Histone lactylation-driven feedback loop modulates cholesterol-linked immunosuppression in pancreatic cancer

  • 0Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.

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Summary

This summary is machine-generated.

Histone lactylation drives pancreatic cancer progression by promoting cholesterol metabolism and immune suppression. Targeting this pathway with ACAT2 degradation enhances anti-PD-1 therapy response.

Area Of Science

  • Cancer Epigenetics
  • Tumor Microenvironment
  • Metabolic Reprogramming

Background

  • Pancreatic cancer shows poor response to immunotherapy due to its immunosuppressive microenvironment.
  • Lactate-driven histone lactylation's role in pancreatic cancer TME is underexplored.

Purpose Of The Study

  • Investigate histone lactylation in pancreatic cancer.
  • Determine its effects on cholesterol metabolism and anti-tumor immunity.

Main Methods

  • Global lactylome profiling, RNA sequencing, CUT&Tag, IP-MS, GST-pull down.
  • Mass cytometry, in vitro co-culture, orthotopic models, flow cytometry to study ACAT2.
  • Development of an ACAT2-targeting PROTAC.

Main Results

  • Lactate-driven histone lactylation (H3K18la) upregulates ACAT2.
  • ACAT2 stabilizes MTCH2, disrupts oxidative phosphorylation, increasing lactate production.
  • This creates a feedback loop involving cholesterol delivery via sEVs, promoting M2 macrophage polarization.

Conclusions

  • The H3K18la/ACAT2/sEV-cholesterol axis is crucial for TME reprogramming in pancreatic cancer.
  • Targeting this axis offers a novel strategy to enhance anti-PD-1 therapy response.

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