STING-dependent paracriny shapes apoptotic priming of breast tumors in response to anti-mitotic treatment

Nat Commun. 2020 Jan 14;11(1):259. doi: 10.1038/s41467-019-13689-y.

Abstract

A fascinating but uncharacterized action of antimitotic chemotherapy is to collectively prime cancer cells to apoptotic mitochondrial outer membrane permeabilization (MOMP), while impacting only on cycling cell subsets. Here, we show that a proapoptotic secretory phenotype is induced by activation of cGAS/STING in cancer cells that are hit by antimitotic treatment, accumulate micronuclei and maintain mitochondrial integrity despite intrinsic apoptotic pressure. Organotypic cultures of primary human breast tumors and patient-derived xenografts sensitive to paclitaxel exhibit gene expression signatures typical of type I IFN and TNFα exposure. These cytokines induced by cGAS/STING activation trigger NOXA expression in neighboring cells and render them acutely sensitive to BCL-xL inhibition. cGAS/STING-dependent apoptotic effects are required for paclitaxel response in vivo, and they are amplified by sequential, but not synchronous, administration of BH3 mimetics. Thus anti-mitotic agents propagate apoptotic priming across heterogeneously sensitive cancer cells through cytosolic DNA sensing pathway-dependent extracellular signals, exploitable by delayed MOMP targeting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antimitotic Agents / pharmacology*
  • Apoptosis / drug effects*
  • Breast Neoplasms / metabolism
  • Breast Neoplasms / pathology*
  • Cell Line
  • Female
  • Gene Knockout Techniques
  • Humans
  • Interferon Type I / genetics
  • Interferon Type I / metabolism
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism*
  • Mice
  • Nucleotidyltransferases / genetics
  • Nucleotidyltransferases / metabolism
  • Paclitaxel / pharmacology
  • Paracrine Communication / drug effects*
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Signal Transduction / drug effects
  • Tumor Cells, Cultured
  • Tumor Necrosis Factor-alpha / genetics
  • Tumor Necrosis Factor-alpha / metabolism
  • Xenograft Model Antitumor Assays
  • bcl-X Protein / antagonists & inhibitors
  • bcl-X Protein / metabolism

Substances

  • Antimitotic Agents
  • BCL2L1 protein, human
  • Interferon Type I
  • Membrane Proteins
  • PMAIP1 protein, human
  • Proto-Oncogene Proteins c-bcl-2
  • STING1 protein, human
  • TNF protein, human
  • Tumor Necrosis Factor-alpha
  • bcl-X Protein
  • Nucleotidyltransferases
  • cGAS protein, human
  • Paclitaxel