cGAS/STING-mediated upregulation of NKG2D ligands in LSCs contributes to enhanced sensitivity to NK cells

Yan Ouyang1, Yilin Qin2, Qianmin Zhang2

  • 1Neonatal/Pediatric Intensive Care Unit, Children's Medical Center, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.

Frontiers in Oncology
|March 11, 2026
PubMed
Abstract

Insights

Inhibiting poly (ADP-ribose) polymerase 1 (PARP1) in leukemia stem cells (LSCs) boosts natural killer (NK) cell activity. This occurs via the DNA damage response activating the cGAS/STING pathway, increasing NKG2D ligands for tumor elimination.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Natural killer (NK) cells are crucial for tumor surveillance and elimination.
  • The NKG2D receptor-ligand interaction activates NK cell cytotoxicity.
  • Leukemia stem cells (LSCs) pose a therapeutic challenge due to immune evasion.

Purpose of the Study:

  • To investigate the effect of PARP1 inhibition on NKG2D ligand expression in LSCs.
  • To elucidate the role of the DNA damage response (DDR) pathway in this process.
  • To explore potential therapeutic strategies targeting NK cell-mediated anti-leukemia immunity.

Main Methods:

  • PARP1 inhibition in LSCs.
  • Flow cytometry and RT-qPCR for NKG2D ligand expression.
  • Cytotoxicity assays with NK cells.
  • Luciferase reporter assays for promoter activity.
  • Western blotting for protein levels.
  • Gene knockdown (STING, IRF3) to assess pathway involvement.

Main Results:

  • PARP1 inhibition in LSCs induced DNA damage and activated the ATM/ɣH2AX pathway.
  • This activation led to cGAS/STING pathway signaling.
  • NKG2D ligand expression was upregulated in LSCs upon PARP1 inhibition.
  • Upregulation was dependent on STING and IRF3, indicating their necessity in the DDR-mediated pathway.
  • NK cell cytotoxicity against LSCs was enhanced.

Conclusions:

  • PARP1 inhibition in LSCs triggers a DDR pathway involving cGAS/STING/TBK1/IRF3.
  • This pathway modulates NKG2D ligand expression, enhancing NK cell recognition and killing of LSCs.
  • Targeting PARP1 and the DDR pathway presents a promising strategy to augment NK cell-based immunotherapy for leukemia.

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