Galectin-7 Induction by EHMT2 Inhibition Enhances Immunity in Microsatellite Stability Colorectal Cancer

Lei Sun1, Ruonian Liu1, Zong-Jian Wu2

  • 1National-Local Joint Engineering Laboratory of Druggability and New Drug Evaluation, National Engineering Research Center for New Drug and Druggability (cultivation), Guangdong Province Key Laboratory of New Drug Design and Evaluation, School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, China.

Gastroenterology
|December 8, 2023
PubMed
Abstract

Insights

Targeting EHMT2 in microsatellite stable colorectal cancer (MSS CRC) reverses immune suppression. This approach enhances T-cell activity and improves response to anti-PD1 immunotherapy, offering a new combination strategy.

Area of Science:

  • Oncology
  • Immunology
  • Epigenetics

Background:

  • Immunotherapy is effective for microsatellite instability-high colorectal cancer (CRC), but limited for microsatellite stability (MSS) CRC.
  • There is a critical need for strategies to overcome immune suppression in MSS CRC to improve immunotherapy outcomes.

Purpose of the Study:

  • To identify epigenetic targets that can enhance immunotherapy efficacy in MSS CRC.
  • To explore novel combination therapies for MSS CRC.

Main Methods:

  • Performed an in vitro CRISPR screen using coculture models of primary MSS CRC cells and autologous immune cells.
  • Investigated the role of EHMT2 (a histone methyltransferase) and its downstream effects on the tumor microenvironment and immune cell activity.

Main Results:

  • Identified EHMT2 as a target in MSS CRC. Inhibition of EHMT2 reprogrammed the immunosuppressive tumor microenvironment to an immunomodulatory one.
  • EHMT2 inhibition led to increased galectin-7 expression, converting "cold" MSS tumors into a T-cell-inflamed phenotype.
  • Galectin-7 administration enhanced anti-PD1 efficacy in MSS CRC, demonstrating its potential as an adjunct therapy.

Conclusions:

  • Targeting the EHMT2/galectin-7 axis presents a promising novel combination strategy for enhancing immunotherapy in MSS CRC.
  • This approach could overcome resistance to current immunotherapies in a significant subset of colorectal cancer patients.