LINC00632 combines with ERα to target VISTA expression, ameliorating endometriosis progression

Jue Zhu1,2, Xinxin Xu1, Tiantian Li1

  • 1Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China.

Iscience
|May 6, 2026
PubMed

Insights

Researchers identified V-domain immunoglobulin suppressor of T cell activation (VISTA) as a key factor in endometriosis immune evasion. Targeting estrogen and LINC00632 with a novel drug delivery system effectively reduced VISTA and inhibited lesion growth.

Area of Science:

  • Immunology
  • Gynecology
  • Oncology

Background:

  • Endometriosis is a common gynecological condition characterized by altered immune function.
  • Immune evasion is a critical aspect of endometriosis progression.
  • The immune checkpoint protein V-domain immunoglobulin suppressor of T cell activation (VISTA) has emerged as a potential therapeutic target.

Purpose of the Study:

  • To investigate the role of VISTA in endometriosis-associated immune suppression.
  • To elucidate the underlying molecular mechanisms driving VISTA overexpression in endometriosis.
  • To develop and evaluate a novel combination therapeutic strategy targeting VISTA.

Main Methods:

  • Analysis of VISTA expression and CD8+ T cell abundance in patient lesions.
  • Utilizing a 3D primary cell model to study the effects of estrogen and mast cells on VISTA expression.
  • Investigating the mechanistic link between mast cell-derived LINC00632, ERα, and VISTA.
  • Developing and testing a liposomal drug delivery system for co-targeting estrogen signaling and LINC00632 in a mouse model of endometriosis.

Main Results:

  • Elevated VISTA expression in endometriosis lesions correlated with decreased CD8+ T cell infiltration.
  • A high-estrogen microenvironment and mast cell infiltration were linked to VISTA-mediated immune suppression.
  • Mast cell-derived LINC00632 was found to cooperate with ERα to promote VISTA overexpression.
  • The novel liposomal drug delivery system successfully reduced VISTA, restored CD8+ T cell function, and inhibited lesion growth in vivo.

Conclusions:

  • This study uncovers a multicellular mechanism of immune evasion in endometriosis involving VISTA, estrogen, and mast cells.
  • Targeting VISTA through combined inhibition of estrogen signaling and LINC00632 presents a promising therapeutic avenue for endometriosis.
  • The developed liposomal drug delivery system demonstrates potential for effective treatment of endometriosis.