Tumor suppressor TET2 promotes cancer immunity and immunotherapy efficacy

Yan-Ping Xu1, Lei Lv1, Ying Liu2

  • 1Lineberger Comprehensive Cancer Center, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Insights

Decreased TET2 activity in solid tumors impairs anti-tumor immunity by disrupting the interferon-gamma signaling pathway. Boosting TET2 activity with vitamin C enhances immune response and immunotherapy efficacy.

Area of Science:

  • Immunology
  • Oncology
  • Epigenetics

Background:

  • Loss-of-function mutations in TET DNA dioxygenase genes are common in blood cancers but rare in solid tumors, where reduced activity is observed.
  • The functional impact of diminished TET activity in solid tumors remains largely unknown, particularly concerning immune evasion and therapeutic response.

Purpose of the Study:

  • To investigate the role of TET2 in regulating anti-tumor immunity and its impact on immunotherapy in solid tumors.
  • To elucidate the molecular mechanisms by which TET2 influences immune cell infiltration and cancer progression.

Main Methods:

  • Analysis of TET2 function in murine melanoma and colon tumor models.
  • Investigating the interaction between interferon-gamma (IFNγ), JAK-STAT signaling, and TET2 in gene regulation.
  • Assessing the effects of modulating TET2 activity using ascorbate (vitamin C) on tumor immunity and response to anti-PD-L1 therapy.

Main Results:

  • TET2 mediates IFNγ-JAK-STAT signaling to control chemokine and PD-L1 expression, influencing lymphocyte infiltration and anti-tumor immunity.
  • Reduced TET2 activity in solid tumors correlates with decreased TH1-type chemokines, fewer tumor-infiltrating lymphocytes (TILs), and cancer progression.
  • Tet2 deletion in tumor cells promoted immune evasion and resistance to anti-PD-L1 therapy, while vitamin C administration enhanced anti-tumor immunity and immunotherapy efficacy.

Conclusions:

  • A novel IFNγ-JAK-STAT-TET signaling pathway is identified, crucial for mediating tumor response to PD-1/PD-L1 blockade therapy.
  • Disruption of this pathway is common in solid tumors, suggesting TET activity as a predictive biomarker for immunotherapy response.
  • Stimulating TET activity presents a potential adjuvant immunotherapy strategy for solid tumors.

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