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.

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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