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Updated: Dec 9, 2025

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Published on: March 7, 2025
Targeting the epigenetic regulation of antitumour immunity
Simon J Hogg1,2,3, Paul A Beavis2,4, Mark A Dawson1,2,5
1Translational Haematology Program, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Abstract:
Dysregulation of the epigenome drives aberrant transcriptional programmes that promote cancer onset and progression. Although defective gene regulation often affects oncogenic and tumour-suppressor networks, tumour immunogenicity and immune cells involved in antitumour responses may also be affected by epigenomic alterations. This could have important implications for the development and application of both epigenetic therapies and cancer immunotherapies, and combinations thereof. Here, we review the role of key aberrant epigenetic processes - DNA methylation and post-translational modification of histones - in tumour immunogenicity, as well as the effects of epigenetic modulation on antitumour immune cell function. We emphasize opportunities for small-molecule inhibitors of epigenetic regulators to enhance antitumour immune responses, and discuss the challenges of exploiting the complex interplay between cancer epigenetics and cancer immunology to develop treatment regimens combining epigenetic therapies with immunotherapies.
Insights
Epigenetic alterations in cancer impact tumor immunogenicity and immune cell function. Targeting these epigenetic changes offers new strategies for combining epigenetic therapies with immunotherapies to improve cancer treatment.
Area of Science:
- Cancer biology
- Immunology
- Epigenetics
Background:
- Epigenetic dysregulation drives cancer development by altering gene expression.
- Epigenomic changes affect not only cancer cells but also the tumor microenvironment and immune response.
- Understanding these alterations is crucial for developing novel cancer treatments.
Purpose of the Study:
- To review the role of DNA methylation and histone modifications in tumor immunogenicity.
- To examine how epigenetic modulation impacts anti-tumor immune cell function.
- To highlight opportunities and challenges in combining epigenetic therapies with cancer immunotherapies.
Main Methods:
- Review of current literature on cancer epigenetics and immunology.
- Analysis of epigenetic mechanisms like DNA methylation and histone modifications.
- Exploration of small-molecule inhibitors targeting epigenetic regulators.
Main Results:
- Aberrant epigenetic processes, including DNA methylation and histone modifications, significantly influence tumor immunogenicity.
- Epigenetic modulation can enhance the function of anti-tumor immune cells.
- Small-molecule inhibitors targeting epigenetic regulators show promise for boosting anti-tumor immunity.
Conclusions:
- Epigenetic therapies hold potential for enhancing cancer immunotherapy efficacy.
- Combining epigenetic and immune-based treatments requires addressing complex interactions.
- Further research is needed to optimize combination strategies for improved patient outcomes.
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