Chromosomal instability, a hallmark of human tumors, refers to the improper segregation of chromosomes during cell division, leading to abnormalities in chromosome structure or number. This phenomenon is evident in 60%-80% of human tumor cells and is linked directly to cancer progression, recurrence, metastasis, treatment resistance, and immune escape. Understanding the molecular mechanisms by which chromosomal instability influences these aspects of cancer can significantly advance our knowledge of tumor development and identify new targets for treatment.

A recent review (DOI: 10.3724/zdxbyxb-2023-0485) published on February 28, 2024, in the Journal of Zhejiang University (Medical Sciences) meticulously investigates how the cGAS-STING pathway detects and responds to micronuclei and its subsequent effects on cancer. This exploration provides essential knowledge for developing and applying targeted cancer therapies.

The review details how the breaking of micronuclei, tiny nuclei encapsulated in their membranes and laden with chromosomal fragments, signals the activation of the cGAS-STING pathway. This momentous event can either prompt the immune system to eliminate tumor cells or, paradoxically, aid tumor growth and immune evasion by fostering an immunosuppressive environment. The generation of micronuclei stems from cell division errors, leaving these nuclei filled with chromosomal fragments disconnected from the primary cellular processes. The rupture of these micronuclear membranes exposes DNA, engaging the cGAS-STING pathway and sparking a barrage of immune responses aimed at purging the aberrant cells, potentially stopping cancer in its tracks. Yet, the process has a dual aspect; while potentially activating the immune system against cancer, prolonged activation may create conditions conducive to cancer proliferation and dissemination.

This article highlights the promise of targeting the cGAS-STING signaling pathway in cancer therapy. By discerning when this pathway supports or hinders tumor growth, researchers are poised to devise treatments that boost the immune system's natural cancer-fighting capabilities. (Newswise/TAB)