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Publication : Neutrophil elastase selectively kills cancer cells and attenuates tumorigenesis.

First Author  Cui C Year  2021
Journal  Cell Volume  184
Issue  12 Pages  3163-3177.e21
PubMed ID  33964209 Mgi Jnum  J:307143
Mgi Id  MGI:6718725 Doi  10.1016/j.cell.2021.04.016
Citation  Cui C, et al. (2021) Neutrophil elastase selectively kills cancer cells and attenuates tumorigenesis. Cell 184(12):3163-3177.e21
abstractText  Cancer cell genetic variability and similarity to host cells have stymied development of broad anti-cancer therapeutics. Our innate immune system evolved to clear genetically diverse pathogens and limit host toxicity; however, whether/how innate immunity can produce similar effects in cancer is unknown. Here, we show that human, but not murine, neutrophils release catalytically active neutrophil elastase (ELANE) to kill many cancer cell types while sparing non-cancer cells. ELANE proteolytically liberates the CD95 death domain, which interacts with histone H1 isoforms to selectively eradicate cancer cells. ELANE attenuates primary tumor growth and produces a CD8(+)T cell-mediated abscopal effect to attack distant metastases. Porcine pancreatic elastase (ELANE homolog) resists tumor-derived protease inhibitors and exhibits markedly improved therapeutic efficacy. Altogether, our studies suggest that ELANE kills genetically diverse cancer cells with minimal toxicity to non-cancer cells, raising the possibility of developing it as a broad anti-cancer therapy.
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