Cancer cell-derived IL-1β reverses chemo-immunotherapy resistance in non-small cell lung cancer
Many non-small cell lung cancer (NSCLC) patients remain unresponsive to the current standard of care, which includes chemotherapy and immune checkpoint inhibitors, like anti-PD-1/PD-L1 antibodies. While interleukin (IL)-1β is known to promote lung cancer growth in humans and mice, we show here that IL-1β administration or overexpression overcomes resistance to classical chemo-immunotherapy (cisplatin/pemetrexed/anti-PD-1) in mouse lung cancer models. The antitumor effects of IL-1β rely on cancer cell-derived CXCL10 which mediates CD8 T cell recruitment at the tumor site. In lung cancer cells, Thioredoxin Interacting Protein (TXNIP) induces mitochondrial DNA (mtDNA) release in the cytosol, activating Absence in Melanoma 2 (AIM2) inflammasome, which subsequently triggers IL-1β and CXCL10 secretion, thereby reversing chemo-immunotherapy resistance. The clinical relevance of our findings is supported by the transcriptomic analysis of patient tumors, showing that high expression of IL1B, IL1R1, AIM2 and/or TXNIP is associated with better response to immunotherapy in NSCLC patients. Additionally, drug screening identifies MEK and MDM2 inhibitors as inducers of TXNIP expression capable of reversing resistance to chemo-immunotherapy. This study highlights a positive role of IL-1β in lung cancer treatment and suggests that enhancing IL-1β production at the tumor site can overcome resistance to chemo-immunotherapy.
Authors
- Xingping Yang (ORCID: https://orcid.org/0000-0002-4476-266X)
- Hélène Bellio
- Aziza Aznague
- Caroline Truntzer (ORCID: https://orcid.org/0000-0003-0895-4813)
- David Rageot
- Emeric Limagne (ORCID: https://orcid.org/0000-0002-1098-8441)
- Nicolas Roussot (ORCID: https://orcid.org/0000-0002-6562-6827)
- Anaïs Perrichet
- Romain Aucagne (ORCID: https://orcid.org/0000-0002-5644-3287)
- Cédric Rébé (ORCID: https://orcid.org/0000-0001-8831-145X)
- François Ghiringhelli (ORCID: https://orcid.org/0000-0002-5465-8305)
- Alfred Zippelius (ORCID: https://orcid.org/0000-0003-1933-8178)
- Julie Lecuelle (ORCID: https://orcid.org/0000-0003-3181-9126)
- Fanny Chalmin (ORCID: https://orcid.org/0000-0002-0855-9453)
- Valentin Dérangère (ORCID: https://orcid.org/0000-0002-6311-5628)
- Bertrand Routy (ORCID: https://orcid.org/0000-0003-1955-9149)
- Lisa Nuttin (ORCID: https://orcid.org/0009-0002-2634-4787)
- Pier Paolo Di Russo (ORCID: https://orcid.org/0009-0002-0656-5662)
- Alis Ilie (ORCID: https://orcid.org/0009-0009-5788-1586)
- Pierre Jacob
- Titouan Huppé
- Flavie Gaucher
- Thibault Vernet (ORCID: https://orcid.org/0009-0009-9439-9027)
- Marie Thiefin
Institutions
- Inserm (FR)
- Université de Bourgogne (FR)
- University Hospital of Basel (CH)
- Centre Georges François Leclerc (FR)
- La Ligue Contre le Cancer (FR)
- Université Bourgogne Franche-Comté (FR)
- Fédération Francophone de Cancérologie Digestive (FR)
- Genomic and Immunotherapy Medical Institute (FR)
- Center for Translational Molecular Medicine (NL)
- Centre de recherche Translationnelle en Médecine moléculaire (FR)
- Laboratoire de Cristallographie et Sciences des Matériaux (FR)
- Université Bourgogne Europe (FR)
- Université de Montréal (CA)
Publication Details
- Journal
- Nature Communications
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1038/s41467-025-64839-4
- Citations
- 2
- Primary Topic
- Redox biology and oxidative stress
- Type
- article
- Field-Weighted Citation Impact
- 1.61
Funders
- Association pour la Recherche sur le Cancer
- Agence Nationale de la Recherche
- Université de Bourgogne
- Institut National Du Cancer