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Updated: Dec 19, 2025

Immunostimulatory Agent Evaluation: Lymphoid Tissue Extraction and Injection Route-Dependent Dendritic Cell Activation
Published on: September 16, 2018
Entinostat augments NK cell functions via epigenetic upregulation of IFIT1-STING-STAT4 pathway
John M Idso1, Shunhua Lao1, Nathan J Schloemer1,2
1Laboratory of Molecular Immunology and Immunotherapy, Blood Research Institute, Versiti, Milwaukee, WI, USA.
Abstract:
Histone deacetylase inhibitors (HDACi) are an emerging cancer therapy; however, their effect on natural killer (NK) cell-mediated anti-tumor responses remain unknown. Here, we evaluated the impact of a benzamide HDACi, entinostat, on human primary NK cells as well as tumor cell lines. Entinostat significantly upregulated the expression of NKG2D, an essential NK cell activating receptor. Independently, entinostat augmented the expression of ULBP1, HLA, and MICA/B on both rhabdomyosarcoma and Ewing sarcoma cell lines. Additionally, entinostat increased both cytotoxicity and IFN-γ production in human NK cells following coculture with these tumor cells. Mechanistically, entinostat treatment resulted in increased chromatin accessibility to the promoter region for interferon-induced protein with tetratricopeptide repeats 1 (IFIT1) gene and thereby increasing the transcript and protein levels of IFIT1 that augmented the IFIT1-mediated IRF1, STAT4, and STING pathways. Corresponding transcriptome analysis revealed enrichment of IRF1 and STAT4 and gene sets responsible for NK cell-mediated IFN-γ production and cytotoxicity, respectively. Our results show a novel mechanism by which entinostat initiates an IFIT1-STING-mediated potentiation of STAT4 via IRF1 to augment NK cell-mediated anti-tumor responses.
Insights
Histone deacetylase inhibitors (HDACi), like entinostat, enhance natural killer (NK) cell anti-tumor activity by boosting NKG2D expression and promoting cytotoxicity. This study reveals a novel IFIT1-STING-mediated pathway augmenting NK cell responses against cancer.
Area of Science:
- Immunology
- Cancer Biology
- Pharmacology
Background:
- Histone deacetylase inhibitors (HDACi) represent a promising cancer therapy.
- The impact of HDACi on natural killer (NK) cell anti-tumor immunity is largely unknown.
Purpose of the Study:
- To investigate the effect of the HDAC inhibitor entinostat on human primary NK cells and sarcoma cell lines.
- To elucidate the underlying molecular mechanisms of entinostat's action on NK cell-mediated anti-tumor responses.
Main Methods:
- Treatment of human primary NK cells and rhabdomyosarcoma/Ewing sarcoma cell lines with entinostat.
- Analysis of NKG2D, ULBP1, HLA, and MICA/B expression.
- Assessment of NK cell cytotoxicity and interferon-gamma (IFN-γ) production.
- Chromatin accessibility assays and transcriptome analysis to identify molecular pathways.
Main Results:
- Entinostat upregulated NKG2D on NK cells and ULBP1, HLA, MICA/B on tumor cells.
- Entinostat enhanced NK cell cytotoxicity and IFN-γ production against tumor cells.
- Mechanistically, entinostat increased IFIT1 expression via enhanced chromatin accessibility, activating IRF1, STAT4, and STING pathways.
Conclusions:
- Entinostat potentiates NK cell anti-tumor activity through a novel IFIT1-STING-IRF1-STAT4 pathway.
- This mechanism enhances NK cell-mediated cytotoxicity and IFN-γ production against specific sarcoma types.
- Entinostat demonstrates potential as an immunomodulatory agent in cancer therapy.
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