Epigenetic silencing of DNA sensing pathway by FOXM1 blocks stress ligand-dependent antitumor immunity and immune

Santosh Timilsina1, Jian Yu Huang1, Nourhan Abdelfattah2

  • 1Greehey Children's Cancer Research Institute, San Antonio, TX, USA.

Nature Communications
|April 28, 2025
PubMed

Insights

Transcription factor FOXM1 suppresses anti-tumor immunity by epigenetically silencing STING, leading to poor survival and immunotherapy response in cancer patients. This reveals a key mechanism in shaping the tumor immune microenvironment.

Area of Science:

  • Immunology
  • Molecular Biology
  • Cancer Research

Background:

  • Tumor microenvironment and cancer cell interactions critically impact cancer progression.
  • Transcription factors play a role in modulating the tumor immune landscape.

Purpose of the Study:

  • To investigate the role of transcription factor FOXM1 in shaping the tumor immune microenvironment.
  • To elucidate the molecular mechanisms by which FOXM1 influences anti-tumor immunity.

Main Methods:

  • Single-cell sequencing to analyze tumor-intrinsic gene expression.
  • Epigenetic analysis to understand gene silencing mechanisms.
  • Correlation of gene expression with patient survival and immunotherapy response.

Main Results:

  • Tumor-intrinsic FOXM1 suppresses immune responses by inhibiting stress ligand ULBP1 expression on cancer cells.
  • FOXM1 epigenetically silences STING via a DNMT1-UHRF1 complex, blocking CHOP-mediated ULBP1 activation.
  • High FOXM1/DNMT1 and low STING/ULBP1 correlate with worse patient survival and immunotherapy resistance.

Conclusions:

  • FOXM1 epigenetically reprograms the tumor immune microenvironment towards immune suppression.
  • Targeting the FOXM1-STING-ULBP1 axis may enhance cancer immunotherapy efficacy.
  • Understanding this mechanism offers new strategies for cancer treatment.

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