Activation of innate-adaptive immune machinery by poly(I:C) exposes a therapeutic vulnerability to prevent relapse in stroma-rich colon cancer
Open accessAbstract
Objective: Stroma-rich tumours represent a poor prognostic subtype in stage II/III colon cancer (CC), with high relapse rates and limited response to standard adjuvant chemotherapy. Design: To address the lack of efficacious therapeutic options for patients with stroma-rich CC, we stratified our human tumour cohorts according to stromal content, enabling identification of the biology underpinning relapse and potential therapeutic vulnerabilities specifically within stroma-rich tumours that could be exploited clinically. Following human tumour-based discovery and independent clinical validation, we use a series of in vitro and stroma-rich in vivo models to test and validate the therapeutic potential of elevating the biology associated with reduced relapse in human tumours. Results: By performing our analyses specifically within the stroma-rich/high-fibroblast (HiFi) subtype of CC, we identify and validate the clinical value of a HiFi-specific prognostic signature (HPS), which stratifies tumours based on STAT1-related signalling (High-HPS v Low-HPS=HR 0.093, CI 0.019 to 0.466). Using in silico, in vitro and in vivo models, we demonstrate that the HPS is associated with antigen processing and presentation within discrete immune lineages in stroma-rich CC, downstream of double-stranded RNA and viral response signalling. Treatment with the TLR3 agonist poly(I:C) elevated the HPS signalling and antigen processing phenotype across in vitro and in vivo models. In an in vivo model of stroma-rich CC, poly(I:C) treatment significantly increased systemic cytotoxic T cell activity (p<0.05) and reduced liver metastases (p<0.0002). Conclusion: This study reveals new biological insight that offers a novel therapeutic option to reduce relapse rates in patients with the worst prognosis CC.
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The pro-inflammatory TLR3 agonist poly I:C augmented the antitumour immune response in a mouse model of stroma-rich metastatic colorectal cancer, and a TLR3-related gene expression signature associated with a better prognosis of patients with stroma-rich colorectal cancer.
“For example, the pro-inflammatory Toll-like receptor 3 (TLR3) agonist polyinosinic:polycytidylic acid (poly I:C) augmented the antitumour immune response in a mouse model of stroma-rich metastatic CRC and a TLR3-related gene expression signature associated with a better prognosis of patients with stroma-rich CRC.175”
From Current and emerging concepts for systemic treatment of metastatic colorectal cancer (2025) · cites this paper as [175]
The stroma-rich hallmark of CMS4 colorectal cancer may represent a promising therapeutic vulnerability.
“Thus, the stroma-rich hallmark of CMS4 colorectal cancer may represent a promising therapeutic vulnerability, as suggested by Dunne and colleagues (73).”
From Clinical Challenges of Consensus Molecular Subtype CMS4 Colon Cancer in the Era of Precision Medicine (2024) · cites this paper as [73]
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Bull, C., Byrne, R. M., Fisher, N. C., Corry, S. M., Amirkhah, R., Edwards, J., Hillson, L., Lawler, M., Ryan, A. E., Lamrock, F., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.03.15.585228 · Cited by 1 · see citing works
Self-citationCorry, S. M., Sakhnevych, S. S., Mohamed, N. E., Malla, S. B., Byrne, R. M., Young, A., Amirkhah, R., Bull, C., Lees, A., Redmond, K. L., et al. (2026) · Communications Biology · doi:10.1038/s42003-026-10295-9
Self-citationLee, S. H., Yellu, S., Lee, S. H., Cheong, J.-H., Kim, M., Park, S., & Hwang, T. H. (2025) · IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI ...) · doi:10.1109/bhi67747.2025.11269533
- Authors
- Corry, S. M., McCorry, A. M., Lannagan, T. R., Leonard, N. A., Fisher, N. C., Byrne, R. M., Tsantoulis, P., Cortes-Lavaud, X., Amirkhah, R., Redmond, K. L., McCooey, A. J., Malla, S. B., Rogan, E., Sakhnevych, S., Gillespie, M. A., White, M., Richman, S. D., Jackstadt, R.-F., Campbell, A. D., Maguire, S., consortia, S. A. A., McDade, S. S., Longley, D. B., Loughrey, M. B., Coleman, H. G., Kerr, E. M., Tejpar, S., Maughan, T., Leedham, S. J., Small, D. M., Ryan, A. E., Sansom, O. J., Lawler, M., & Dunne, P. D.
- Affiliations
- Queen's University Belfast (GB)
- Cancer Research UK (GB)
- National University of Ireland (IE)
- University of Geneva (CH)
- Cancer Research UK, Beatson Institute for Cancer Research, Glasgow, UK
- University of Leeds (GB)
- German Cancer Research Center (DE)
- Universitair Ziekenhuis Leuven (BE)
- Department of Oncology, University of Oxford, Oxford, UK
- Ollscoil na Gaillimhe – University of Galway (IE)
- Corresponding author
- Dunne, Philip D
- ORCID
- Corry, Shania M
- McCorry, Amy MB
- Lannagan, Tamsin RM
- Leonard, Niamh A
- Fisher, Natalie C
- Byrne, Ryan M
- Tsantoulis, Petros
- Amirkhah, Raheleh
- Redmond, Keara L
- Malla, Sudhir B
- Sakhnevych, Svetlana
- Richman, Susan D
- Maguire, Sarah
- McDade, Simon S
- Longley, Daniel B
- Loughrey, Maurice B
- Coleman, Helen G
- Kerr, Emma M
- Tejpar, Sabine
- Leedham, Simon J
- Small, Donna M
- Ryan, Aideen E
- Sansom, Owen J
- Lawler, Mark
- Dunne, Philip D
- Venue
- Gut
- Publisher
- BMJ
- Published
- 2022-04-27
- Volume
- 71
- Issue
- 12
- Pages
- 2502-2517
- ISSN
- 0017-5749 (ISSN-L)
- 1468-3288
- PMC
- PMC9664095
- OpenAlex
- W4225003814
- Cited by
- 18
- References
- 57
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 9 · 2023: 2
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Gut (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by)
- Funders
- Medical Research Council (MR/M016587/1)
- Cancer Research UK (A17196, A26825, A28223, A29834, A31287)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Keywords
- poly(I:C), TLR3 agonist, antigen processing and presentation, innate-adaptive immune crosstalk, liver metastasis, relapse prevention, prognostic signature, cytotoxic T lymphocytes, adjuvant therapy
- MeSH terms
- Colonic Neoplasms, Humans, Neoplasm Recurrence, Local, Prognosis, Biomarkers, Tumor, Stromal Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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