Oncogenic KRAS-driven type I interferon signalling primes pancreatic cancer for necroptosis
Sofya Tishina1,2, Alina Dahlhaus1,2, Marta Manik1,2
1University of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Translational Genomics, Cologne, Germany.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) is projected to become the second leading cause of cancer-related death within this decade. Here, we show that its major driver oncogene KRAS activates the cGAS-STING-TBK1 axis, inducing a type I interferon (IFN) response that primes PDAC cells for necroptosis. Using genetically engineered mouse models, we find that cancer cell-specific deletion of caspase-8 is sufficient to trigger necroptotic cell death, eliminating most pancreatic precursor lesions. Mechanistically, KRAS-driven IFN signalling induces ISGF3-dependent expression of necroptosis-related interferon-stimulated genes, including MLKL. This renders PDAC cells selectively vulnerable to necroptosis upon caspase-8 inhibition. Therapeutically, pharmacologic caspase inhibition reduces tumour burden in aggressive PDAC models and human patient-derived organoids. A pan-cancer transcriptomic analysis links necroptosis gene expression with Ras pathway activity and IFN signatures across multiple tumour types. These findings reveal a KRAS-induced IFN program that sensitises tumour cells to necroptosis, highlighting a therapeutic vulnerability in PDAC with broader relevance across IFN-activated cancers.
Insights
Pancreatic cancer cells with KRAS mutations are primed for necroptosis by interferon signaling. Inhibiting caspase-8 triggers this cell death, offering a new therapeutic strategy for pancreatic ductal adenocarcinoma (PDAC).
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a deadly cancer with limited treatment options.
- The KRAS oncogene is a key driver in PDAC development.
- Understanding oncogene-induced cellular vulnerabilities is crucial for novel therapy development.
Purpose of the Study:
- To investigate the mechanism by which KRAS drives PDAC.
- To identify vulnerabilities in PDAC cells that can be therapeutically exploited.
- To explore the role of the cGAS-STING-TBK1-IFN axis in PDAC.
Main Methods:
- Genetically engineered mouse models of PDAC.
- Analysis of caspase-8 and necroptosis-related gene expression.
- Pharmacologic inhibition of caspase in PDAC models and patient-derived organoids.
- Pan-cancer transcriptomic analysis.
Main Results:
- KRAS activation induces a type I interferon (IFN) response via the cGAS-STING-TBK1 axis.
- This IFN response primes PDAC cells for necroptosis.
- Cancer cell-specific deletion of caspase-8 triggers necroptosis and eliminates precursor lesions.
- Caspase inhibition sensitizes PDAC cells to necroptosis, reducing tumor burden.
Conclusions:
- KRAS-driven IFN signaling creates a vulnerability to necroptosis in PDAC.
- Targeting necroptosis via caspase inhibition is a promising therapeutic strategy for PDAC.
- This mechanism has broader implications for IFN-activated cancers.
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