Selective autophagy of NLRC5 promotes immune evasion of endometrial cancer
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Updated: Oct 3, 2025

Author Spotlight: Advancing Reproductive Immunology with a Protocol for the Quantitative Evaluation of Endometrial Immune Cells
Published on: October 13, 2023
Lei Zhan1,2, Junhui Zhang1, Bing Wei2
1Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Abstract:
Endometrial cancer (EC), the most common gynecological cancer, is usually resistant to chemotherapy when the EC patients are advanced or recurrent. Immunotherapy is a promising approach to treat advanced or recurrent EC patients. The innate immune molecule NLRC5 (NLR family CARD domain containing 5) is a major histocompatibility complex class I (MHC-I) transactivator, which is intimately associated with tumor antigen presentation. The absence of NLRC5 expression in cancer results in immune evasion and resistance to immunotherapy. Previously, we found that NLRC5 was downregulated in EC patients, suggesting that NLRC5 is a target for immune evasion in EC. In our recent study, we indicated that autophagy inhibits NLRC5 and NLRC5-mediated MHC-I gene expression in vitro. Of special note is that autophagy protein MAP1LC3/LC3 interacts with NLRC5 to inhibit the NLRC5-mediated MHC-I antigen presentation pathway in vitro and in vivo, which presents a novel mechanism underlying NLRC5-mediated immune evasion by autophagy in EC. Our results reveal a previously unknown mechanism of autophagy protein LC3 in the regulation of NLRC5-mediated MHC-I antigen presentation in EC, and highlight a potential immunotherapy approach in EC patients by inhibiting LC3 and promoting NLRC5.
Insights
Autophagy protein LC3 inhibits NLRC5, a key molecule for immune presentation, in endometrial cancer (EC). Inhibiting LC3 may enhance immunotherapy for EC patients by boosting NLRC5 activity.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Endometrial cancer (EC) often shows resistance to chemotherapy, especially in advanced or recurrent stages.
- Immunotherapy presents a promising treatment avenue for advanced or recurrent EC.
- NLRC5 (NLR family CARD domain containing 5) is crucial for MHC-I antigen presentation and its absence contributes to immune evasion in cancer.
Purpose of the Study:
- To investigate the role of autophagy in regulating NLRC5 and its impact on immune evasion in endometrial cancer.
- To elucidate the interaction between autophagy protein LC3 and NLRC5 in EC.
- To identify potential immunotherapy targets for EC by understanding the NLRC5-autophagy pathway.
Main Methods:
- In vitro studies to assess the effect of autophagy on NLRC5 and MHC-I gene expression.
- In vivo studies to confirm the interaction between LC3 and NLRC5.
- Analysis of NLRC5 downregulation in EC patients.
Main Results:
- Autophagy was found to inhibit NLRC5 and NLRC5-mediated MHC-I gene expression in vitro.
- The autophagy protein MAP1LC3/LC3 directly interacts with NLRC5, inhibiting the NLRC5-mediated MHC-I antigen presentation pathway in vitro and in vivo.
- NLRC5 downregulation was observed in EC patients, indicating its role in immune evasion.
Conclusions:
- Autophagy protein LC3 plays a novel role in regulating NLRC5-mediated MHC-I antigen presentation in EC through direct interaction.
- This interaction represents a mechanism of immune evasion by autophagy in EC.
- Inhibiting LC3 and promoting NLRC5 presents a potential immunotherapy strategy for EC patients.
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