System analysis based on the cancer-immunity cycle identifies ZNF207 as a novel immunotherapy target for
Xu Wang1,2, Tao Zhou1, Xingyi Chen1
1State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, Jiangsu, China.
Background:
Immune checkpoint inhibitors as monotherapies for advanced hepatocellular carcinoma (HCC) fail to achieve satisfying results, while combination therapies show greater efficacy. Therefore, identifying new combined targets for immune checkpoint inhibitors could be promising.
Methods:
We combined the cancer-immunity cycle score with weighted gene coexpression network and system analyses to screen immunosuppressive targets in HCC. In vitro and in vivo experiments were used to assess the effect of zinc finger protein 207 (ZNF207) on HCC immunity. RNA sequencing, metabolomic, cytokine array analysis, dual-luciferase reporter gene assay, and ChIP quantitative PCR assay were used to investigate the role of ZNF207 in tumor immunity regulation.
Results:
The system analysis and experimental verification revealed ZNF207 as an immunosuppressive target in HCC. Hypoxia-induced upregulation of ZNF207 promoted HCC progression in immunocompetent mice while being associated with decreased CD8+ T-cell infiltration and increased exhaustion. Mechanistically, the mitogen-activated protein kinase (MAPK)-chemokine C-X3-C-motif ligand axis was involved in ZNF207-mediated CD8+ T-cell chemotaxis. Furthermore, ZNF207 transcriptionally regulated indoleamine 2,3-dioxygenase 1 and elevated kynurenine levels, leading to the exhaustion of CD8+ T cells. Patients with lower ZNF207 expression were more sensitive to antiprogrammed cell death protein 1 (PD1) therapy, and silencing ZNF207 could be beneficial to anti-PD1 combination therapy.
Conclusion:
Our study implicates ZNF207 in suppressing the HCC microenvironment and showed the feasibility of targeting ZNF207 during anti-PD1 therapy in HCC.
Insights
Identifying zinc finger protein 207 (ZNF207) as an immunosuppressive target in hepatocellular carcinoma (HCC) offers new hope. Targeting ZNF207 may enhance anti-programmed cell death protein 1 (anti-PD1) therapy effectiveness in HCC patients.
Area of Science:
- Hepatocellular Carcinoma Research
- Cancer Immunology
- Molecular Oncology
Background:
- Monotherapy with immune checkpoint inhibitors shows limited efficacy in advanced hepatocellular carcinoma (HCC).
- Combination therapies demonstrate superior outcomes, highlighting the need for novel combination targets.
- Identifying new targets is crucial for improving HCC treatment strategies.
Purpose of the Study:
- To identify novel immunosuppressive targets in HCC amenable to combination therapy.
- To investigate the role of zinc finger protein 207 (ZNF207) in regulating HCC immunity.
- To evaluate the therapeutic potential of targeting ZNF207 in conjunction with anti-PD1 therapy.
Main Methods:
- Integrated cancer-immunity cycle scoring, weighted gene coexpression network analysis, and system analyses to screen targets.
- In vitro and in vivo experiments to assess ZNF207's impact on HCC immunity.
- RNA sequencing, metabolomics, cytokine arrays, and molecular assays to elucidate ZNF207's regulatory mechanisms.
Main Results:
- ZNF207 was identified as a key immunosuppressive target in HCC.
- Hypoxia-induced ZNF207 upregulation promoted HCC progression, decreased CD8+ T-cell infiltration, and increased T-cell exhaustion.
- ZNF207 regulates CD8+ T-cell chemotaxis via the MAPK-CX3CL1 axis and induces T-cell exhaustion by upregulating IDO1.
- Lower ZNF207 expression correlated with better response to anti-PD1 therapy.
Conclusions:
- ZNF207 plays a significant role in suppressing the HCC immune microenvironment.
- Targeting ZNF207 is a feasible strategy to enhance the efficacy of anti-PD1 therapy in HCC.
- Silencing ZNF207 may improve outcomes for patients undergoing anti-PD1 combination therapy.
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