Proteomics

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Epigenetic modulation of polyamine biosynthetic pathways rectifies T cell dysfunction to enhance anti-tumor immunity in lung cancer


ABSTRACT: T cell exhaustion (TEX) represents a critical target for immunotherapy in cancer. Nevertheless, T cells exhibit diminished responsiveness to immune checkpoint inhibitors once they transition to a terminally-exhausted state. Here, we employed an epigenetic drug screen and identified BET inhibitors (BETis) as enhancers of effector functions in primary exhausted T cells from malignant pleural effusions in lung cancer patients. Transcriptomics, metabolomics, and ATAC-seq analyses revealed that BETis reinvigorate TEX by activating the polyamine biosynthesis pathway, expanding intracellular polyamine pools, and altering chromatin accessibility. Genetic and pharmacological inhibition of ornithine decarboxylase (ODC1), a key enzyme in this pathway, abolished BETi-mediated immunopotentiation. Single-cell RNA-seq demonstrated BETis reduced terminal TEX while promoting progenitor TEX through activation of the MYC-ODC axis. BETi treatment or adoptive transfer of BETi-treated T cells suppressed malignant pleural effusion formation in a syngeneic lung cancer model. These findings highlight an epigenetic-metabolic approach to enhance TEX plasticity and offers insights for novel cancer immunotherapies.

ORGANISM(S): Homo Sapiens (human)

SUBMITTER: Miao-Hsia Lin 

PROVIDER: PXD060100 | JPOST Repository | Mon Apr 06 00:00:00 BST 2026

REPOSITORIES: jPOST

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Action DRS
20221003_324_JQ1_pos_DDA_5ul_1.raw Raw
20221003_324_JQ1_pos_DDA_5ul_2.raw Raw
20221003_324_JQ1_pos_MS1_5ul_1.raw Raw
20221003_324_JQ1_pos_MS1_5ul_2.raw Raw
20221003_324_JQ1_pos_MS1_5ul_3.raw Raw
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