Journal of Infectious Diseases & Therapy
Open Access

Nucleosomes composed of DNA fragments and histone octamers (which contain H2A, H2B, H3, and H4), are the basic structural repeating units of chromatin [1]. Under certain physiological or pathological conditions, apoptotic fragmentation of chromatin occurs, leading to the release of nucleosomes into the blood circulation system [2]. Increased nucleosomes in circulation are observed in both lupus patients and lupus mice, which had spurred scientists to reveal the potential relationship between extracellular nucleosomes with immunostimulation.

DNA fragments are pathogen-associated molecular patterns. Tolllike Receptor 9 (TLR9) is a well-studied Pat-Tern Recognition Receptor (PRR) that senses DNA fragments in the endolysosomal compartment and triggers im-mune responses [3]. Gowda et al. demonstrated that extracellular nucleosomes induced bone marrow cells to secret proinflammatory cytokines in a TLR9-specific manner. This suggests that TLR9 is a receptor of nucleoso-mal DNA (Figure 1) [4]. Decker et al. also showed that purified extracellular nucleosomes activate both dendritic cells and neutrophils to secrete cytokines. However, the activation was found not dependent on TLRs [5,6]. These results corroborated that extracellular nucleosomes have immunostimulation and their activities may depend on distinct receptors in different cell lines. The pathway of TLR-independent immunostimulation of extracellular nucleosomes remained to be uncovered.

Figure 1: Extracellular nucleosomes induce immune responses via TLR9- and cGASdependent pathways.

cGMP-AMP synthase (cGAS) is a PRR of dsDNA and is recently discovered in both the cytoplasm and the nu-cleus of mammalian cells [7]. Upon binding to pathogenic dsDNA, cGAS is activated to synthesize the second messenger cyclic [G (2’,5’)pA(3’,5’)p] (cGAMP) using ATP and GTP as substrates. cGAMP binds and activates STING, which finally leads to antiviral immune responses. Recently, we revealed that nucleosomes, both reconstituted in vitro and isolated from HeLa cells, can be efficiently taken up by different types of mammalian cell lines. The uptake of nucleosomes is energy-dependent and the positively charged histone tails play important roles for the efficient uptake [8]. After cell entry, nucleosomes bind and activate cGAS in the cytoplasm, triggering the production of type I interferons IFN-β and proinflammatory cytokines IL-6. Though nucleosomes exhibit considerably lower potency in cGAS activation than dsDNA, the cGAS-dependent mechanism represents a TLR-independent pathway for the immunostimulation of extracellular nucleosomes. These results provide additional evidence for the relationship between circulating nucleosomes with inflammation and immune responses.

There are two key issues to be addressed regarding the cGASdependent immunostimulation of extracellular nucleosomes. First, how extracellular nucleosomes are taken up by mammalian cells and how they are released into the cytoplasm. Second, how nucleosomes bind and activate cGAS. For dsDNA, a cGAS dimer interacts with two parallel-aligned dsDNA molecules, forming a cGAS2-DNA2 complex [9]. This complex formation changes the conformation of cGAS, activating cGAS to synthesize cGAMP. In the nucleus, the activity of cGAS seems to be inhibited by the chromatin. Several recent structural studies showed that cGAS interacts with nucleosome by binding to the acid patch of the histones H2A and H2B dimer, which provide a reasonable explanation for the inhibition of cGAS by chromatin [10]. However, the cGAS-dependent immunostimulation of extracellular nucleosomes suggests that another interaction model between nucleosome and cGAS may exist. Further research in these directions will on one hand deepen our understanding of how cGAS distinguishes between extracellular nucleosomes and self chromatin, and on the other hand facilitate the design and development of therapies targeting the cGAS pathway to treat a wide range of human diseases, including cancer, autoimmune and inflammatory diseases.

This work was supported by the Natural Science Foundation of China [91953115, 21877064] and Natural Science Foundation of Tianjin City [20JCZDJC00830].