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Updated: Jan 14, 2026

Establishment of a Co-culture System of Patient-Derived Colorectal Tumor Organoids and Tumor-Infiltrating Lymphocytes (TILs)
Published on: June 27, 2025
HNRNPA2B1 Orchestrates Immune Evasion in Colorectal Cancer by Rewiring Tumor-Immune Cell Interactions and Suppressing
Chuwei Liu1,2, Heng Liang2, Peipei Wang3
1Department of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Abstract:
Immune checkpoint blockade (ICB) has transformed colorectal cancer therapy, yet the majority of microsatellite-stable colorectal cancers remain refractory because of insufficient tumor-immune cell cross-talk. Identifying molecular regulators that modulate the tumor immune microenvironment (TIME) is crucial for expanding ICB efficacy. In this study, we identified HNRNPA2B1, an RNA-binding protein prominently upregulated in colorectal cancer, as a key driver of immune evasion. Despite low cytotoxicity to normal cells, HNRNPA2B1 rewired the TIME by suppressing Cxcl9/Cxcl10-Cxcr3 signaling, CD8+ T-cell infiltration, and MHC class I antigen presentation, resulting in a noninflamed ("cold") tumor state. HNRNPA2B1 deletion reprogramed the TIME, enhanced CD8+ T cell-mediated tumor clearance, and sensitized microsatellite-stable colorectal cancers to ICB. A computational A2B1 score was developed to quantify HNRNPA2B1's impact on tumor-immune interactions, and it strongly correlated with immune infiltration, epithelial-mesenchymal transition status, and patient prognosis, supporting its potential role as a biomarker for ICB responsiveness in colorectal cancer.
Insights
HNRNPA2B1 protein promotes immune evasion in colorectal cancer by suppressing anti-tumor immunity. Its inhibition sensitizes tumors to immune checkpoint blockade (ICB), offering a new therapeutic strategy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint blockade (ICB) shows promise in colorectal cancer (CRC) therapy.
- Most microsatellite-stable CRC (MSS-CRC) are resistant to ICB due to poor tumor-immune cell interactions.
- Identifying regulators of the tumor immune microenvironment (TIME) is vital for improving ICB efficacy.
Purpose of the Study:
- To identify molecular regulators of immune evasion in MSS-CRC.
- To investigate the role of HNRNPA2B1 in modulating the TIME and ICB response.
Main Methods:
- Utilized bioinformatics and molecular biology techniques to identify HNRNPA2B1.
- Assessed HNRNPA2B1's impact on immune signaling pathways (Cxcl9/Cxcl10-Cxcr3), CD8+ T-cell infiltration, and MHC class I presentation.
- Generated HNRNPA2B1 knockout models to evaluate its role in tumor clearance and ICB sensitivity.
- Developed and validated a computational A2B1 score.
Main Results:
- HNRNPA2B1 is upregulated in CRC and drives immune evasion by suppressing key immune signaling pathways.
- HNRNPA2B1 deletion enhanced CD8+ T-cell infiltration and sensitized MSS-CRC to ICB.
- The A2B1 score correlated with immune infiltration, epithelial-mesenchymal transition (EMT) status, and patient prognosis.
Conclusions:
- HNRNPA2B1 is a critical driver of immune evasion in MSS-CRC.
- Targeting HNRNPA2B1 can reprogram the TIME and enhance anti-tumor immunity.
- The A2B1 score may serve as a predictive biomarker for ICB response in CRC patients.
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