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Publication : Itaconate promotes hepatocellular carcinoma progression by epigenetic induction of CD8(+) T-cell exhaustion.

First Author  Gu X Year  2023
Journal  Nat Commun Volume  14
Issue  1 Pages  8154
PubMed ID  38071226 Mgi Jnum  J:350372
Mgi Id  MGI:7566769 Doi  10.1038/s41467-023-43988-4
Citation  Gu X, et al. (2023) Itaconate promotes hepatocellular carcinoma progression by epigenetic induction of CD8(+) T-cell exhaustion. Nat Commun 14(1):8154
abstractText  Itaconate is a well-known immunomodulatory metabolite; however, its role in hepatocellular carcinoma (HCC) remains unclear. Here, we find that macrophage-derived itaconate promotes HCC by epigenetic induction of Eomesodermin (EOMES)-mediated CD8(+) T-cell exhaustion. Our results show that the knockout of immune-responsive gene 1 (IRG1), responsible for itaconate production, suppresses HCC progression. Irg1 knockout leads to a decreased proportion of PD-1(+) and TIM-3(+) CD8(+) T cells. Deletion or adoptive transfer of CD8(+) T cells shows that IRG1-promoted tumorigenesis depends on CD8(+) T-cell exhaustion. Mechanistically, itaconate upregulates PD-1 and TIM-3 expression levels by promoting succinate-dependent H3K4me3 of the Eomes promoter. Finally, ibuprofen is found to inhibit HCC progression by targeting IRG1/itaconate-dependent tumor immunoevasion, and high IRG1 expression in macrophages predicts poor prognosis in HCC patients. Taken together, our results uncover an epigenetic link between itaconate and HCC and suggest that targeting IRG1 or itaconate might be a promising strategy for HCC treatment.
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