Ubiquitination in hepatocellular carcinoma immunity
Jianan Zhao1,2, Yuxuan Li1,2, Jie Zhu1
1Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, 315040, P. R. China.
Journal of Translational Medicine
|May 23, 2025
Summary
Ubiquitination regulates immune responses in hepatocellular carcinoma (HCC). Targeting ubiquitination pathways can enhance immunotherapy and overcome resistance in advanced HCC, offering new treatment strategies.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Hepatocellular carcinoma (HCC) is a major global health challenge, with advanced stages having poor prognosis.
- Immune system dysregulation is central to HCC pathogenesis and progression.
- Ubiquitination, a post-translational modification, critically regulates immune homeostasis in HCC.
Purpose of the Study:
- To elucidate the interplay between ubiquitination networks and HCC-related immune dysregulation.
- To analyze how ubiquitination drives hepatocarcinogenesis via chronic inflammation.
- To evaluate clinical advances combining ubiquitination-targeted therapies with immunotherapies.
Main Methods:
- Review of mechanistic insights into ubiquitination's role in innate and adaptive immunity in HCC.
- Systematic analysis of ubiquitination's impact on inflammatory pathways and hepatocarcinogenesis.
- Critical evaluation of clinical data on combined ubiquitination-targeted and immunotherapeutic regimens.
Main Results:
- Ubiquitination modulates immune cell activation, differentiation, and tolerance.
- Ubiquitination influences innate immune signaling (NF-κB, STING) and adaptive immunity (T cell receptor).
- Targeting ubiquitination enhances PD-1/PD-L1 blockade efficacy and mitigates resistance by modulating tumor microenvironment.
Conclusions:
- Strategic manipulation of ubiquitination pathways can potentiate immunotherapy efficacy in HCC.
- Ubiquitination-immune axis modulation offers a framework for novel diagnostic biomarkers and therapeutic combinations.
- This approach holds potential to transform HCC management and advance precision immunotherapy.
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