Ablating UNG activity in a mouse model inhibits colorectal cancer growth by increasing tumor immunogenicity

Eric S Christenson1,2, Brandon E Smith3, Thanh J Nguyen1,2

  • 1Department of Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins.

JCI Insight
|July 15, 2025
PubMed

Insights

Inhibiting uracil DNA glycosylase (UNG) can enhance anti-tumor immunity. Depleting UNG in colorectal cancer models boosted immune cell activity and improved survival, suggesting potential for new cancer therapies.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Uracil DNA glycosylase (UNG) removes uracil from DNA and is linked to fluorodeoxyuridine (FdU) resistance in cancer.
  • Targeting UNG may overcome FdU resistance and modulate anti-tumor immune responses.

Purpose of the Study:

  • To investigate the impact of inhibiting or depleting UNG on colorectal cancer growth and immune responses in preclinical models.
  • To assess the potential of UNG targeting as an immunotherapy strategy.

Main Methods:

  • Utilized two mouse syngeneic models for colorectal cancer (MC38 and CT-26).
  • Employed methods including overexpression of UNG inhibitor protein (UGI), shRNA-mediated UNG depletion, and combination therapies with FdU and anti-PD-1 antibodies.
  • Analyzed tumor growth, survival rates, and tumor-infiltrating immune cell populations (e.g., T cells, B cells, monocytes, dendritic cells).

Main Results:

  • UNG inhibition combined with FdU in MMR-deficient MC38 tumors delayed growth and increased survival, with enhanced CD4+ T cell and B cell infiltration.
  • UNG depletion alone in MC38 tumors led to significant tumor clearance (70% of mice) and a 3-fold increase in survival, associated with increased monocytes, dendritic cells, and CD8+ T cells.
  • In MMR-proficient CT-26 tumors, UNG depletion showed minimal benefit alone but synergized with anti-PD-1 therapy to improve survival; cytotoxic T cell depletion abrogated these benefits.

Conclusions:

  • UNG inhibition or depletion can potentiate anti-tumor immune responses in colorectal cancer models.
  • Targeting UNG may represent a viable strategy to enhance cancer immunotherapy, particularly in combination with existing treatments.
  • The efficacy of UNG targeting is dependent on the tumor's mismatch repair status and can be modulated by immune checkpoint inhibitors.