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Chromosomal instability shapes the tumor microenvironment of esophageal adenocarcinoma via a cGAS-chemokine-myeloid axis - PubMed

12 hours ago
  • #cGAS-STING Pathway
  • #Esophageal Adenocarcinoma
  • #Chromosomal Instability
  • Chromosomal instability (CIN) is a key feature of esophageal adenocarcinoma (EAC), driving tumor aggressiveness and metastasis.
  • CIN activates the cGAS-STING pathway, which is usually associated with antitumor immunity, but remains intact in EAC despite high CIN.
  • Myeloid-attracting chemokines, particularly CXCL8, are identified as conserved CIN-driven targets in EAC.
  • Multiplexed immunofluorescence microscopy and whole-genome sequencing were used to quantify CIN in human EAC tumors.
  • Single-nucleus RNA sequencing and multiplex immunophenotyping linked CIN to tumor-intrinsic innate immune activation and myeloid cell-mediated immunosuppression.
  • CINhigh, myeloid-dominated EAC tumors correlate with poor patient outcomes and aberrant cGAS-STING signaling.
  • Disrupting the CIN-cGAS-inflammation axis is proposed as a potential therapeutic strategy for EAC.
  • Several authors have conflicts of interest, including advisory roles and research funding from pharmaceutical companies.