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The cancer epigenome: Non-cell autonomous player in tumor immunity
Authors:Shinichiro Kato  Yuka Maeda  Daisuke Sugiyama  Keisuke Watanabe  Hiroyoshi Nishikawa  Kunihiko Hinohara
Affiliation:1. Department of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan

Center for 5D Cell Dynamics, Nagoya University Graduate School of Medicine, Nagoya, Japan;2. Division of Cancer Immunology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Research Institute, Tokyo, Japan;3. Department of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan

Abstract:Dysregulation of the tumor-intrinsic epigenetic circuit is a key driver event for the development of cancer. Accumulating evidence suggests that epigenetic and/or genetic drivers stimulate intrinsic oncogenic pathways as well as extrinsic factors that modulate the immune system. These modulations indeed shape the tumor microenvironment (TME), allowing pro-oncogenic factors to become oncogenic, thereby contributing to cancer development and progression. Here we review the epigenetic dysregulation arising in cancer cells that disseminates throughout the TME and beyond. Recent CRISPR screening has elucidated key epigenetic drivers that play important roles in the proliferation of cancer cells (intrinsic) and inhibition of antitumor immunity (extrinsic), which lead to the development and progression of cancer. These epigenetic players can serve as promising targets for cancer therapy as a dual (two-in-one)-targeted approach. Considering the interplay between cancer and the immune system as a key determinant of immunotherapy, we discuss a novel lineage-tracing technology that enables longitudinal monitoring of cancer and immune phenotypic heterogeneity and fate paths during cancer development, progression, and therapeutic interventions.
Keywords:antitumor immunity  dual-targeted cancer therapy  epigenetic reprogramming  histone modification  immune system
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