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PARP inhibitors enhance antitumor immune responses by triggering pyroptosis via TNF-caspase 8-GSDMD/E axis in ovarian cancer

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机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ,Hubei Prov K, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Natl Clin Res Ctr Obstet & Gynecol,Dept Gynecol On, Wuhan, Hubei, Peoples R China [3]Shandong First Med Univ, Shandong Prov Hosp, Dept Obstet & Gynecol, Jinan, Shandong, Peoples R China [4]Shanxi Bethune Hosp, Dept Obstet & Gynecol, Taiyuan, Shanxi, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Geriatr, Wuhan, Hubei, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Pediat, Wuhan, Hubei, Peoples R China [7]Cent South Univ, Hunan Prov Key Lab Clin Epidemiol, Changsha, Hunan, Peoples R China [8]Huazhong Univ Sci & Technol, Cent Hosp Wuhan, Tongji Med Coll, Dept Gynecol & Obstet, Wuhan, Hubei, Peoples R China [9]Hubei Univ Sci & Technol, Xianning Med Coll, Xianning, Hubei, Peoples R China [10]Hebei Med Univ, Affiliated Hosp 4, Dept Obstet & Gynecol, Shijiazhuang, Hebei, Peoples R China [11]Hubei Univ Med, Renmin Hosp, Shiyan, Hubei, Peoples R China [12]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Basic Med, Dept Immunol, Wuhan, Hubei, Peoples R China
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关键词: Immune modulatory Ovarian Cancer T cell Tumor microenvironment - TME Neoadjuvant

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Background In addition to their established action of synthetic lethality in tumor cells, poly(ADP-ribose) polymerase inhibitors (PARPis) also orchestrate tumor immune microenvironment (TIME) that contributes to suppressing tumor growth. However, it remains not fully understood whether and how PARPis trigger tumor-targeting immune responses.Methods To decode the immune responses reshaped by PARPis, we conducted T-cell receptor (TCR) sequencing and immunohistochemical (IHC) analyses of paired clinical specimens before and after niraparib monotherapy obtained from a prospective study, as well as ID8 mouse ovarian tumors. To validate the induction of immunogenic cell death (ICD) by PARPis, we performed immunofluorescence/IHC staining with homologous recombination deficiency tumor cells and patient-derived xenograft tumor tissues, respectively. To substantiate that PARPis elicited tumor cell pyroptosis, we undertook comprehensive assessments of the cellular morphological features, cleavage of gasdermin (GSDM) proteins, and activation of TNF-caspase signaling pathways through genetic downregulation/depletion and selective inhibition. We also evaluated the critical role of pyroptosis in tumor suppression and immune activation following niraparib treatment using a syngeneic mouse model with implanting CRISPR/Cas9 edited Gsdme-/- ID8 tumor cells into C57BL/6 mice.Results Our findings revealed that PARPis augmented the proportion of neoantigen-recognized TCR clones and TCR clonal expansion, and induced an inflamed TIME characterized by increased infiltration of both innate and adaptive immune cells. This PARPis-strengthened immune response was associated with the induction of ICD, specifically identified as pyroptosis, which possessed distinctive morphological features and GSDMD/E cleavage. It was validated that the cleavage of GSDMD/E was due to elevated caspase 8 activity downstream of the TNFR1, rather than FAS and TRAIL-R. On PARP inhibition, the NF-kappa B signaling pathway was activated, leading to increased secretion of TNF-alpha and subsequent initiation of the TNFR1-caspase 8 cascade. Impeding pyroptosis through the depletion of Gsdme significantly compromised the tumor-suppressing effects of PARP inhibition and undermined the anti-immune response in the syngeneic ID8 mouse model.Conclusions PARPis induce a specific type of ICD called pyroptosis via TNF-caspase 8-GSDMD/E axis, resulting in an inflamed TIME and augmentation of tumor-targeting immune responses. These findings deepen our understanding of PARPis activities and point toward a promising avenue for synergizing PARPis with immunotherapeutic interventions.Trial registration number NCT04507841.

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出版当年[2025]版:
大类 | 1 区 医学
小类 | 1 区 免疫学 2 区 肿瘤学
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大类 | 1 区 医学
小类 | 1 区 免疫学 2 区 肿瘤学
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Q1 IMMUNOLOGY Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ,Hubei Prov K, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Natl Clin Res Ctr Obstet & Gynecol,Dept Gynecol On, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ,Hubei Prov K, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Natl Clin Res Ctr Obstet & Gynecol,Dept Gynecol On, Wuhan, Hubei, Peoples R China [4]Shanxi Bethune Hosp, Dept Obstet & Gynecol, Taiyuan, Shanxi, Peoples R China
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