Researchers at the Salk Institute have discovered a new cellular pathway that explains how interferons, proteins usually tasked with helping the immune system combat cancer, can paradoxically fuel tumor growth and drive immunotherapy resistance. According to findings published by the institution, prolonged exposure to interferon II triggers mitochondrial dysfunction and forces the production of a bioactive lipid called prostaglandin E2 (PGE2), which actively shuts down anti-tumor immune responses.
How Interferon Signaling Switches from Anti-Cancer to Pro-Tumor
For years, immunologists have grappled with a perplexing biological contradiction: molecules known to initially suppress malignancies can eventually foster them. The Salk team investigated this dynamic by exposing melanoma cells to interferon I or interferon II across varying timeframes. While brief exposure left cellular energy production largely untouched, chronic exposure fundamentally rewired mitochondrial function.
When scientists transplanted these chronically exposed melanoma cells into mouse models, tumor growth increased. Digging deeper into the cellular mechanics, the team realized that chronic interferon II exposure forces mitochondrial RNA (mtRNA) to leak out of the mitochondria and into the broader cellular cytoplasm. The cell interprets this misplaced genetic material as a threat, prompting a secondary production wave of interferon I.
Together, interferons I and II upregulate cyclooxygenase 2, an enzyme responsible for manufacturing PGE2. This lipid molecule then acts locally to suppress immune activity within the tumor microenvironment, allowing cancer cells to slip past patrolling T cells and B cells.
As Gerald Shadel, Professor and holder of the Audrey Geisel Chair in Biomedical Science at Salk, explains:
“Why interferons, which are initially anti-cancer, can become pro-cancer has been a big question in the field. Our study reveals a major reason for why interferons transition from ‘good’ to ‘bad,’ as well as how we can prevent this switch for therapeutic advantage moving forward.”
Overcoming Resistance to Anti-PD-1 Immunotherapies
Building on these mechanistic discoveries, the research team tested whether this newly mapped pathway could account for why many patients stop responding to widely used anti-PD-1 cancer immunotherapies.
First-author Melissa Johnson, a graduate student researcher in the Shadel lab, notes the motivation behind this phase of the work:
“Chronic interferon exposure is a major factor in immunotherapy resistance. We wondered whether cancer cells that have become resistant to anti-PD1 therapy were upregulating the immunosuppressive mitochondria-centered pathway we identified, and whether that pathway is a viable target for combating immunotherapy resistance.”
To test this hypothesis experimentally, the researchers blocked melanoma cells in mice from producing PGE2. Severing this immunosuppressive signal successfully restored the host immune system’s capacity to detect and dismantle the cancer cells.
Furthermore, this targeted intervention reversed resistance to anti-PD-1 treatment entirely. In nine out of ten test subjects, tumors completely regressed and failed to return, despite the fact that those same cancers had previously shrugged off immunotherapy.
Future Directions for Preclinical Cancer Therapeutics
While these results offer a promising framework for tackling treatment resistance, the work remains at the preclinical stage, and extensive further studies are required before clinical evaluations in humans can begin.
Highlighting the broader implications for oncology research, Shadel adds:
“Our study enriches our understanding of how the immune system attacks cancer cells but can also be stymied by other factors in the tumor environment, and also conveys the importance of integrating mitochondrial signaling functions into cancer studies.”
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