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      Chromosomal instability drives metastasis through a cytosolic DNA response

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          Abstract

          Chromosomal instability (CIN) is a hallmark of cancer and it results from ongoing errors in chromosome segregation during mitosis. While CIN is a major driver of tumor evolution, its role in metastasis has not been established. Here we show that CIN promotes metastasis by sustaining a tumor-cell autonomous response to cytosolic DNA. Errors in chromosome segregation create a preponderance of micronuclei whose rupture spills genomic DNA into the cytosol. This leads to the activation of the cGAS-STING cytosolic DNA-sensing pathway and downstream noncanonical NF-κB signaling. Genetic suppression of CIN significantly delays metastasis even in highly aneuploid tumor models, whereas inducing continuous chromosome segregation errors promotes cellular invasion and metastasis in a STING-dependent manner. By subverting lethal epithelial responses to cytosolic DNA, chromosomally unstable tumor cells co-opt chronic activation of innate immune pathways to spread to distant organs.

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          Most cited references28

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          Cytoplasmic chromatin triggers inflammation in senescence and cancer

          Chromatin is traditionally viewed as a nuclear entity that regulates gene expression and silencing 1–3 . However, we recently discovered the presence of cytoplasmic chromatin fragments that pinch off from intact nuclei of primary cells during senescence 4,5 , a form of terminal cell cycle arrest associated with pro-inflammatory responses 6 . The functional significance of chromatin in the cytoplasm is unclear. Here we show that cytoplasmic chromatin activates the innate immunity cytosolic DNA sensing cGAS-STING pathway, leading to both short-term inflammation to restrain activated oncogene and chronic inflammation that associates with tissue destruction and cancer. The cytoplasmic chromatin-cGAS-STING pathway promotes the senescence-associated secretory phenotype (SASP) in primary human cells and in mice. Mice deficient in STING show impaired immuno-surveillance of oncogenic RAS and reduced tissue inflammation upon ionizing radiation. Furthermore, this pathway is activated in cancer cells, and correlates with pro-inflammatory gene expression in human cancers. Overall, our findings indicate that genomic DNA serves as a reservoir to initiate a pro-inflammatory pathway in the cytoplasm in senescence and cancer. Targeting the cytoplasmic chromatin-mediated pathway may hold promise in treating inflammation-related disorders.
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            Carcinoma-astrocyte gap junctions promote brain metastasis by cGAMP transfer

            SUMMARY Brain metastasis represents a substantial source of morbidity and mortality in various cancers, and is characterized by high resistance to chemotherapy. Here we define the role of the most abundant cell type in the brain, the astrocyte, in promoting brain metastasis. Breast and lung cancer cells express protocadherin 7 (PCDH7) to favor the assembly of carcinoma-astrocyte gap junctions composed of connexin 43 (Cx43). Once engaged with the astrocyte gap-junctional network, brain metastatic cancer cells employ these channels to transfer the second messenger cGAMP to astrocytes, activating the STING pathway and production of inflammatory cytokines IFNα and TNFα. As paracrine signals, these factors activate the STAT1 and NF-κB pathways in brain metastatic cells, which support tumour growth and chemoresistance. The orally bioavailable modulators of gap junctions meclofenamate and tonabersat break this paracrine loop, and we provide proof-of-principle for the applicability of this therapeutic strategy to treat established brain metastasis.
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              Inflammation-driven carcinogenesis is mediated through STING.

              Chronic stimulation of innate immune pathways by microbial agents or damaged tissue is known to promote inflammation-driven tumorigenesis by mechanisms that are not well understood. Here we demonstrate that mutagenic 7,12-dimethylbenz(a)anthracene (DMBA), cisplatin and etoposide induce nuclear DNA leakage into the cytosol that intrinsically activates stimulator of interferon genes (STING)-dependent cytokine production. Inflammatory cytokine levels are subsequently augmented in a STING-dependent extrinsic manner by infiltrating phagocytes purging dying cells. Consequently, STING(-/-) mice, or wild-type mice adoptively transferred with STING(-/-) bone marrow, are almost completely resistant to DMBA-induced skin carcinogenesis compared with their wild-type counterparts. Our data establish a role for STING in the control of cancer, shed significant insight into the causes of inflammation-driven carcinogenesis and may provide a basis for therapeutic strategies to help prevent malignant disease.
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                Author and article information

                Journal
                0410462
                6011
                Nature
                Nature
                Nature
                0028-0836
                1476-4687
                7 December 2017
                17 January 2018
                25 January 2018
                17 July 2018
                : 553
                : 7689
                : 467-472
                Affiliations
                [1 ]Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA
                [2 ]Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, New York 10065, USA
                [3 ]Cancer Biology and Genetics Program, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA
                [4 ]Ludwig Institute for Cancer Research, University of California San Diego, La Jolla, California 92093, USA
                [5 ]Nancy E. and Peter C. Meinig School of Biomedical Engineering & Weill Institute for Cell and Molecular Biology, Cornell University, Ithaca, New York 14850, USA
                [6 ]The Francis Crick Institute, London NW1 1AT, UK
                [7 ]Institute for Pathology and Molecular Pathology, University Hospital Zurich, Zurich 8091, Switzerland
                [8 ]Molecular Cytogenetics Core, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA
                [9 ]Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA
                [10 ]The Broad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA
                [11 ]UCL Cancer Institute, London WC1E 6BT, UK
                [12 ]Moffitt Cancer Center, Tampa, Florida 33612, USA
                [13 ]Computational Biology Program, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA
                Author notes
                Corresponding author: Lewis C. Cantley, Ph.D., Meyer Director, Sandra and Edward Meyer Cancer Center, Professor of Cancer Biology in Medicine, Weill Cornell Medicine, Belfer Research Building, 413 East 69 th Street, 13 th Floor, Box 50, New York, N.Y., 10021, Tel: ++1 (646) 962-632, Fax: ++1 (646) 962-0575, lcantley@ 123456med.cornell.edu
                [*]

                Authors contributed equally to this work

                Correspondence and requests for materials should be addressed to L.C.C. ( lcantley@ 123456med.cornell.edu ).

                Article
                NIHMS925648
                10.1038/nature25432
                5785464
                29342134
                4fe0fbf5-3e3e-4314-8129-5f56ed2fdc14

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