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A new immunotherapy approach is offering hope for patients battling meningiomas, the most common type of primary brain tumor. Researchers at Northwestern Medicine have discovered that activating the STING pathway – a key component of the body’s immune response – can trigger both direct tumor cell death and a robust immune attack against these often-demanding-to-treat cancers.
Each year, more than 39,000 Americans receive a diagnosis of meningioma, according to the National Brain Tumor Society. These tumors originate in the meninges, the protective membranes surrounding the brain and spinal cord. While many are benign and treatable with surgery or radiation, more aggressive forms can recur and prove resistant to conventional therapies, leading to significant health challenges.
The study, published in Nature Communications, highlights a unique characteristic of meningioma tumors: the STING pathway is expressed not only in immune cells within the tumor environment but also within the tumor cells themselves. This dual expression presents a novel opportunity for targeted treatment. “Notice no systemic therapies shown to be consistently effective for meningiomas, and there is growing interest to use immunotherapies for targeting these tumors,” explained Dr. Mark Youngblood, a resident physician in neurological surgery and lead author of the study.
Researchers focused on an experimental drug, known as STING agonist 8803, designed to activate the STING pathway. Previous research, led by others, had demonstrated the drug’s ability to enhance immune responses in glioblastoma, another type of brain tumor. In laboratory tests using human meningioma samples and in mouse models, STING agonist 8803 significantly inhibited tumor growth and promoted the destruction of tumor cells, while also stimulating the immune system.
Unconventional Cell Death Mechanism
The mechanism by which the STING agonist works is surprisingly “dirty,” according to the researchers. They discovered the drug triggers a form of programmed necrosis – an abrupt and uncontrolled cell death – by activating the Gasdermin D protein. This process creates pores in the tumor cell membrane, releasing cellular contents that trigger a powerful inflammatory response and further amplify the immune attack. “It’s a very dirty type of cell death and, we think that it synergistically triggers even more immune activation,” Youngblood said.
Collagen Breakdown Enhances Treatment Effect
Meningioma tumors are often characterized by a large amount of collagen, a structural protein that can contribute to the tumor’s bulk and put pressure on the brain. Interestingly, treatment with the STING agonist led to a decrease in collagen production by the tumor cells. Simultaneously, immune cells within the tumor increased the production of enzymes that break down collagen, resulting in an overall reduction in tumor mass. “We’re hoping that in addition to arresting the growth of the tumor and causing the death of the tumor cells, we actually might see a lot of the bulk of the tumor reduced through this extracellular matrix degradation,” Youngblood stated.
The findings suggest that targeting the STING pathway with STING agonist 8803 could be a promising strategy for inducing both direct tumor cell death and a robust inflammatory immune response in meningioma patients. The researchers emphasize that this study also provides a valuable model for understanding the broader role of the STING pathway in various diseases, extending beyond cancer.
The Lou and Jean Malnati Brain Tumor Institute of the Robert H. Lurie Comprehensive Cancer Center of Northwestern University is actively involved in brain tumor clinical trials, offering patients access to cutting-edge treatments. Learn more about meningioma care at Northwestern Memorial Hospital.
Further research is needed to determine the safety and efficacy of STING agonist 8803 in human clinical trials. The team is continuing to investigate the intricacies of the STING pathway and its potential applications in treating a wider range of cancers and immune-related disorders.
Disclaimer: This article is for informational purposes only and should not be considered medical advice. Please consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
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