPT.
  • Analysis of DAMP secretion and DC activation/cytokine production.
  • Assessment of tumor growth, immune cell infiltration (DCs, CD8+ T cells) in tumor-bearing mice.
  • Evaluation of TPT effects in STING-deficient mice.
  • Characterization of exosomes released from TPT-treated cancer cells and their DNA content.
  • Investigation of DC activation by TPT-derived exosomes via STING signaling.

Main Results:

  • TPT treatment induced DAMP secretion from breast cancer cells, leading to DC activation and cytokine production.
  • TPT administration inhibited tumor growth in mice, correlating with increased infiltration of activated DCs and CD8+ T cells.
  • These anti-tumor effects were abolished in STING-deficient mice.
  • TPT-treated cancer cells released exosomes containing DNA, which activated DCs through STING signaling.

Conclusions:

  • TPT acts as an immunogenic cell death inducer, releasing tumor-derived DNA via exosomes.
  • This DNA activates DCs through the STING pathway, driving a potent anti-tumor immune response.
  • The findings reveal a STING-dependent mechanism linking TPT treatment to adaptive anti-tumor immunity.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
2.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
6.2K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
8.0K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.9K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.3K