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Published on: July 20, 2019
NAT10/ac4C/JunB facilitates TNBC malignant progression and immunosuppression by driving glycolysis addiction
Guozheng Li1, Xin Ma1, Shiyao Sui1
1Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, 150040, China.
Background:
N4-Acetylcytidine (ac4C), a highly conserved post-transcriptional mechanism, plays a pivotal role in RNA modification and tumor progression. However, the molecular mechanism by which ac4C modification mediates tumor immunosuppression remains elusive in triple-negative breast cancer (TNBC).
Methods:
NAT10 expression was analyzed in TNBC samples in the level of mRNA and protein, and compared with the corresponding normal tissues. ac4C modification levels also measured in the TNBC samples. The effects of NAT10 on immune microenvironment and tumor metabolism were investigated. NAT10-mediated ac4C and its downstream regulatory mechanisms were determined in vitro and in vivo. The combination therapy of targeting NAT10 in TNBC was further explored.
Results:
The results revealed that the loss of NAT10 inhibited TNBC development and promoted T cell activation. Mechanistically, NAT10 upregulated JunB expression by increasing ac4C modification levels on its mRNA. Moreover, JunB further up-regulated LDHA expression and facilitated glycolysis. By deeply digging, remodelin, a NAT10 inhibitor, elevated the surface expression of CTLA-4 on T cells. The combination of remodelin and CTLA-4 mAb can further activate T cells and inhibite tumor progression.
Conclusion:
Taken together, our study demonstrated that the NAT10-ac4C-JunB-LDHA pathway increases glycolysis levels and creates an immunosuppressive tumor microenvironment (TME). Consequently, targeting this pathway may assist in the identification of novel therapeutic strategies to improve the efficacy of cancer immunotherapy.
Insights
The NAT10-ac4C-JunB-LDHA pathway drives tumor growth and immune suppression in triple-negative breast cancer (TNBC). Inhibiting this pathway with remodelin and CTLA-4 blockade offers a promising strategy for cancer immunotherapy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- N4-Acetylcytidine (ac4C) is a critical RNA modification involved in tumor progression.
- The role of ac4C in mediating immunosuppression within triple-negative breast cancer (TNBC) remains unclear.
Purpose of the Study:
- To elucidate the molecular mechanisms of ac4C-mediated immunosuppression in TNBC.
- To investigate the therapeutic potential of targeting the NAT10-ac4C pathway in TNBC.
Main Methods:
- Analysis of NAT10 expression and ac4C levels in TNBC tissues.
- In vitro and in vivo studies on NAT10's effects on the immune microenvironment and tumor metabolism.
- Exploration of combination therapy targeting NAT10 in TNBC models.
Main Results:
- Loss of NAT10 inhibited TNBC growth and enhanced T cell activation.
- NAT10 upregulates JunB via ac4C modification, which in turn increases LDHA and glycolysis.
- NAT10 inhibition with remodelin increased CTLA-4 expression on T cells, enhancing anti-tumor immunity when combined with CTLA-4 blockade.
Conclusions:
- The NAT10-ac4C-JunB-LDHA axis promotes glycolysis and immune suppression in TNBC.
- Targeting this pathway presents a novel therapeutic strategy for improving cancer immunotherapy efficacy in TNBC.
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