Timilsina Santosh, Huang Jian Yu, Abdelfattah Nourhan, Medina Daisy, Singh Deepika, Abdulsahib Shahad, Subbarayalu Panneerdoss, Do Trong Phat, Venkata Prabhakar Pitta, Nirzhor Saif, Prochnau Jack, Bhandari Mukund, Zheng Siyuan, Chen Yidong, Huang Gang, Mukherjee Neelam, Hromas Robert, Sung Patrick, Kaklamani Virginia, Vadlamudi Ratna, Zhang Nu, Rao Manjeet K
Greehey Children's Cancer Research Institute, San Antonio, TX, USA.
Department of Neurology, Houston Methodist Research Institute, Houston, TX, USA.
Nat Commun. 2025 Apr 28;16(1):3967. doi: 10.1038/s41467-025-59186-3.
The interplay between tumor cells and the microenvironment significantly influences cancer progression. Here, we report a significant role of the transcription factor FOXM1 in shaping the tumor immune landscape. Single-cell sequencing reveals that tumor-intrinsic FOXM1 creates an immune-suppressive tumor microenvironment by inhibiting expression of stress ligands (including ULBP1) on cancer cells, thereby blocking NKG2D-NKG2DL interactions critical for priming natural killer- and T cell-mediated cytotoxicity of cancer cells. FOXM1 suppresses ULBP1 expression by epigenetically silencing the DNA-sensing protein STING using a DNMT1-UHRF1 complex, which in turn inhibits the unfolded protein response protein CHOP from activating ULBP1. Importantly, cancer patients with higher levels of FOXM1 and DNMT1, and lower levels of STING and ULBP1, have worse survival and are less responsive to immunotherapy. Collectively, our findings provide key insight into how a tumor-intrinsic transcription factor epigenetically shapes the tumor immune microenvironment, with strong implications for refining existing and designing new cancer immunotherapies.
肿瘤细胞与微环境之间的相互作用显著影响癌症进展。在此,我们报告转录因子FOXM1在塑造肿瘤免疫格局中发挥的重要作用。单细胞测序显示,肿瘤内在的FOXM1通过抑制癌细胞上应激配体(包括ULBP1)的表达,从而阻断对启动自然杀伤细胞和T细胞介导的癌细胞细胞毒性至关重要的NKG2D-NKG2DL相互作用,营造出免疫抑制性肿瘤微环境。FOXM1通过使用DNMT1-UHRF1复合物对DNA传感蛋白STING进行表观遗传沉默来抑制ULBP1表达,进而抑制未折叠蛋白反应蛋白CHOP激活ULBP1。重要的是,FOXM1和DNMT1水平较高、STING和ULBP1水平较低的癌症患者生存率较差,且对免疫治疗反应较小。总体而言,我们的研究结果为肿瘤内在转录因子如何通过表观遗传塑造肿瘤免疫微环境提供了关键见解,对改进现有癌症免疫疗法和设计新的癌症免疫疗法具有重要意义。