H3K18乳酸化通过转录激活POM121促进胰腺癌免疫逃逸的机制研究
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1中南大学湘雅医院 肝脏外科,湖南 长沙 410008;2中南大学湘雅医院 胰胆外科,湖南 长沙 410008;3湖南省湘雅博爱康复医院福源院区 肿瘤科,湖南 长沙 410100

作者简介:

叶轲,中南大学湘雅医院副主任医师,主要从事肝癌及甲状腺癌综合治疗方面的研究。

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湖南省自然科学基金资助项目(2023JJ30910);湖南省自然科学基金企业联合基金资助项目(2025JJ90293);中南大学湘雅医院横向基金资助项目(2025013)。


H3K18 lactylation promotes immune escape in pancreatic cancer through transcriptional activation of POM121
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1Department of Hepatology, Xiangya Hospital, Central South University, Changsha 410008, China;2Department of Biliary and Pancreatic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China;3Department of Oncology, Fuyuan Campus, Xiangya Boai Rehabilitation Hospital, Changsha 410100, China

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    摘要:

    背景与目的 胰腺癌具有高度侵袭性及显著免疫抑制特征,其免疫逃逸机制尚未完全阐明。肿瘤糖酵解增强导致乳酸大量积累,可通过组蛋白乳酸化参与基因转录调控,但其在胰腺癌免疫微环境重塑中的作用及机制尚不清楚。本研究旨在探讨组蛋白H3第18位赖氨酸乳酸化(H3K18la)调控核孔膜蛋白121(POM121)表达促进胰腺癌免疫逃逸的作用及分子机制。方法 利用TCGA数据库分析乳酸脱氢酶A(LDHA)和POM121在胰腺癌中的表达及预后价值。采用Western blot检测胰腺癌细胞中泛赖氨酸乳酸化(Pan-Kla)、H3K18la及POM121表达水平;通过LDH抑制剂oxamate处理或siRNA沉默LDHA抑制乳酸生成,采用乳酸检测试剂盒、CCK-8实验和平板克隆形成实验评价细胞乳酸水平及增殖能力。构建胰腺癌细胞与CD8+ T细胞共培养体系,采用流式细胞术检测GZMB、TNF-α和IFN-γ表达。应用ChIP-qPCR和双荧光素酶报告基因实验验证H3K18la对POM121转录活性的调控作用;通过POM121敲低及过表达实验明确其在乳酸化介导免疫调控中的作用。建立PANC02荷瘤小鼠模型验证体内效应。结果 LDHA和POM121在胰腺癌组织中均呈高表达,并与患者较差预后相关。胰腺癌细胞中Pan-Kla及H3K18la水平明显升高。oxamate处理或LDHA沉默均可降低细胞内乳酸水平及H3K18la表达,抑制胰腺癌细胞增殖,同时促进CD8+ T细胞效应分子GZMB、TNF-α和IFN-γ表达。POM121在胰腺癌细胞中高表达,其表达受H3K18la调控。ChIP-qPCR及双荧光素酶实验表明,H3K18la富集于POM121启动子区域并增强其转录活性。敲低POM121可抑制肿瘤细胞增殖并增强CD8+ T细胞功能;过表达POM121则可部分逆转oxamate诱导的抗肿瘤免疫效应。动物实验进一步证实,抑制乳酸生成可降低POM121表达并促进CD8+ T细胞浸润,而POM121过表达能够削弱上述作用。结论 胰腺癌中糖酵解产生的乳酸通过促进H3K18乳酸化修饰激活POM121转录,进而抑制CD8+ T细胞抗肿瘤免疫功能并促进免疫逃逸。乳酸-H3K18la-POM121信号轴有望成为胰腺癌免疫治疗的新靶点。

    Abstract:

    Background and Aims Pancreatic cancer is characterized by high aggressiveness and a profoundly immunosuppressive microenvironment, while the mechanisms underlying its immune evasion remain incompletely understood. Enhanced glycolysis in tumor cells leads to excessive lactate accumulation, which can regulate gene transcription through histone lactylation. However, the role of histone lactylation in remodeling the immune microenvironment of pancreatic cancer and its underlying molecular mechanisms remains unclear. This study aimed to investigate the role and molecular mechanism of histone H3 lysine 18 lactylation (H3K18la) in regulating nuclear pore membrane protein 121 (POM121)-mediated immune escape in pancreatic cancer.Methods The expression patterns and prognostic significance of lactate dehydrogenase A (LDHA) and POM121 in pancreatic cancer were analyzed using The Cancer Genome Atlas (TCGA) database. Western blotting was performed to determine the levels of pan-lysine lactylation (Pan-Kla), H3K18la, and POM121 in pancreatic cancer cells. Lactate production was inhibited by treatment with the LDH inhibitor oxamate or by siRNA-mediated LDHA silencing, followed by assessment of intracellular lactate levels, cell proliferation, and colony-forming ability using lactate assays, CCK-8 assays, and colony formation assays. A co-culture system of pancreatic cancer cells and CD8+ T cells was established, and the expression of GZMB, TNF-α, and IFN-γ was analyzed by flow cytometry. ChIP-qPCR and dual-luciferase reporter assays were used to verify the transcriptional regulation of POM121 by H3K18la. Gain- and loss-of-function experiments of POM121 were performed to determine its role in lactylation-mediated immune regulation. A PANC02 tumor-bearing mouse model was established to validate the in vivo effects.Results LDHA and POM121 were significantly upregulated in pancreatic cancer tissues and were associated with poor patient prognosis. Levels of Pan-Kla and H3K18la were markedly increased in pancreatic cancer cells. Oxamate treatment or LDHA silencing reduced intracellular lactate production and H3K18la levels, suppressed pancreatic cancer cell proliferation, and enhanced CD8+ T-cell effector functions, as evidenced by increased expression of GZMB, TNF-α, and IFN-γ. POM121 was highly expressed in pancreatic cancer cells and positively regulated by H3K18la. ChIP-qPCR and dual-luciferase assays demonstrated that H3K18la was enriched at the POM121 promoter region and enhanced its transcriptional activity. Knockdown of POM121 inhibited tumor cell proliferation and enhanced CD8+ T-cell function, whereas POM121 overexpression partially reversed the antitumor immune effects induced by oxamate. In vivo experiments further confirmed that inhibition of lactate production reduced POM121 expression and promoted CD8+ T-cell infiltration, while POM121 overexpression attenuated these effects.Conclusion Lactate generated by glycolytic reprogramming promotes H3K18 lactylation, which transcriptionally activates POM121, thereby suppressing CD8+ T-cell-mediated antitumor immunity and facilitating immune escape in pancreatic cancer. The lactate-H3K18la-POM121 signaling axis may represent a promising therapeutic target for pancreatic cancer immunotherapy.

    图1 组蛋白乳酸化水平在胰腺癌细胞中增加 A:糖酵解关键酶LDHA在胰腺癌和癌旁正常组织中的表达水平;B:TCGA数据库中LDHA高表达和低表达胰腺癌患者的总生存率;C:Western blot检测Pan-Kla和位点特异性组蛋白乳酸化的表达Fig.1 Increased histone lactylation levels in pancreatic cancer cells A: Expression of LDHA in pancreatic cancer and adjacent normal tissues; B: Overall survival of pancreatic cancer patients with high and low LDHA expression based on TCGA data; C: Expression of Pan-Kla and site-specific histone lactylation detected by Western blot
    图2 组蛋白乳酸化参与CD8+ T细胞的功能调控 A:乳酸比色试剂盒检测在不同浓度的oxamate中培养的PANC02细胞内的乳酸水平;B:Western blot检测在不同浓度的oxamate中培养的PANC02细胞中Pan-Kla和H3K18la的表达;C:Western blot筛选si-LDHA位点;D:乳酸比色试剂盒检测了在PANC02细胞中敲低LDHA对乳酸水平的影响;E:Western blot检测在PANC02细胞中敲低LDHA对Pan-Kla和H3K18la表达的影响;F:通过CCK-8法检测敲低LDHA对PANC02细胞活力的影响;G:平板克隆形成实验评估敲低LDHA对PANC02细胞成球能力的影响;H:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平Fig.2 Histone lactylation participates in the regulation of CD8+ T-cell function A: Intracellular lactate levels in PANC02 cells treated with different concentrations of oxamate; B: Expression of Pan-Kla and H3K18la in PANC02 cells treated with different concentrations of oxamate; C: Screening of si-LDHA transfection efficiency by Western blot; D: Effect of LDHA knockdown on intracellular lactate levels; E: Effect of LDHA knockdown on Pan-Kla and H3K18la expression; F: Effect of LDHA knockdown on PANC02 cell viability determined by CCK-8 assay; G: Effect of LDHA knockdown on colony-forming ability assessed by colony formation assay; H: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图3 H3K18la激活胰腺癌细胞中POM121的转录 A:POM121在胰腺癌和癌旁正常组织中的表达水平;B:Western blot检测POM121在胰腺癌细胞中的表达;C:Western blot检测oxamate(20 mmol/L)对PANC02细胞中POM121表达的影响;D:ChIP-qPCR检测H3K18与POM121的结合关系;E:双荧光素酶报告基因实验检测POM121启动子活性Fig.3 H3K18la activates POM121 transcription in pancreatic cancer cells A: Expression of POM121 in pancreatic cancer and adjacent normal tissues; B: Expression of POM121 in pancreatic cancer cells detected by Western blot; C: Effect of oxamate (20 mmol/L) on POM121 expression in PANC02 cells; D: Enrichment of H3K18la at the POM121 promoter detected by ChIP-qPCR; E: POM121 promoter activity determined by dual-luciferase reporter assay
    图4 敲低POM121表达可通过CD8+ T细胞增强抗胰腺癌细胞免疫 A:Western blot筛选si-POM121位点;B:CCK-8法评估敲低POM121对PANC02细胞活力的影响;C:平板克隆形成实验评估敲低POM121对PANC02细胞成球能力的影响;D:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平以评估敲低POM121对CD8+ T细胞功能的影响Fig.4 POM121 knockdown enhances CD8+ T-cell-mediated antitumor immunity against pancreatic cancer cells A: Screening of si-POM121 transfection efficiency by Western blot; B: Effect of POM121 knockdown on PANC02 cell viability determined by the CCK-8 assay; C: Effect of POM121 knockdown on colony-forming ability assessed by the colony formation assay; D: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图5 乳酸通过POM121抑制CD8+ T细胞功能 A:乳酸比色试剂盒检测PANC02细胞内的乳酸水平;B:Western blot检测PANC02细胞中Pan-Kla和H3K18la的表达;C:CCK-8法评估PANC02的细胞活力;D:通过平板克隆形成实验评估PANC02的细胞增殖能力;E:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平Fig.5 Lactate suppresses CD8+ T-cell function through POM121 A: Intracellular lactate levels in PANC02 cells; B: Expression of Pan-Kla and H3K18la in PANC02 cells detected by Western blot; C: Cell viability of PANC02 cells assessed by the CCK-8 assay; D: Colony-forming ability of PANC02 cells evaluated by the colony formation assay; E: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图6 在胰腺癌异种移植模型中分析H3K18la-POM121轴对肿瘤免疫的调控作用 A:肿瘤体积测量与生长曲线分析;B:肿瘤质量比较;C:Western blot检测肿瘤组织中POM121、Pan-Kla和H3K18la表达;D:肿瘤组织中的乳酸含量检测;E:流式细胞术分析CD8+ T细胞的浸润水平;F:qRT-PCR检测肿瘤组织中GZMB、TNF-α和IFN-γ水平Fig.6 Regulatory effects of the H3K18la-POM121 axis on tumor immunity in a pancreatic cancer xenograft model A: Tumor growth curves and tumor volume analysis; B: Comparison of tumor weights; C: Expression of POM121, Pan-Kla, and H3K18la in tumor tissues detected by Western blot; D: Lactate levels in tumor tissues; E: Infiltration of CD8+ T cells analyzed by flow cytometry; F: Expression of GZMB, TNF-α, and IFN-γ in tumor tissues determined by qRT-PCR
    图1 组蛋白乳酸化水平在胰腺癌细胞中增加 A:糖酵解关键酶LDHA在胰腺癌和癌旁正常组织中的表达水平;B:TCGA数据库中LDHA高表达和低表达胰腺癌患者的总生存率;C:Western blot检测Pan-Kla和位点特异性组蛋白乳酸化的表达Fig.1 Increased histone lactylation levels in pancreatic cancer cells A: Expression of LDHA in pancreatic cancer and adjacent normal tissues; B: Overall survival of pancreatic cancer patients with high and low LDHA expression based on TCGA data; C: Expression of Pan-Kla and site-specific histone lactylation detected by Western blot
    图2 组蛋白乳酸化参与CD8+ T细胞的功能调控 A:乳酸比色试剂盒检测在不同浓度的oxamate中培养的PANC02细胞内的乳酸水平;B:Western blot检测在不同浓度的oxamate中培养的PANC02细胞中Pan-Kla和H3K18la的表达;C:Western blot筛选si-LDHA位点;D:乳酸比色试剂盒检测了在PANC02细胞中敲低LDHA对乳酸水平的影响;E:Western blot检测在PANC02细胞中敲低LDHA对Pan-Kla和H3K18la表达的影响;F:通过CCK-8法检测敲低LDHA对PANC02细胞活力的影响;G:平板克隆形成实验评估敲低LDHA对PANC02细胞成球能力的影响;H:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平Fig.2 Histone lactylation participates in the regulation of CD8+ T-cell function A: Intracellular lactate levels in PANC02 cells treated with different concentrations of oxamate; B: Expression of Pan-Kla and H3K18la in PANC02 cells treated with different concentrations of oxamate; C: Screening of si-LDHA transfection efficiency by Western blot; D: Effect of LDHA knockdown on intracellular lactate levels; E: Effect of LDHA knockdown on Pan-Kla and H3K18la expression; F: Effect of LDHA knockdown on PANC02 cell viability determined by CCK-8 assay; G: Effect of LDHA knockdown on colony-forming ability assessed by colony formation assay; H: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图3 H3K18la激活胰腺癌细胞中POM121的转录 A:POM121在胰腺癌和癌旁正常组织中的表达水平;B:Western blot检测POM121在胰腺癌细胞中的表达;C:Western blot检测oxamate(20 mmol/L)对PANC02细胞中POM121表达的影响;D:ChIP-qPCR检测H3K18与POM121的结合关系;E:双荧光素酶报告基因实验检测POM121启动子活性Fig.3 H3K18la activates POM121 transcription in pancreatic cancer cells A: Expression of POM121 in pancreatic cancer and adjacent normal tissues; B: Expression of POM121 in pancreatic cancer cells detected by Western blot; C: Effect of oxamate (20 mmol/L) on POM121 expression in PANC02 cells; D: Enrichment of H3K18la at the POM121 promoter detected by ChIP-qPCR; E: POM121 promoter activity determined by dual-luciferase reporter assay
    图4 敲低POM121表达可通过CD8+ T细胞增强抗胰腺癌细胞免疫 A:Western blot筛选si-POM121位点;B:CCK-8法评估敲低POM121对PANC02细胞活力的影响;C:平板克隆形成实验评估敲低POM121对PANC02细胞成球能力的影响;D:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平以评估敲低POM121对CD8+ T细胞功能的影响Fig.4 POM121 knockdown enhances CD8+ T-cell-mediated antitumor immunity against pancreatic cancer cells A: Screening of si-POM121 transfection efficiency by Western blot; B: Effect of POM121 knockdown on PANC02 cell viability determined by the CCK-8 assay; C: Effect of POM121 knockdown on colony-forming ability assessed by the colony formation assay; D: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图5 乳酸通过POM121抑制CD8+ T细胞功能 A:乳酸比色试剂盒检测PANC02细胞内的乳酸水平;B:Western blot检测PANC02细胞中Pan-Kla和H3K18la的表达;C:CCK-8法评估PANC02的细胞活力;D:通过平板克隆形成实验评估PANC02的细胞增殖能力;E:流式细胞术检测CD8+ T细胞中GZMB、TNF-α和IFN-γ水平Fig.5 Lactate suppresses CD8+ T-cell function through POM121 A: Intracellular lactate levels in PANC02 cells; B: Expression of Pan-Kla and H3K18la in PANC02 cells detected by Western blot; C: Cell viability of PANC02 cells assessed by the CCK-8 assay; D: Colony-forming ability of PANC02 cells evaluated by the colony formation assay; E: Expression of GZMB, TNF-α, and IFN-γ in CD8+ T cells detected by flow cytometry
    图6 在胰腺癌异种移植模型中分析H3K18la-POM121轴对肿瘤免疫的调控作用 A:肿瘤体积测量与生长曲线分析;B:肿瘤质量比较;C:Western blot检测肿瘤组织中POM121、Pan-Kla和H3K18la表达;D:肿瘤组织中的乳酸含量检测;E:流式细胞术分析CD8+ T细胞的浸润水平;F:qRT-PCR检测肿瘤组织中GZMB、TNF-α和IFN-γ水平Fig.6 Regulatory effects of the H3K18la-POM121 axis on tumor immunity in a pancreatic cancer xenograft model A: Tumor growth curves and tumor volume analysis; B: Comparison of tumor weights; C: Expression of POM121, Pan-Kla, and H3K18la in tumor tissues detected by Western blot; D: Lactate levels in tumor tissues; E: Infiltration of CD8+ T cells analyzed by flow cytometry; F: Expression of GZMB, TNF-α, and IFN-γ in tumor tissues determined by qRT-PCR
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叶轲,朱忠成,逯子川,唐甜甜,梁帅. H3K18乳酸化通过转录激活POM121促进胰腺癌免疫逃逸的机制研究[J].中国普通外科杂志,2026,35(5):990-1002.
DOI:10.7659/j. issn.1005-6947.260125

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  • 收稿日期:2026-03-08
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