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Epigenetic regulation of tumor immunity
Lizhi Pang, … , Amy B. Heimberger, Peiwen Chen
Lizhi Pang, … , Amy B. Heimberger, Peiwen Chen
Published June 17, 2024
Citation Information: J Clin Invest. 2024;134(12):e178540. https://doi.org/10.1172/JCI178540.
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Review Article has an altmetric score of 11

Epigenetic regulation of tumor immunity

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Abstract

Although cancer has long been considered a genetic disease, increasing evidence shows that epigenetic aberrations play a crucial role in affecting tumor biology and therapeutic response. The dysregulated epigenome in cancer cells reprograms the immune landscape within the tumor microenvironment, thereby hindering antitumor immunity, promoting tumor progression, and inducing immunotherapy resistance. Targeting epigenetically mediated tumor-immune crosstalk is an emerging strategy to inhibit tumor progression and circumvent the limitations of current immunotherapies, including immune checkpoint inhibitors. In this Review, we discuss the mechanisms by which epigenetic aberrations regulate tumor-immune interactions and how epigenetically targeted therapies inhibit tumor progression and synergize with immunotherapy.

Authors

Lizhi Pang, Fei Zhou, Yang Liu, Heba Ali, Fatima Khan, Amy B. Heimberger, Peiwen Chen

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Figure 3

Epigenetic modulations in immune cells regulate cancer cell biology.

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Epigenetic modulations in immune cells regulate cancer cell biology.
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Various stimuli (e.g., hypoxia, soluble factors, metabolites, and therapeutic interventions) trigger epigenetic alterations in tumor-infiltrating immune cells. These global epigenetic changes upregulate the expression of cytokines or functional molecules (e.g., IFN-γ and TNF-α) in immune cells directly suppressing cancer cell growth. Additional epigenomic changes in innate immune cells regulate cancer cell biology through modulating T cell function. Epigenetic modifications in macrophages, MDSCs, and neutrophils are essential for regulating the expression of genes that encode immunosuppressive factors (e.g., IL10 and ARG1) or proinflammatory cytokines (e.g., IL1B). These innate immune cell–derived molecules further induce T cell activation or dampen T cell antitumor function. ARG1, arginase 1; HIF-1α, hypoxia-inducible factor α; IFNAR1, IFN α and β receptor subunit 1; IRAKM, IL-1 receptor–associated kinase 3; IRF4, IFN regulatory factor 4; MGL2, macrophage galactose N-acetyl-galactosamine–specific lectin 2; NFC1/2, neutrophil cytosolic factor 1/2; PERK, protein kinase RNA-like ER kinase; PRC2, polycomb-repressive complex 2; SLC43A2, solute carrier family 43 member 2.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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