Astragalus Polysaccharides Induce Immunogenic Cell Death in Melanoma: A Mechanism Mediated by cGAS/STING Activation

Xi Qiao1, Guiqing Ding1, Qijin Lu1

  • 1Institute of Clinical Immunology, Yue-Yang Hospital of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Cancer Medicine
|April 15, 2026
PubMed

Insights

Astragalus polysaccharides (APS) enhance antitumor immunity by activating the cGAS-STING pathway, a process dependent on gut bacteria like Pseudomonas, leading to melanoma cell death.

Area of Science:

  • Immunology
  • Microbiology
  • Oncology

Background:

  • Astragalus polysaccharides (APS) possess immunomodulatory effects.
  • The role of intratumoral microbiota in APS-mediated antitumor immunity is not well understood.

Purpose of the Study:

  • To investigate the mechanism by which APS induces antitumor immunity.
  • To explore the contribution of intratumoral microbiota in APS efficacy.

Main Methods:

  • Melanoma mouse models were treated with APS.
  • cGAS-STING pathway activation was assessed.
  • Intratumoral microbiota were depleted using antibiotics.
  • 16S rRNA sequencing was performed to profile microbial communities.
  • Pseudomonas sterile supernatant was administered to microbiota-depleted mice.

Main Results:

  • APS suppressed melanoma growth and prolonged survival by inducing immunogenic cell death (ICD) via the cGAS-STING pathway.
  • Antibiotic-induced depletion of microbiota abrogated APS efficacy, indicating a microbiota-dependent mechanism.
  • APS treatment led to enrichment of Pseudomonas within the tumor microenvironment.
  • Administration of Pseudomonas supernatant alone activated cGAS-STING, induced ICD, and inhibited tumor growth in microbiota-depleted mice.

Conclusions:

  • APS utilizes the cGAS-STING pathway to induce ICD and exert antitumor effects.
  • Intratumoral microbiota, specifically Pseudomonas, are essential for APS-mediated antitumor immunity.
  • APS promotes Pseudomonas enrichment, which in turn activates the cGAS-STING pathway, offering a novel therapeutic strategy.

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