Overcoming Immune Checkpoint Blockade Resistance via EZH2 Inhibition

Trends Immunol. 2020 Oct;41(10):948-963. doi: 10.1016/j.it.2020.08.010.

Abstract

Recent progress in cancer immunotherapy highlights the power of the immune system to control tumors, although a small patient subset responds to current immunotherapies. Additional approaches to mobilize antitumor immunity are required to overcome primary and acquired resistance to immunotherapy such as immune checkpoint blockade (ICB). Emerging evidence shows that targeting epigenetic elements that promote tumor progression and inhibit immune cell activity can enhance antitumor immunity by reshaping the tumor microenvironment (TME). Here, we review the pleiotropic functions in tumor and immune cells of enhancer of zeste homolog 2 (EZH2), the catalytic subunit of polycomb repressive complex 2 (PRC2), with a focus on EZH2 inhibition as a potentially promising approach to enhance current immunotherapies and improve patient outcomes for certain cancers.

Keywords: EZH2; immunotherapy; tumor microenvironment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Enhancer of Zeste Homolog 2 Protein* / antagonists & inhibitors
  • Humans
  • Immune Checkpoint Inhibitors / therapeutic use
  • Immunotherapy*
  • Neoplasms* / drug therapy
  • Tumor Microenvironment* / immunology

Substances

  • Immune Checkpoint Inhibitors
  • Enhancer of Zeste Homolog 2 Protein