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STING synergizes with TOX suppressing HO-1 expression to trigger ferroptosis in tumor-infiltrating CD8+ T cell and immunotherapy resistance - PubMed

3 months ago
  • #immunotherapy
  • #CD8+ T cells
  • #ferroptosis
  • STING and TOX synergize to suppress HO-1 expression, triggering ferroptosis in tumor-infiltrating CD8+ T cells and leading to immunotherapy resistance.
  • CD8+ T cells lacking STING or TOX show improved antitumor activity, with increased tumor infiltration and higher production of IFN-γ and granzyme B.
  • STING and TOX deficient CD8+ T cells resist ferroptosis by suppressing lipid peroxidation and promoting mitochondrial biogenesis.
  • STING and TOX form a positive regulatory loop that represses HO-1, causing iron accumulation, mitochondrial oxidative stress, and ferroptosis in CD8+ T cells.
  • Lactate is identified as a microenvironmental trigger for STING-TOX-HO-1-mediated CD8+ T-cell ferroptosis.
  • Engineered STING/TOX-deficient CD8+ T cells enhance tumor control when combined with immune checkpoint blockade, chemotherapy, or STING agonists in mouse models.