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Updated: Jun 4, 2026

Deacetylation Assays to Unravel the Interplay between Sirtuins (SIRT2) and Specific Protein-substrates
Published on: February 27, 2016
SIRT2-mediated deacetylation activates USP22 catalytic function for PD-L1 protein stabilization and tumor immune
Na Li1, Qiong Gao2, Huijun Jia3
1Department of Biochemistry and Molecular Biology, College of Basic Medical Science, Dalian Medical University, Dalian, China.
Abstract:
Immune checkpoint blockade (ICB), including PD-1/PD-L1 inhibitors, has transformed cancer therapy but benefits only a subset of patients. Understanding how PD-L1 is regulated and identifying strategies to overcome resistance remain critical. Here, we identify SIRT2 as a key positive regulator of PD-L1 across multiple human cancers. Unexpectedly, SIRT2 did not act at the transcriptional level but stabilized PD-L1 protein by preventing ubiquitin-mediated degradation. Mechanistically, SIRT2 maintained the protein stability of USP22, a PD-L1 deubiquitinase. Loss of SIRT2 reduced USP22 levels, whereas ectopic USP22 fully rescued PD-L1 expression and reversed the enhanced antitumor immunity induced by SIRT2 inhibition. We further show that SIRT2 directly deacetylates USP22 at K382 and K505 within its catalytic domain, promoting USP22 deubiquitinase activity and protecting both itself and its substrates from degradation. Our findings reveal a molecular mechanism by which an acetylation-deacetylation switch dynamically regulates deubiquitinase catalytic activity. Therapeutically, SIRT2 inhibition synergized with PD-1/PD-L1 blockade and USP22 inhibition to enhance antitumor immunity. Consistently, protein, but not mRNA, levels of SIRT2, USP22, and PD-L1 positively correlated in human bladder cancer and melanoma. Together, these findings define a SIRT2/USP22/PD-L1 axis driving tumor immune evasion and highlight SIRT2 as a promising target to improve ICB efficacy.
Insights
SIRT2 stabilizes PD-L1 protein, enhancing tumor immune evasion. Inhibiting SIRT2 boosts antitumor immunity and synergizes with PD-1/PD-L1 blockade, offering a new strategy against cancer.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint blockade (ICB) therapy, including PD-1/PD-L1 inhibitors, shows promise in cancer treatment but has limited efficacy in many patients.
- Identifying mechanisms of PD-L1 regulation and resistance is crucial for improving ICB effectiveness.
Purpose of the Study:
- To identify novel regulators of PD-L1 and explore their therapeutic potential in overcoming ICB resistance.
- To elucidate the molecular mechanism by which SIRT2 influences PD-L1 expression and stability.
Main Methods:
- Western blotting and immunoprecipitation to assess protein levels and interactions.
- Ubiquitination assays to determine protein degradation pathways.
- In vivo and in vitro cancer models to evaluate therapeutic efficacy.
- Analysis of human cancer patient data (bladder cancer, melanoma) for correlation studies.
Main Results:
- SIRT2 was identified as a key positive regulator of PD-L1 protein stability, independent of transcriptional control.
- SIRT2 stabilizes PD-L1 by maintaining the protein levels and deubiquitinase activity of USP22.
- SIRT2 directly deacetylates USP22, enhancing its catalytic activity and preventing its degradation.
- SIRT2 inhibition synergized with PD-1/PD-L1 blockade and USP22 inhibition to enhance antitumor immunity.
- Correlations between protein levels of SIRT2, USP22, and PD-L1 were observed in human bladder cancer and melanoma.
Conclusions:
- A novel SIRT2-USP22-PD-L1 axis was defined, contributing to tumor immune evasion.
- SIRT2 acts as a critical regulator of PD-L1 stability through USP22 deubiquitination.
- Targeting SIRT2 presents a promising therapeutic strategy to enhance the efficacy of ICB in cancer treatment.
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