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Updated: Oct 15, 2025

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Published on: January 20, 2023
ADAR1 restricts ZBP1-mediated immune response and PANoptosis to promote tumorigenesis
Rajendra Karki1, Balamurugan Sundaram1, Bhesh Raj Sharma1
1Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Abstract:
Cell death provides host defense and maintains homeostasis. Zα-containing molecules are essential for these processes. Z-DNA binding protein 1 (ZBP1) activates inflammatory cell death, PANoptosis, whereas adenosine deaminase acting on RNA 1 (ADAR1) serves as an RNA editor to maintain homeostasis. Here, we identify and characterize ADAR1's interaction with ZBP1, defining its role in cell death regulation and tumorigenesis. Combining interferons (IFNs) and nuclear export inhibitors (NEIs) activates ZBP1-dependent PANoptosis. ADAR1 suppresses this PANoptosis by interacting with the Zα2 domain of ZBP1 to limit ZBP1 and RIPK3 interactions. Adar1fl/flLysMcre mice are resistant to development of colorectal cancer and melanoma, but deletion of the ZBP1 Zα2 domain restores tumorigenesis in these mice. In addition, treating wild-type mice with IFN-γ and the NEI KPT-330 regresses melanoma in a ZBP1-dependent manner. Our findings suggest that ADAR1 suppresses ZBP1-mediated PANoptosis, promoting tumorigenesis. Defining the functions of ADAR1 and ZBP1 in cell death is fundamental to informing therapeutic strategies for cancer and other diseases.
Insights
Adenosine deaminase acting on RNA 1 (ADAR1) suppresses Z-DNA binding protein 1 (ZBP1)-mediated inflammatory cell death (PANoptosis), thereby promoting cancer development. Inhibiting this interaction may offer new cancer therapies.
Area of Science:
- Immunology
- Molecular Biology
- Cancer Biology
Background:
- Cell death mechanisms are crucial for host defense and homeostasis.
- Z-DNA binding protein 1 (ZBP1) and adenosine deaminase acting on RNA 1 (ADAR1) are key regulators involved in cell death and homeostasis, respectively.
- The interplay between ZBP1 and ADAR1 in regulating cell death and its implications in tumorigenesis remain incompletely understood.
Purpose of the Study:
- To elucidate the interaction between ADAR1 and ZBP1.
- To define the role of ADAR1 in ZBP1-mediated cell death.
- To investigate the impact of the ADAR1-ZBP1 axis on tumorigenesis.
Main Methods:
- Biochemical assays to characterize ADAR1-ZBP1 interaction.
- In vivo studies using genetically modified mice (Adar1fl/flLysMcre).
- Pharmacological interventions with interferons (IFNs) and nuclear export inhibitors (NEIs) in mouse models.
Main Results:
- ADAR1 directly interacts with the Zα2 domain of ZBP1, inhibiting ZBP1-RIPK3 complex formation and suppressing ZBP1-dependent PANoptosis.
- Mice lacking ADAR1 are resistant to colorectal cancer and melanoma development.
- Deletion of the ZBP1 Zα2 domain in ADAR1-deficient mice restores tumorigenesis, and therapeutic inhibition of ZBP1 signaling in wild-type mice leads to melanoma regression.
Conclusions:
- ADAR1 acts as a suppressor of ZBP1-mediated PANoptosis, thereby promoting tumorigenesis.
- The findings highlight a critical role for the ADAR1-ZBP1 interaction in cancer development.
- Targeting the ADAR1-ZBP1 axis presents a potential therapeutic strategy for cancer treatment.
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