1. Academic Validation
  2. Epigenetic regulation of cell state by H2AFY governs immunogenicity in high-risk neuroblastoma

Epigenetic regulation of cell state by H2AFY governs immunogenicity in high-risk neuroblastoma

  • J Clin Invest. 2024 Sep 10;134(21):e175310. doi: 10.1172/JCI175310.
Divya Nagarajan 1 2 Rebeca T Parracho 1 2 David Corujo 3 Minglu Xie 2 Ginte Kutkaite 4 5 Thale K Olsen 2 6 Marta Rubies Bedos 1 2 Maede Salehi 2 Ninib Baryawno 6 Michael P Menden 4 7 Xingqi Chen 2 Marcus Buschbeck 3 Yumeng Mao 1 2
Affiliations

Affiliations

  • 1 Science for Life Laboratory, Department of Immunology, Genetics and Pathology and.
  • 2 Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
  • 3 Program of Myeloid Neoplasms, Program of Applied Epigenetics, Josep Carreras Leukaemia Research Institute (IJC), Campus Can Ruti Site, Badalona, Spain.
  • 4 Computational Health Center, Helmholtz Munich, Neuherberg, Germany.
  • 5 Department of Biology, Ludwig-Maximilians University Munich, Martinsried, Germany.
  • 6 Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Solna, Sweden.
  • 7 Department of Biochemistry and Pharmacology, University of Melbourne, Melbourne, Australia.
Abstract

Childhood neuroblastoma with MYCN amplification is classified as high risk and often relapses after intensive treatments. Immune Checkpoint blockade therapy against the PD-1/L1 axis shows limited efficacy in patients with neuroblastoma, and the Cancer intrinsic immune regulatory network is poorly understood. Here, we leverage genome-wide CRISPR/Cas9 screens and identify H2AFY as a resistance gene to the clinically approved PD-1 blocking antibody nivolumab. Analysis of single-cell RNA-Seq datasets reveals that H2AFY mRNA is enriched in adrenergic Cancer cells and is associated with worse patient survival. Genetic deletion of H2afy in MYCN-driven neuroblastoma cells reverts in vivo resistance to PD-1 blockade by eliciting activation of the adaptive and innate immunity. Mapping of the epigenetic and translational landscape demonstrates that H2afy deletion promotes cell transition to a mesenchymal-like state. With a multiomics approach, we uncovered H2AFY-associated genes that are functionally relevant and prognostic in patients. Altogether, our study elucidates the role of H2AFY as an epigenetic gatekeeper for cell states and immunogenicity in high-risk neuroblastoma.

Keywords

Cancer; Cancer immunotherapy; Immunology; Oncology.

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  • HY-16425
    99.86%, HDAC1/3 Inhibitor