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.

Abstract

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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