Osteosarcoma (OS) is the most common bone cancer in children, yet treatments have not improved in decades, especially for patients whose disease spreads to the lungs. OS tumors are extremely unstable at the DNA level, which should activate the immune system, but instead these tumors evolve to create an immune-suppressive environment. Our work suggests that a molecule called ENPP1 plays a major role in this process. ENPP1 normally breaks down cGAMP, a signal that activates the STING pathway and alerts the immune system to danger.





