Cited by 85T-cell and B-cell ImmunologyCancer Immunotherapy and Biomarkersinterferon and immune responses

T cell-intrinsic STING signaling promotes regulatory T cell induction and immunosuppression by upregulating FOXP3 transcription in cervical cancer

Open access
Ni, Huanhe, Zhang, Huanling, Li, Lin, Huang, He, Guo, Hui, Zhang, Lin, Li, Chunwei, Xu, Jing-Xiao +5 more·2022·Journal for ImmunoTherapy of Cancer

Abstract

Background: Stimulator of interferon genes (STING) is an innate immune sensor of cytoplasmic double-stranded DNA originating from microorganisms and host cells. The activation of cytosolic DNA-STING pathway in tumor microenvironments is usually linked to more robust adaptive immune responses to tumors, however the intracellular function of STING in regulatory T cells is largely unknown. In the present study, we aimed to explore the contribution of intracellular STING activation to regulatory T cell induction (iTreg) in cervical cancer (CC) microenvironments. Methods: Blood samples and tumor specimens were obtained from patients with CC. The intratumoral STING, CCL22, CD8 and forkhead box P3 (FOXP3) expression levels were measured by immunohistochemistry. T cell-specific STING conditional knockout mice (CD4-Cre/STING flox/flox , TKO) were generated, and syngeneic TC-1 tumor model were investigated. The differentiation and molecular regulatory pathway of human and murine iTreg under different treatments were investigated by ex vivo assays, immunoblotting and quantitative PCR. Tumor-associated exosomes (T-EXO) were isolated from CC cell lines and exosomal contents were identified by ELISA and Western blot analysis. The impact of T-EXO on T cell differentiation was tested in in vitro cell culture. Results: Increased STING, CCL22 level, FOXP3 + cells but decreased CD8 + cells in tumor tissues predicted poor survival. Tumor-bearing CD4-Cre-STING flox/flox (TKO) mice displayed slower tumor growth tendencies as well as fewer FOXP3 + cells but higher CD8 + cell proportion in tumor tissues than wild-type (WT) mice. Activating of STING signaling cooperated with T cell receptor, interleukin-2 receptor and transforming growth factor-beta (TGF-β) signals to promote CD4 + CD25 high FOXP3 + iTreg differentiation from both human and murine CD4 + -naïve T cells from WT and IFNAR −/− mice but not TKO or IRF3 −/− mice in vitro. Ectopic STING, TBK1 or IRF3 expression promoted iTreg differentiation from human CD4 + -naïve T cells. T cell-intrinsic STING activation induced FOXP3 transcription through TBK1-IRF3-mediated SMAD3 and STAT5 phosphorylation independent of interferon-β. In CC, tumor-derived exosomes activated STING signaling in tumor-infiltrated T cells by exosomal TGF-β, cyclic GMP-AMP synthase and 2’-3’-cGAMP, leading to iTreg expansion. Conclusions: These findings highlight a novel mechanism for iTreg expansion mediated by tumor-derived exosome-activated T cell-intrinsic STING signal, and provide a rationale for developing immunotherapeutic strategies targeting STING signal in CC.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1136/jitc-2022-005151

Cites

3 of 3 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The current dogma dictates that the host-derived STING pathway is the converging critical responder.

    “a finding that is in sharp contrast to the current dogma which dictates that host-derived STING pathway is the converging critical responder.79–81”

    From Functional tumor cell-intrinsic STING, not host STING, drives local and systemic antitumor immunity and therapy efficacy following cryoablation (2023) · cites this paper as [79]

    The Introduction (page unavailable) says STING signaling in immune cells is needed for type I IFN-dependent T-cell priming and NK-cell cytotoxicity, supporting an important role for host-cell STING in antitumor immunity. It does not establish the broader claim that host-derived STING is the converging critical responder; the Discussion (page unavailable) also describes a distinct role for T-cell-intrinsic STING. (LLM, conf=0.78)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 53

  1. [1]Lv M, Chen M, Zhang R, et al. Manganese is critical for antitumor immune responses via cGAS-STING and improves the efficacy of clinical immunotherapy. Cell Res 2020; 30: 966– 79. 10.1038/s41422-020-00395-4 32839553 PMC7785004 · DOI · Paper page
  2. [2]Marcus A, Mao AJ, Lensink-Vasan M, et al. Tumor-Derived cGAMP triggers a STING-mediated interferon response in non-tumor cells to activate the NK cell response. Immunity 2018; 49: 754– 63. 10.1016/j.immuni.2018.09.016 30332631 PMC6488306 · DOI
  3. [3]Woo S-R, Corrales L, Gajewski TF. Innate immune recognition of cancer. Annu Rev Immunol 2015; 33: 445– 74. 10.1146/annurev-immunol-032414-112043 25622193 · DOI
  4. [4]Iurescia S, Fioretti D, Rinaldi M. Nucleic acid sensing machinery: targeting innate immune system for cancer therapy. Recent Pat Anticancer Drug Discov 2018; 13: 2– 17. 10.2174/1574892812666171030163804 29086701 · DOI
  5. [5]Wu J-J, Zhao L, Hu H-G, et al. Agonists and inhibitors of the STING pathway: potential agents for immunotherapy. Med Res Rev 2020; 40: 1117– 41. 10.1002/med.21649 31793026 · DOI
  6. [6]Imanishi T, Saito T. T cell co-stimulation and functional modulation by innate signals. Trends Immunol 2020; 41: 200– 12. 10.1016/j.it.2020.01.003 32035763 · DOI
  7. [7]Domvri K, Petanidis S, Zarogoulidis P, et al. Treg-dependent immunosuppression triggers effector T cell dysfunction via the STING/ILC2 axis. Clin Immunol 2021; 222: 108620. 10.1016/j.clim.2020.108620 33176208 · DOI
  8. [8]Field CS, Baixauli F, Kyle RL, et al. Mitochondrial integrity regulated by lipid metabolism is a cell-intrinsic checkpoint for Treg suppressive function. Cell Metab 2020; 31: 422– 37. 10.1016/j.cmet.2019.11.021 31883840 PMC7001036 · DOI
  9. [9]Berman TA, Schiller JT. Human papillomavirus in cervical cancer and oropharyngeal cancer: one cause, two diseases. Cancer 2017; 123: 2219– 29. 10.1002/cncr.30588 28346680 · DOI
  10. [10]Polman NJ, Snijders PJF, Kenter GG, et al. HPV-based cervical screening: rationale, expectations and future perspectives of the new Dutch screening programme. Prev Med 2019; 119: 108– 17. 10.1016/j.ypmed.2018.12.021 30594536 · DOI
  11. [11]Lo Cigno I, Calati F, Albertini S, et al. Subversion of host innate immunity by human papillomavirus oncoproteins. Pathogens 2020; 9. 10.3390/pathogens9040292. [Epub ahead of print: 17 04 2020]. PMC7238203 32316236 · DOI
  12. [12]Saulters E, Woolley JF, Varadarajan S, et al. Stinging viral tumors: what we know from head and neck cancers. Cancer Res 2021; 81: 3945– 52. 10.1158/0008-5472.CAN-21-0785 33903123 · DOI
  13. [13]Bortnik V, Wu M, Julcher B, et al. Loss of HPV type 16 E7 restores cGAS-STING responses in human papilloma virus-positive oropharyngeal squamous cell carcinomas cells. J Microbiol Immunol Infect 2021; 54: 733-739. 10.1016/j.jmii.2020.07.010 32768338 · DOI
  14. [14]Yogev O, Henderson S, Hayes MJ, et al. Herpesviruses shape tumour microenvironment through exosomal transfer of viral microRNAs. PLoS Pathog 2017; 13: e1006524. 10.1371/journal.ppat.1006524 28837697 PMC5570218 · DOI
  15. [15]Marzagalli M, Ebelt ND, Manuel ER. Unraveling the crosstalk between melanoma and immune cells in the tumor microenvironment. Semin Cancer Biol 2019; 59: 236– 50. 10.1016/j.semcancer.2019.08.002 31404607 · DOI
  16. [16]Kato K, Omura H, Ishitani R, et al. Cyclic GMP-AMP as an endogenous second messenger in innate immune signaling by cytosolic DNA. Annu Rev Biochem 2017; 86: 541– 66. 10.1146/annurev-biochem-061516-044813 28399655 · DOI
  17. [17]Bao R, Hou J, Li Y, et al. Adenosine promotes FOXP3 expression in Treg cells in sepsis model by activating JNK/AP-1 pathway. Am J Transl Res 2016; 8: 2284– 92. 27347335 PMC4891440
  18. [18]Ruan Q, Kameswaran V, Tone Y, et al. Development of FOXP3(+) regulatory t cells is driven by the c-Rel enhanceosome. Immunity 2009; 31: 932– 40. 10.1016/j.immuni.2009.10.006 20064450 PMC2807990 · DOI
  19. [19]Mashouri L, Yousefi H, Aref AR, et al. Exosomes: composition, biogenesis, and mechanisms in cancer metastasis and drug resistance. Mol Cancer 2019; 18: 75. 10.1186/s12943-019-0991-5 30940145 PMC6444571 · DOI
  20. [21]Yang Q, Shu H-B. Deciphering the pathways to antiviral innate immunity and inflammation. Adv Immunol 2020; 145: 1– 36. 10.1016/bs.ai.2019.11.001 32081195 · DOI
  21. [22]Mullins SR, Vasilakos JP, Deschler K, et al. Intratumoral immunotherapy with TLR7/8 agonist MEDI9197 modulates the tumor microenvironment leading to enhanced activity when combined with other immunotherapies. J Immunother Cancer 2019; 7: 244. 10.1186/s40425-019-0724-8 31511088 PMC6739946 · DOI
  22. [23]Schadt L, Sparano C, Schweiger NA, et al. Cancer-Cell-Intrinsic cGAS expression mediates tumor immunogenicity. Cell Rep 2019; 29: 1236– 48. 10.1016/j.celrep.2019.09.065 31665636 · DOI
  23. [24]Zhou Y, Fei M, Zhang G, et al. Blockade of the phagocytic receptor MERTK on tumor-associated macrophages enhances P2X7R-Dependent sting activation by tumor-derived cGAMP. Immunity 2020; 52: 357– 73. 10.1016/j.immuni.2020.01.014 32049051 · DOI
  24. [25]Ohkuri T, Kosaka A, Ishibashi K, et al. Intratumoral administration of cGAMP transiently accumulates potent macrophages for anti-tumor immunity at a mouse tumor site. Cancer Immunology, Immunotherapy 2017; 66: 705– 16. 10.1007/s00262-017-1975-1 28243692 PMC11028681 · DOI
  25. [26]Takahashi M, Lio C-WJ, Campeau A, et al. The tumor suppressor kinase DAPK3 drives tumor-intrinsic immunity through the STING-IFN-β pathway. Nat Immunol 2021; 22: 485– 96. 10.1038/s41590-021-00896-3 33767426 PMC8300883 · DOI
  26. [27]Takashima K, Oshiumi H, Matsumoto M, et al. TICAM-1 is dispensable in STING-mediated innate immune responses in myeloid immune cells. Biochem Biophys Res Commun 2018; 499: 985– 91. 10.1016/j.bbrc.2018.04.035 29627569 · DOI
  27. [28]Ohkuri T, Ghosh A, Kosaka A, et al. STING contributes to antiglioma immunity via triggering type I IFN signals in the tumor microenvironment. Cancer Immunol Res 2014; 2: 1199– 208. 10.1158/2326-6066.CIR-14-0099 25300859 PMC4258479 · DOI
  28. [29]Jing W, McAllister D, Vonderhaar EP, et al. STING agonist inflames the pancreatic cancer immune microenvironment and reduces tumor burden in mouse models. J Immunother Cancer 2019; 7: 115. 10.1186/s40425-019-0573-5 31036082 PMC6489306 · DOI
  29. [30]Shi F, Su J, Wang J, et al. Activation of STING inhibits cervical cancer tumor growth through enhancing the anti-tumor immune response. Mol Cell Biochem 2021; 476: 1015– 24. 10.1007/s11010-020-03967-5 33141310 · DOI
  30. [31]Wu J, Dobbs N, Yang K, et al. Interferon-Independent activities of mammalian sting mediate antiviral response and tumor immune evasion. Immunity 2020; 53: 115– 26. 10.1016/j.immuni.2020.06.009 32640258 PMC7365768 · DOI · Paper page
  31. [32]Gulen MF, Koch U, Haag SM, et al. Signalling strength determines proapoptotic functions of STING. Nat Commun 2017; 8: 427. 10.1038/s41467-017-00573-w 28874664 PMC5585373 · DOI · Paper page
  32. [33]Larkin B, Ilyukha V, Sorokin M, et al. Cutting edge: activation of sting in T cells induces type I IFN responses and cell death. J Immunol 2017; 199: 397– 402. 10.4049/jimmunol.1601999 28615418 PMC5525333 · DOI · Paper page
  33. [34]Cerboni S, Jeremiah N, Gentili M, et al. Intrinsic antiproliferative activity of the innate sensor STING in T lymphocytes. J Exp Med 2017; 214: 1769– 85. 10.1084/jem.20161674 28484079 PMC5461003 · DOI
  34. [35]Lemos H, Huang L, McGaha TL, et al. Cytosolic DNA sensing via the stimulator of interferon genes adaptor: Yin and Yang of immune responses to DNA. Eur J Immunol 2014; 44: 2847– 53. 10.1002/eji.201344407 25143264 PMC4197080 · DOI
  35. [36]Ager CR, Reilley MJ, Nicholas C, et al. Intratumoral sting activation with T-cell checkpoint modulation generates systemic antitumor immunity. Cancer Immunol Res 2017; 5: 676– 84. 10.1158/2326-6066.CIR-17-0049 28674082 PMC5547907 · DOI
  36. [37]Fueyo-González F, McGinty M, Ningoo M, et al. Interferon-β acts directly on T cells to prolong allograft survival by enhancing regulatory T cell induction through Foxp3 acetylation. Immunity 2022; 55: 459– 74. 10.1016/j.immuni.2022.01.011 35148827 PMC8917088 · DOI
  37. [38]Li C, Jiang P, Wei S, et al. Regulatory T cells in tumor microenvironment: new mechanisms, potential therapeutic strategies and future prospects. Mol Cancer 2020; 19: 116. 10.1186/s12943-020-01234-1 32680511 PMC7367382 · DOI
  38. [39]Copland A, Bending D. FOXP3 molecular dynamics in Treg in juvenile idiopathic arthritis. Front Immunol 2018; 9: 2273. 10.3389/fimmu.2018.02273 30333832 PMC6175987 · DOI
  39. [41]Xu Y, Liu E, Xie X, et al. Induction of FOXP3 and activation of Tregs by HSP gp96 for treatment of autoimmune diseases. iScience 2021; 24: 103445. 10.1016/j.isci.2021.103445 34877502 PMC8633978 · DOI
  40. [43]Demaria O, De Gassart A, Coso S, et al. STING activation of tumor endothelial cells initiates spontaneous and therapeutic antitumor immunity. Proc Natl Acad Sci U S A 2015; 112: 15408– 13. 10.1073/pnas.1512832112 26607445 PMC4687570 · DOI
  41. [44]Woo S-R, Fuertes MB, Corrales L, et al. STING-dependent cytosolic DNA sensing mediates innate immune recognition of immunogenic tumors. Immunity 2014; 41: 830– 42. 10.1016/j.immuni.2014.10.017 25517615 PMC4384884 · DOI · Paper page
  42. [45]Daassi D, Mahoney KM, Freeman GJ. The importance of exosomal PDL1 in tumour immune evasion. Nat Rev Immunol 2020; 20: 209– 15. 10.1038/s41577-019-0264-y 31965064 · DOI · Paper page
  43. [46]Taghikhani A, Hassan ZM, Ebrahimi M, et al. microRNA modified tumor-derived exosomes as novel tools for maturation of dendritic cells. J Cell Physiol 2019; 234: 9417– 27. 10.1002/jcp.27626 30362582 · DOI
  44. [47]Mrizak D, Martin N, Barjon C, et al. Effect of nasopharyngeal carcinoma-derived exosomes on human regulatory T cells. J Natl Cancer Inst 2015; 107: 363. 10.1093/jnci/dju363 25505237 · DOI
  45. [48]Liang D, Xiao-Feng H, Guan-Jun D, et al. Activated STING enhances Tregs infiltration in the HPV-related carcinogenesis of tongue squamous cells via the c-jun/CCL22 signal. Biochim Biophys Acta 2015; 1852: 2494– 503. 10.1016/j.bbadis.2015.08.011 26303640 · DOI
  46. [49]Liu K, Lan Y, Li X, et al. Development of small molecule inhibitors/agonists targeting STING for disease. Biomed Pharmacother 2020; 132: 110945. 10.1016/j.biopha.2020.110945 33254439 · DOI
  47. [50]Khoo LT, Chen L-Y. Role of the cGAS-STING pathway in cancer development and oncotherapeutic approaches. EMBO Rep 2018; 19. 10.15252/embr.201846935. [Epub ahead of print: 16 11 2018]. PMC6280650 30446584 · DOI · Paper page
  48. [51]Lemos H, Mohamed E, Huang L, et al. STING promotes the growth of tumors characterized by low antigenicity via IDO activation. Cancer Res 2016; 76: 2076– 81. 10.1158/0008-5472.CAN-15-1456 26964621 PMC4873329 · DOI
  49. [52]Ahn J, Xia T, Konno H, et al. Inflammation-driven carcinogenesis is mediated through sting. Nat Commun 2014; 5: 5166. 10.1038/ncomms6166 25300616 PMC4998973 · DOI
  50. [53]Haag SM, Gulen MF, Reymond L, et al. Targeting STING with covalent small-molecule inhibitors. Nature 2018; 559: 269– 73. 10.1038/s41586-018-0287-8 29973723 · DOI · Paper page
  51. [54]Deng Z, Chong Z, Law CS, et al. A defect in COPI-mediated transport of STING causes immune dysregulation in COPA syndrome. J Exp Med 2020; 217. 10.1084/jem.20201045. [Epub ahead of print: 02 11 2020]. PMC7596814 32725126 · DOI
  52. [55]Zhu X, Han W, Liu Y, et al. Rational design of a prodrug to inhibit self-inflammation for cancer treatment. Nanoscale 2021; 13: 5817– 25. 10.1039/D1NR00132A 33710220 · DOI
  53. [56]Li S, Hong Z, Wang Z, et al. The cyclopeptide Astin C specifically inhibits the innate immune CDN sensor sting. Cell Rep 2018; 25: 3405– 21. 10.1016/j.celrep.2018.11.097 30566866 · DOI

Cited by

Sorted by citations

Authors
Ni, H., Zhang, H., Li, L., Huang, H., Guo, H., Zhang, L., Li, C., Xu, J.-X., Nie, C.-P., Li, K., Zhang, X., Xia, X., & Li, J.
Affiliations
  • State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China
  • Sun Yat-sen University (CN)
  • Sun Yat-sen University Cancer Center (CN)
Corresponding author
  • Xia, Xiaojun
  • Li, Jiang
Venue
Journal for ImmunoTherapy of Cancer
Publisher
BMJ
Published
2022-09
Volume
10
Issue
9
Pages
e005151
ISSN
2051-1426 (ISSN-L)
OpenAlex
W4296782979
Cited by
85
References
3
Citations by year
2026: 27 · 2025: 25 · 2024: 19 · 2023: 14
FWCI
5.54
Type
journal article
Language
en
Open access
Locations
  • Journal for ImmunoTherapy of Cancer (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • the Sci-Tech Key Program of the Guangzhou City Science Foundation (201802020001)
  • The Guangdong Innovative and Entrepreneurial Research Team Program (2016ZT06S638)
  • The Guangdong Province Sci-Tech International Key Program (2021A0505030027)
  • National Natural Science Foundation of China (81572982, 81773051, 81773256, 81902905, 81972692, 81972874)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
Keywords
STING signaling, regulatory T cells, cervical cancer, tumor microenvironment, tumor-derived exosomes, TBK1-IRF3 signaling, Smad3 phosphorylation, STAT5 phosphorylation, immunosuppression, CCL22, CD8+ T cells, T cell receptor signaling
MeSH terms
STING Protein, Animals, Uterine Cervical Neoplasms, DNA, Female, Humans, Immunosuppression Therapy, Interferons, Membrane Proteins, Transforming Growth Factors, Receptors, Interleukin-2, Transforming Growth Factor beta, Interferon-beta, T-Lymphocytes, Regulatory, STAT5 Transcription Factor, Mice, Forkhead Transcription Factors, Tumor Microenvironment

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.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review