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Updated: Aug 11, 2025

A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
Carbon ion irradiation induces DNA damage in melanoma and optimizes the tumor microenvironment based on the
Yanan Guo1, Rong Shen1, Fang Wang1,2
1School of Basic Medical Sciences, Lanzhou University, Lanzhou, 73000, Gansu, China.
Purposes:
Increased number of studies reveal the crucial role of the Cyclic GMP-AMP synthase/stimulator of interferon genes (cGAS/STING) pathway in anti-tumor immunity. In this study, we aim to explore the effect of cGAS/STING on tumor immune microenvironment of melanoma after carbon ion radiotherapy (CIRT) and the underlying mechanism.
Methods:
C57BL/6 mouse tumor models were used to evaluate the efficacy of different treatments (X-ray, carbon ion, PD-L1 inhibitor and combination therapies) on tumor growth and process. Mass cytometry was performed to assess tumor-infiltrating lymphocytes (TILs). DNA damage response (DDR) and cGAS/STING pathway were investigated by immunofluorescence-co-localization assays, γ-H2AX, P53-binding protein 1 (53BP1), Breast Cancer 1 (BRCA1), and cGAS measurements.
Results:
Carbon ion irradiation caused more DNA damages and cGAS-STING pathway activation compared with X-ray irradiation, and the former slowed the melanoma growth in syngeneic model. Although X-ray irradiation is not sensitive for melanoma treatment, carbon ion irradiation showed a significant anti-tumor effect for melanoma treatment. TILs analysis revealed that CIRT boosted the infiltration of natural killer (NK), CD4+, and CD8+ T cells, meanwhile increased the number of immune checkpoint (programmed death-1, PD-1, lymphocyte activation gene 3, LAG-3 and T-cell immunoglobulin and mucin domain-containing protein 3, TIM-3). Moreover, CIRT increased PD-L1 exposure on cell surface compared with X-ray group. Furthermore, CIRT combined with PD-L1 inhibitor therapy increased the number of T cells and NK cells in melanoma, and slowed the growth of melanoma compared with other therapies.
Conclusions:
Our findings showed that CIRT displayed biological effects by increasing DNA damages of tumor cells and improving immunity in melanoma, which indicated that CIRT might be a potential synergetic treatment for radiotherapy and radioimmunotherapy in melanoma patients. Our works put forward a new insight to provide an effective strategy for melanoma therapy. These findings may help in the design of strategies on melanoma in clinical studies.
Insights
Carbon ion radiotherapy (CIRT) enhances anti-tumor immunity in melanoma by increasing DNA damage and activating the cGAS/STING pathway. CIRT combined with PD-L1 inhibitors shows significant melanoma growth inhibition.
Area of Science:
- Oncology
- Immunology
- Radiotherapy
Background:
- The Cyclic GMP-AMP synthase/stimulator of interferon genes (cGAS/STING) pathway is critical for anti-tumor immunity.
- Understanding the role of cGAS/STING in melanoma's tumor immune microenvironment after carbon ion radiotherapy (CIRT) is essential.
Purpose of the Study:
- To investigate the effects of CIRT on the melanoma tumor immune microenvironment.
- To elucidate the underlying mechanisms involving the cGAS/STING pathway and DNA damage response.
Main Methods:
- Utilized C57BL/6 mouse melanoma models to compare CIRT, X-ray, PD-L1 inhibitor, and combination therapies.
- Assessed tumor-infiltrating lymphocytes (TILs) using mass cytometry.
- Investigated DNA damage response (DDR) and cGAS/STING pathway activation via immunofluorescence and molecular measurements.
Main Results:
- CIRT induced greater DNA damage and cGAS/STING activation than X-ray, slowing melanoma growth.
- CIRT significantly boosted TILs (NK, CD4+, CD8+ T cells) and immune checkpoint expression (PD-1, LAG-3, TIM-3).
- Combination therapy of CIRT and PD-L1 inhibitor further enhanced anti-tumor effects by increasing T cell and NK cell infiltration.
Conclusions:
- CIRT effectively enhances anti-tumor immunity in melanoma by inducing DNA damage and activating the cGAS/STING pathway.
- CIRT shows potential as a synergistic treatment with radiotherapy and radioimmunotherapy for melanoma.
- Findings offer insights for designing clinical strategies for melanoma treatment.
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