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Updated: Oct 2, 2025

Analysis of Human T Cell Activity in an Allogeneic Co-Culture Setting of Pre-Treated Tumor Cells
Published on: March 7, 2025
EZH2, a prominent orchestrator of genetic and epigenetic regulation of solid tumor microenvironment and immunotherapy
Shanshan Sun1, Feng Yu2, Danying Xu3
1Department of Breast Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310058, China; Key Laboratory of Tumor Microenvironment and Immune Therapy of Zhejiang Province, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310058, China; Cancer Institute, Zhejiang University, Hangzhou, Zhejiang 310058, China; Department of Medicine, the University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States of America; Department of Surgery, the University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States of America.
Abstract:
Immune checkpoint blockade (ICB) is regarded as a promising strategy for cancer therapy. The histone methyltransferase, Enhancer of Zeste Homolog 2 (EZH2), has been implicated in the carcinogenesis of numerous solid tumors. However, the underlying mechanism of EZH2 in cancer immunotherapeutic resistance remains unknown. EZH2 orchestrates the regulation of the innate and adaptive immune systems of the tumor microenvironment (TME). Profound epigenetic and transcriptomic changes induced by EZH2 in tumor cells and immune cells mobilize the elements of the TME, leading to immune-suppressive activity of solid tumors. In this review, we summarized the dynamic functions of EZH2 on the different components of the TME, including tumor cells, T cells, macrophages, natural killer cells, myeloid-derived suppressor cells, dendritic cells, fibroblasts, and mesenchymal stem cells. Several ongoing anti-tumor clinical trials using EZH2 inhibitors have also been included as translational perspectives. In conclusion, based combinational therapy to enable ICB could offer a survival benefit in patients with cancer.
Insights
Enhancer of Zeste Homolog 2 (EZH2) drives cancer immune suppression by altering tumor microenvironment (TME) cells. Targeting EZH2 may enhance immune checkpoint blockade (ICB) therapy effectiveness for improved patient survival.
Area of Science:
- Oncology
- Immunology
- Epigenetics
Background:
- Immune checkpoint blockade (ICB) shows promise in cancer therapy.
- Enhancer of Zeste Homolog 2 (EZH2), a histone methyltransferase, is linked to solid tumor development.
- The role of EZH2 in cancer immune resistance is not fully understood.
Purpose of the Study:
- To review the multifaceted roles of EZH2 in modulating the tumor microenvironment (TME).
- To explore EZH2's impact on various immune and stromal cells within the TME.
- To discuss the potential of EZH2 inhibitors in overcoming cancer immunotherapy resistance.
Main Methods:
- Literature review of EZH2 functions in cancer and immunology.
- Analysis of EZH2's epigenetic and transcriptomic effects on TME components.
- Compilation of ongoing clinical trials involving EZH2 inhibitors.
Main Results:
- EZH2 regulates both innate and adaptive immunity within the TME.
- EZH2 induces epigenetic and transcriptomic changes that promote an immunosuppressive TME.
- EZH2 influences tumor cells, T cells, macrophages, NK cells, MDSCs, DCs, fibroblasts, and MSCs.
Conclusions:
- EZH2 plays a critical role in establishing an immune-suppressive tumor microenvironment.
- Targeting EZH2 offers a potential strategy to enhance the efficacy of immune checkpoint blockade.
- Combinational therapy involving EZH2 inhibitors may improve survival outcomes for cancer patients.
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