Epigenetic control of antigen presentation failure in osteosarcoma: from single-cell chromatin maps to therapeutic

Yan He1, Heng Wu1

  • 1Department of Spinal Surgery, The Affiliated Sport Hospital of Chengdu Sport University, Chengdu, China.

Frontiers in Immunology
|December 12, 2025
PubMed

Insights

Osteosarcoma impairs immune surveillance by reducing antigen visibility through epigenetic changes. Epigenetic reprogramming can restore antigen presentation, enhancing immunotherapy responses in osteosarcoma.

Area of Science:

  • Immunology
  • Epigenetics
  • Oncology

Background:

  • Osteosarcoma exhibits heterogeneous tumor-immune ecosystems that limit immune surveillance and immunotherapy response.
  • Impaired antigen visibility, driven by chromatin programs, is a key mechanism in osteosarcoma immune evasion.
  • Epigenetic alterations like Polycomb-mediated repression and DNA hypermethylation affect the HLA class I/NLRC5/interferon pathway, reducing peptide display.

Purpose of the Study:

  • To synthesize epigenetic mechanisms of antigen-presentation failure in osteosarcoma.
  • To outline how single-cell chromatin profiling can guide strategies to reinstate tumor antigen visibility.
  • To explore epigenetic reprogramming as a therapeutic avenue for osteosarcoma.

Main Methods:

  • Utilized single-cell ATAC-seq integrated with single-cell and spatial transcriptomics.
  • Analyzed promoter-enhancer accessibility at HLA, NLRC5, and antigen-processing genes.
  • Examined epigenetic reprogramming strategies targeting Polycomb repressive complex 2 (PRC2) and DNA methyltransferases (DNMTs).

Main Results:

  • Single-cell chromatin profiling resolves epigenetic constraints on antigen presentation, distinguishing reversible repression from fixed lesions.
  • Identified context-dependent epigenetic variations across malignant clones and cellular niches.
  • Demonstrated that epigenetic reprogramming offers potential biomarker-guided strategies to restore antigen presentation.

Conclusions:

  • Epigenetic reprogramming targeting PRC2, DNMTs, and other regulators can restore antigen presentation in osteosarcoma.
  • Therapeutic efficacy depends on clone selection, scheduling, and combination strategies.
  • Single-cell chromatin profiling is crucial for guiding epigenetic therapies to improve osteosarcoma treatment outcomes.