Department of Dermatology, Xijing Hospital, Fourth Military Medical University, No 127 of West Changle Road, Xi'an, Shaanxi, 710032, China.
Signal Transduct Target Ther. 2023 Mar 15;8(1):107. doi: 10.1038/s41392-023-01314-w.
Melanoma is the most lethal type of skin cancer, originating from the malignant transformation of melanocyte. While the development of targeted therapy and immunotherapy has gained revolutionary advances in potentiating the therapeutic effect, the prognosis of patients with melanoma is still suboptimal. During tumor progression, melanoma frequently encounters stress from both endogenous and exogenous sources in tumor microenvironment. SIRT7 is a nuclear-localized deacetylase of which the activity is highly dependent on intracellular nicotinamide adenine dinucleotide (NAD), with versatile biological functions in maintaining cell homeostasis. Nevertheless, whether SIRT7 regulates tumor cell biology and tumor immunology in melanoma under stressful tumor microenvironment remains elusive. Herein, we reported that SIRT7 orchestrates melanoma progression by simultaneously promoting tumor cell survival and immune evasion via the activation of unfolded protein response. We first identified that SIRT7 expression was the most significantly increased one in sirtuins family upon stress. Then, we proved that the deficiency of SIRT7 potentiated tumor cell death under stress in vitro and suppressed melanoma growth in vivo. Mechanistically, SIRT7 selectively activated the IRE1α-XBP1 axis to potentiate the pro-survival ERK signal pathway and the secretion of tumor-promoting cytokines. SIRT7 directly de-acetylated SMAD4 to antagonize the TGF-β-SMAD4 signal, which relieved the transcriptional repression on IRE1α and induced the activation of the IRE1α-XBP1 axis. Moreover, SIRT7 up-regulation eradicated anti-tumor immunity by promoting PD-L1 expression via the IRE1α-XBP1 axis. Additionally, the synergized therapeutic effect of SIRT7 suppression and anti-PD-1 immune checkpoint blockade was also investigated. Taken together, SIRT7 can be employed as a promising target to restrain tumor growth and increase the effect of melanoma immunotherapy.
黑色素瘤是最致命的皮肤癌类型,起源于黑色素细胞的恶性转化。虽然靶向治疗和免疫治疗的发展在增强治疗效果方面取得了革命性的进展,但黑色素瘤患者的预后仍然不理想。在肿瘤进展过程中,黑色素瘤经常在肿瘤微环境中遇到来自内源性和外源性的压力。SIRT7 是一种核定位的去乙酰化酶,其活性高度依赖于细胞内烟酰胺腺嘌呤二核苷酸(NAD),在维持细胞内稳态方面具有多种生物学功能。然而,SIRT7 是否在应激肿瘤微环境下调节黑色素瘤中的肿瘤细胞生物学和肿瘤免疫学仍不清楚。在此,我们报道 SIRT7 通过激活未折叠蛋白反应,同时促进肿瘤细胞存活和免疫逃逸来协调黑色素瘤的进展。我们首先确定,在应激条件下,SIRT7 是 sirtuins 家族中表达增加最显著的一个。然后,我们证明 SIRT7 的缺乏在体外应激条件下增强了肿瘤细胞的死亡,并抑制了体内黑色素瘤的生长。从机制上讲,SIRT7 选择性地激活了 IRE1α-XBP1 轴,以增强促进生存的 ERK 信号通路和肿瘤促进细胞因子的分泌。SIRT7 直接去乙酰化 SMAD4,拮抗 TGF-β-SMAD4 信号,解除 IRE1α 的转录抑制,诱导 IRE1α-XBP1 轴的激活。此外,SIRT7 的上调通过 IRE1α-XBP1 轴促进 PD-L1 表达,从而消除了抗肿瘤免疫。此外,还研究了 SIRT7 抑制与抗 PD-1 免疫检查点阻断联合治疗的协同效应。总之,SIRT7 可以作为一个有前途的靶点,来抑制肿瘤生长并提高黑色素瘤免疫治疗的效果。