New type of immunological treatment of cancer?

Our immune system's most important function is to monitor the body for danger signals. A classical danger signal is DNA from micro-organisms and damaged or dying cells. When DNA accumulates within the cytoplasm of cells (cytoplasm comprises the entire contents of the cell except for the cell nucleus), they will react by making interferon, a type of signalling protein that alarms neighbouring immune cells about approaching danger. Thus far, researchers have fought to explain these events in details. New Danish research has now taken an important step towards doing just this.

"We have discovered that a protein called IFI16, which most of our immune cells carry, has crucial significance for the cell's defence against microorganisms or dying cells' release of DNA," explains one of the researchers behind the study, Associate Professor Martin Roelsgaard Jakobsen from the Department of Biomedicine, Aarhus University, about the results, which have just been published in Nature Communications.

Knowledge about how IFI16 works in immune cells and how it helps to initiate and control an immune response can have major long term potential for various types of immunotherapies that are used in the treatment of cancer.

Examined cellular debris

The innate immune system consists of many different knobs that can be 'pulled' to fight infections by initiating the production of interferon and various inflammatory cytokines. One of these knobs is called STING, a protein that is activated when immune cells sense the presence of DNA parts outside the cell nucleus.

"STING's function and its degree of activity play a significant role in how well the body fights conditions when it is exposed to something that is foreign or abnormal such as infections and cancer," explains Martin Roelsgaard Jakobsen.

In the new study, the researchers chose to investigate the function of STING in one of the most essential immune cells known to engulf cell-free DNA -- the macrophages. They deleted different genes from macrophages' genetic backbone and examined whether the "STING knob" continued to function. It turned out that when the gene which encodes the protein IFI16 was depleted, macrophages stopped producing an immune response and halted production of interferon when exposed to cell-free DNA or DNA viruses.

"By using different molecular biological methods, we could clearly demonstrate that our immune cells only need a very small fraction of the IFI16 protin for STING to function optimally," says Martin Roelsgaard Jakobsen.

The researchers are currently making use of the new knowledge to develop ways in which they can turn the STING knob in different directions -- either up or down in the activity -- with the help of synthetic designed molecules.

"Within the next five to seven years we hope to have developed a new form of medicine that can support current immunotherapies in the cancer field, where we go directly in and boost the innate immune defence system in the cancerous tumour by using molecules that targets and triggers STING and IFI16 function," explains Martin Roelsgaard Jakobsen.