PMID- 36116741 OWN - NLM STAT- MEDLINE DCOM- 20221019 LR - 20221222 IS - 1872-7980 (Electronic) IS - 0304-3835 (Linking) VI - 550 DP - 2022 Dec 1 TI - PARPi treatment enhances radiotherapy-induced ferroptosis and antitumor immune responses via the cGAS signaling pathway in colorectal cancer. PG - 215919 LID - S0304-3835(22)00406-2 [pii] LID - 10.1016/j.canlet.2022.215919 [doi] AB - In cancer cells, poly (ADP-ribose) polymerase (PARP)-1 and PARP2 initiate and regulate DNA repair pathways to protect against DNA damage and cell death caused by radiotherapy or chemotherapy. Radiotherapy and PARP inhibitors (PARPis) have been combined in clinical trials, but their action mechanisms remain unclear. Here, we show that activated by ionizing radiation (IR) generated dsDNA, cyclic GMP-AMP synthase (cGAS) signaling promoted regulated cell death, specifically ferroptosis, via the activating transcription factor 3 (ATF3)-solute carrier family 7 member 11 axis and the antitumor immune response via the interferon-beta-CD8(+) T cell pathway. Niraparib, a widely used PARPi, augmented cGAS-mediated ferroptosis and immune activation. In colorectal cancer models, cGAS knockdown (KD) compromised IR-induced ferroptosis via downregulation of ATF3 (key ferroptosis regulator) expression. cGAS depletion reversed IR-induced infiltration of CD8(+) T or CD8(+)GZMB(+) T cells in the cGAS KD group. Survival analysis of paired tumor samples before and after standard radiotherapy revealed that high expression levels of cGAS, ATF3, and PTGS2 and high density of CD8(+) T cells resulted in a significantly high disease-free survival rate in patients with rectal cancer. Therefore, PARPi treatment increases the cytoplasmic accumulation of dsDNA caused by IR, triggering the cGAS signaling-mediated tumor control in cancer cell lines and mouse xenograft models. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Shen, Dongya AU - Shen D AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Luo, Jia AU - Luo J AD - Department of Hepatobiliary and Intestinal Surgery, Hunan Cancer Hospital, Changsha, Hunan, China. FAU - Chen, Ling AU - Chen L AD - Department of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Ma, Wenjuan AU - Ma W AD - Department of Anesthesiology, Xiangya Hospital, Central South University, China. FAU - Mao, Xiaoyuan AU - Mao X AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Zhang, Yu AU - Zhang Y AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Zheng, Juyan AU - Zheng J AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Wang, Yang AU - Wang Y AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Wan, Jielin AU - Wan J AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Wang, Shiyu AU - Wang S AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Ouyang, Jing AU - Ouyang J AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Yi, Hanying AU - Yi H AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Liu, Dongbo AU - Liu D AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Huang, Weihua AU - Huang W AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - Zhang, Wei AU - Zhang W AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China; The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510060, China. FAU - Liu, Zhaoqian AU - Liu Z AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. FAU - McLeod, Howard L AU - McLeod HL AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; Intermountain Precision Genomics, Intermountain Healthcare, St. George, UT, 84770, USA. Electronic address: hmcleod1965@gmail.com. FAU - He, Yijing AU - He Y AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Pharmacogenetics, Central South University, China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, Central South University, China. Electronic address: heyijing@csu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220916 PL - Ireland TA - Cancer Lett JT - Cancer letters JID - 7600053 RN - 0 (Activating Transcription Factor 3) RN - 0 (Membrane Proteins) RN - 0 (Poly(ADP-ribose) Polymerase Inhibitors) RN - 61D2G4IYVH (Adenosine Diphosphate) RN - 681HV46001 (Ribose) RN - 77238-31-4 (Interferon-beta) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 2.7.7.- (Nucleotidyltransferases) SB - IM MH - Activating Transcription Factor 3 MH - Adenosine Diphosphate/metabolism/pharmacology MH - Animals MH - CD8-Positive T-Lymphocytes MH - *Colorectal Neoplasms/drug therapy/radiotherapy MH - Cyclooxygenase 2/metabolism MH - *Ferroptosis MH - Humans MH - Immunity MH - Interferon-beta/pharmacology MH - Membrane Proteins/metabolism MH - Mice MH - Nucleotidyltransferases/genetics/metabolism MH - Poly(ADP-ribose) Polymerase Inhibitors/pharmacology MH - Ribose/metabolism/pharmacology MH - Signal Transduction OTO - NOTNLM OT - Activating transcription factor 3 OT - CD8(+) T cell OT - Ionizing radiation OT - Niraparib OT - cGAS pathway COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/09/19 06:00 MHDA- 2022/10/20 06:00 CRDT- 2022/09/18 19:27 PHST- 2022/05/25 00:00 [received] PHST- 2022/09/01 00:00 [revised] PHST- 2022/09/11 00:00 [accepted] PHST- 2022/09/19 06:00 [pubmed] PHST- 2022/10/20 06:00 [medline] PHST- 2022/09/18 19:27 [entrez] AID - S0304-3835(22)00406-2 [pii] AID - 10.1016/j.canlet.2022.215919 [doi] PST - ppublish SO - Cancer Lett. 2022 Dec 1;550:215919. doi: 10.1016/j.canlet.2022.215919. Epub 2022 Sep 16.