Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China.
Cancer Cell. 2024 Jun 10;42(6):985-1002.e18. doi: 10.1016/j.ccell.2024.05.006. Epub 2024 May 30.
Tumors employ various strategies to evade immune surveillance. Central nervous system (CNS) has multiple features to restrain immune response. Whether tumors and CNS share similar programs of immunosuppression is elusive. Here, we analyze multi-omics data of tumors from HER2 breast cancer patients receiving trastuzumab and anti-PD-L1 antibody and find that CNS-enriched N-acetyltransferase 8-like (NAT8L) and its metabolite N-acetylaspartate (NAA) are overexpressed in resistant tumors. In CNS, NAA is released during brain inflammation. NAT8L attenuates brain inflammation and impairs anti-tumor immunity by inhibiting cytotoxicity of natural killer (NK) cells and CD8 T cells via NAA. NAA disrupts the formation of immunological synapse by promoting PCAF-induced acetylation of lamin A-K542, which inhibits the integration between lamin A and SUN2 and impairs polarization of lytic granules. We uncover that tumor cells mimic the anti-inflammatory mechanism of CNS to evade anti-tumor immunity and NAT8L is a potential target to enhance efficacy of anti-cancer agents.
肿瘤采用各种策略来逃避免疫监视。中枢神经系统(CNS)具有多种抑制免疫反应的特征。肿瘤和 CNS 是否具有相似的免疫抑制程序尚不清楚。在这里,我们分析了接受曲妥珠单抗和抗 PD-L1 抗体治疗的 HER2 乳腺癌患者的肿瘤多组学数据,发现 CNS 丰富的 N-乙酰转移酶 8 样(NAT8L)及其代谢物 N-乙酰天门冬氨酸(NAA)在耐药肿瘤中过度表达。在 CNS 中,NAA 在脑炎症期间释放。NAT8L 通过 NAA 抑制自然杀伤(NK)细胞和 CD8 T 细胞的细胞毒性,减弱脑炎症并损害抗肿瘤免疫。NAA 通过促进 PCAF 诱导的 lamin A-K542 乙酰化来破坏免疫突触的形成,这抑制了 lamin A 与 SUN2 之间的整合,并损害了裂解颗粒的极化。我们揭示了肿瘤细胞模拟 CNS 的抗炎机制来逃避抗肿瘤免疫,NAT8L 是增强抗癌药物疗效的潜在靶点。
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