EZH2-Associated Hypermethylated Gene Signature Predicts Immunotherapy Response and Implicates DUSP5 in Tumor-Immune

Mingzhan Xue1, Sujitha Jeya1, Reem Elasad1

  • 1Translational Oncology Research Centre, Qatar Biomedical Research Institute, Hamad Bin Khalifa University, Doha P.O. Box 34110, Qatar.

Cancers
|May 27, 2026
PubMed

Insights

This study identifies an epigenetic signature in triple-negative breast cancer (TNBC) linked to immune evasion. The Dual Specificity Phosphatase 5 (DUSP5) gene may predict immunotherapy response in TNBC patients.

Area of Science:

  • Oncology
  • Epigenetics
  • Immunotherapy

Background:

  • Triple-negative breast cancer (TNBC) is a target for immune checkpoint blockade, but biomarkers for treatment response are lacking.
  • Enhancer of Zeste Homolog 2 (EZH2)-mediated repression contributes to immune evasion, but its role in TNBC immunity and outcomes is unclear.

Purpose of the Study:

  • Identify EZH2-repressed genes in TNBC.
  • Evaluate their role in anti-tumor immunity and as predictors of immunotherapy response.

Main Methods:

  • In silico analysis of TCGA breast cancer cohorts to find EZH2-associated hypermethylated genes.
  • Defined a 30-gene signature (30GS) based on repression and hypermethylation.
  • Validated associations with outcomes and immunotherapy response in I-SPY2 and independent TNBC cohorts.

Main Results:

  • The 30GS was reduced in TNBC and associated with better outcomes and immune signatures.
  • The 30GS predicted pathological complete response to chemo-immunotherapy in the I-SPY2 cohort (AUC=0.7377).
  • Dual Specificity Phosphatase 5 (DUSP5) was strongly linked to immune parameters; high DUSP5 correlated with immune-related pathways in TNBC.

Conclusions:

  • An EZH2-associated epigenetic program influences tumor-intrinsic immunity in TNBC.
  • DUSP5 is a potential biomarker for immune-related transcriptional states and immunotherapy response in TNBC.