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Anlotinib enhances the antitumor immunity of radiotherapy by activating cGAS/STING in non-small cell lung cancer.

Dong HanJiajia ZhangYawei BaoLei LiuPing WangDong Qian
Published in: Cell death discovery (2022)
Radiation resistance and unsatisfactory efficacy of radioimmunotherapy are important barriers to non-small cell lung cancer (NSCLC) treatment. The impacts of anlotinib on radiation and tumor immune microenvironment (TIME) in NSCLC remain to be resolved. Here, we find anlotinib enhances radiosensitivity, and further increases radiotherapy-stimulated CD8 + T cell infiltration and activation via triggering cGAS/STING pathway. Moreover, anlotinib shows significant effects on radioimmunotherapy (radiotherapy plus anti-PD-L1). The addition of anlotinib alleviates CD8 + T cell exhaustion, promotes the cytotoxicity and proliferation of CD8 + T cells, and boosts immune memory activation. Our work reveals the crucial role of anlotinib in antitumor immunity, and provides preclinical evidence for the application of anlotinib combined with radioimmunotherapy in NSCLC treatment.
Keyphrases
  • small cell lung cancer
  • early stage
  • radiation induced
  • locally advanced
  • radiation therapy
  • advanced non small cell lung cancer
  • stem cells
  • squamous cell carcinoma
  • rectal cancer
  • mouse model