Inhibition of DHODH Activates Pyroptosis and cGAS-STING Pathways to Enhance NK cell Infiltration Mediated Anti-tumor Immunity in Melanoma

Publication date: Mar 23, 2025

Cancer cells are heavily reliant on de novo pyrimidine synthesis. Suppression of pyrimidine metabolism directly inhibits tumor growth and fosters immune activation within the tumor microenvironment. Dihydroorotate dehydrogenase (DHODH), a crucial enzyme governing de novo pyrimidine synthesis, is a critical player in this context. Inhibition of DHODH not only reverses immunosuppression but also instigates a mild innate immune response. However, the impact of DHODH inhibition on natural killer (NK) cells remains unexplored. In this study, we found that inhibition of DHODH efficiently promotes NK cells infiltration in tumors. Suppression of DHODH led to increased oxidative stress in mitochondria, the release of mtDNA, and activation of caspase 3, which in turn activated the cGAS-STING pathway and pyroptosis in cancer cells, respectively, contributing to NK cells induced antitumor immune responses in melanoma. Additionally, we developed EA6, a novel DHODH inhibitor with higher efficacy in promoting NK cells infiltration. In summary, this study underscores that modulation of pyrimidine metabolism can effectively trigger antitumor immune responses, with a specific emphasis on NK cells. This finding opens new avenues for enhancing the efficacy of targeted nucleotide metabolism in cancer therapy.

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Concepts Keywords
Chemotherapy Antitumor
Concert Biorxiv
Efficient Brq
Rap1 Dhodh
Ea6
Fig
Immune
Inhibition
Pathway
Preprint
Pyrimidine
Pyroptosis
Sting
Treatment
Tumor

Semantics

Type Source Name
pathway REACTOME Pyroptosis
disease MESH tumor
disease MESH Melanoma
pathway KEGG Melanoma
pathway KEGG Pyrimidine metabolism
disease MESH oxidative stress
pathway REACTOME Release
pathway KEGG Nucleotide metabolism
drug DRUGBANK Famciclovir
drug DRUGBANK Coenzyme M
disease MESH metastasis
drug DRUGBANK Methotrexate
drug DRUGBANK Cytarabine
disease MESH glioma
pathway KEGG Glioma
disease MESH acute myeloid leukemia
pathway KEGG Acute myeloid leukemia
drug DRUGBANK Gemcitabine
drug DRUGBANK Isoxaflutole
disease MESH histocompatibility
drug DRUGBANK Cycloserine
pathway REACTOME Immune System
drug DRUGBANK Pidolic Acid
pathway KEGG Purine metabolism
pathway KEGG Rap1 signaling pathway
pathway KEGG TNF signaling pathway
drug DRUGBANK Uridine
pathway REACTOME Inflammasomes
drug DRUGBANK ATP
disease MESH death
drug DRUGBANK Oxygen
pathway REACTOME Metabolism
pathway KEGG Ferroptosis
disease MESH renal carcinoma
drug DRUGBANK Streptomycin
drug DRUGBANK Sodium lauryl sulfate

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