Han Shuling, Chen Zhuo, Hong Chang, Dang Tianjiao, Bai Futing, Ruan Yuli, Yang Rui, Yu Xuefan, Li Yingjue, Wang Bojun, Ma Yue, Chen Feihong, Xiong Ruxin, Zhang Yanqiao, Liu Chao
Department of Gastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin 150081, China; Key Laboratory of Tumor Immunology in Heilongjiang, Harbin 150081, China; Clinical Research Center for Colorectal Cancer in Heilongjiang, Harbin 150081, China; Department of Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China.
Department of Gastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin 150081, China; Key Laboratory of Tumor Immunology in Heilongjiang, Harbin 150081, China; Clinical Research Center for Colorectal Cancer in Heilongjiang, Harbin 150081, China.
Cancer Lett. 2025 Jul 22;631:217946. doi: 10.1016/j.canlet.2025.217946.
The tumor microenvironment of colorectal cancer (CRC) exhibits a highly immunosuppressive phenotype, contributing to resistance against immunotherapy and poor prognosis in patients. Lysine acetyltransferase 6A (KAT6A) is significant in immune regulation and advanced breast cancer treatment. However, its mechanistic involvement in regulating anti-tumor immune responses in CRC remains unclear. Using clinical CRC cohorts, we evaluated KAT6A expression levels and their clinical significance in this study. We investigated its functional role through subcutaneous and metastatic tumor models in mice. Our findings demonstrate that KAT6A is overexpressed in CRC and correlates with poor prognosis. Mass cytometry (CyTOF) and ATAC-seq analyses revealed that KAT6A knockdown enhanced CD8 T cell infiltration by activating interferon (IFN) signaling pathways. Gene Set Enrichment Analysis (GSEA) and immunofluorescence assays confirmed that KAT6A knockdown activates the cGAS-STING pathway, subsequently inducing IFN-mediated immune responses. Mechanistically, knockdown of KAT6A relieves c-MYC/DNMT1-mediated repression of cGAS. We also evaluated the therapeutic effects of a KAT6A inhibitor alone and its combination with anti-PD-1 in microsatellite stable (MSS) and microsatellite instability-high (MSI-H) mouse models, demonstrating synergistic efficacy in combination therapy. Furthermore, in a cohort of CRC patients receiving immunotherapy, we showed that high KAT6A expression correlated with impaired treatment response, manifested by lower objective response rates, shorter progression-free survival (PFS), and decreased overall survival (OS). Importantly, this study reveals KAT6A's pivotal role in modulating CRC immune evasion via regulating endogenous IFN response of tumor cells, thereby establishing its potential as a therapeutic target for enhancing immunotherapy efficacy in CRC.
结直肠癌(CRC)的肿瘤微环境表现出高度免疫抑制表型,这导致患者对免疫治疗产生抗性且预后不良。赖氨酸乙酰转移酶6A(KAT6A)在免疫调节和晚期乳腺癌治疗中具有重要意义。然而,其在调节CRC抗肿瘤免疫反应中的机制尚不清楚。在本研究中,我们使用临床CRC队列评估了KAT6A的表达水平及其临床意义。我们通过小鼠皮下和转移瘤模型研究了其功能作用。我们的研究结果表明,KAT6A在CRC中过表达,且与预后不良相关。质谱流式细胞术(CyTOF)和ATAC-seq分析显示,敲低KAT6A可通过激活干扰素(IFN)信号通路增强CD8 T细胞浸润。基因集富集分析(GSEA)和免疫荧光测定证实,敲低KAT6A可激活cGAS-STING通路,随后诱导IFN介导的免疫反应。机制上,敲低KAT6A可减轻c-MYC/DNMT1介导的对cGAS的抑制。我们还评估了KAT6A抑制剂单独使用及其与抗PD-1联合使用在微卫星稳定(MSS)和微卫星高度不稳定(MSI-H)小鼠模型中的治疗效果,证明联合治疗具有协同疗效。此外,在一组接受免疫治疗的CRC患者中,我们发现高KAT6A表达与治疗反应受损相关,表现为较低的客观缓解率、较短的无进展生存期(PFS)和降低的总生存期(OS)。重要的是,本研究揭示了KAT6A在通过调节肿瘤细胞的内源性IFN反应来调节CRC免疫逃逸中的关键作用,从而确立了其作为增强CRC免疫治疗疗效的治疗靶点的潜力。