TBX21 correlates with an immunosuppressive tumor microenvironment and Treg/Th17 imbalance in prostate cancer

Heng Wang1, Zhaofei Liu1, Xiangjun Xu2

  • 1Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.

Frontiers in Oncology
|January 23, 2026
PubMed
Abstract

Insights

TBX21 is elevated in prostate cancer (PCa) and promotes tumor growth. Silencing TBX21 reduces PCa progression and reshapes the tumor immune microenvironment, offering therapeutic potential.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Prostate cancer (PCa) presents a significant health challenge, necessitating novel therapeutic targets.
  • The transcription factor TBX21 plays a role in tumor development, and its specific involvement in PCa warrants investigation.

Purpose of the Study:

  • To investigate the role of TBX21 in prostate cancer progression.
  • To explore the impact of TBX21 on the tumor immune microenvironment in PCa.

Main Methods:

  • TBX21 expression was analyzed using RNA-seq, RT-PCR, Western blot, and immunohistochemistry in PCa tissues and cell lines.
  • Functional assays, including cell proliferation and apoptosis studies, were conducted with TBX21 knockdown in PCa cell lines.
  • Tumor growth, immune cell infiltration, and effector molecule expression were assessed in xenograft and humanized immune cell models.

Main Results:

  • TBX21 expression is significantly upregulated in PCa tissues and cell lines.
  • TBX21 knockdown inhibited PCa cell proliferation and induced apoptosis in vitro, and suppressed tumor growth in vivo.
  • TBX21 silencing modulated the immune microenvironment, decreasing regulatory T cells (Treg) and increasing Th17 and cytotoxic CD8+ T cells, with enhanced effector molecule production.

Conclusions:

  • TBX21 is implicated in prostate cancer progression and the establishment of an immunosuppressive tumor microenvironment.
  • Targeting TBX21 may represent a viable strategy for modulating the tumor-immune balance in PCa.

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