CREBBP loss drives immune evasion by epigenetically silencing STING and MHC-I in small cell lung cancer
6 affiliations
- 1Department of Thoracic Surgery, Institute of Clinical Research, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
- 2Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
- 3Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
- 4Department of Pathology, Yale School of Medicine, Yale University, New Haven, CT, USA.
- 5Yale Cancer Center, Yale School of Medicine, Yale University, New Haven, CT, USA.
- 6Division of Human Biology, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Abstract
Most small cell lung cancers (SCLCs) exhibit low immunogenicity and intrinsic resistance to immunotherapy, yet the underlying mechanisms remain poorly understood. Here, we identify CREBBP loss, a frequent genetic alteration in SCLC, as a key suppressor of tumor cell-intrinsic immune responses that drives an immune-cold tumor microenvironment in Rb1/Trp53-driven autochthonous mouse models. Consistently, Crebbp deletion promotes immune escape in syngeneic SCLC models. Mechanistically, Crebbp loss suppresses Sting and major histocompatibility complex class-I expression by reducing histone H3 acetylation. Notably, HDAC inhibition restores histone acetylation, reactivates these silenced genes, and induces tumor cell-intrinsic immune responses. Moreover, pharmacological HDAC inhibition synergizes with immune checkpoint blockade to suppress tumor growth in both Crebbp-mutant and Crebbp-wild-type SCLCs, with a more prominent effect in Crebbp-mutant tumors. Collectively, these findings establish CREBBP loss as a key mechanism of immune evasion and immunotherapy resistance in SCLC, highlighting HDAC inhibition as a promising strategy to enhance immunotherapy efficacy.
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BibTeX
@article{gao2026crebbp,
title = {{CREBBP loss drives immune evasion by epigenetically silencing STING and MHC-I in small cell lung cancer}},
author = {Qing Gao and Kehong Wei and Deshen Pan and Chaoliang Xu and Yufei Xi and Yan Zhang and Arnaud Augert and David MacPherson and Deshui Jia},
journal = {Science Advances},
year = {2026},
month = oct,
doi = {10.1126/sciadv.aef1693},
url = {https://www.science.org/doi/10.1126/sciadv.aef1693},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - CREBBP loss drives immune evasion by epigenetically silencing STING and MHC-I in small cell lung cancer
AU - Qing Gao
AU - Kehong Wei
AU - Deshen Pan
AU - Chaoliang Xu
AU - Yufei Xi
AU - Yan Zhang
AU - Arnaud Augert
AU - David MacPherson
AU - Deshui Jia
PY - 2026
DA - 2026/10/21
JO - Science Advances
DO - 10.1126/sciadv.aef1693
UR - https://www.science.org/doi/10.1126/sciadv.aef1693
AB - Most small cell lung cancers (SCLCs) exhibit low immunogenicity and intrinsic resistance to immunotherapy, yet the underlying mechanisms remain poorly understood. Here, we identify CREBBP loss, a frequent genetic alteration in SCLC, as a key suppressor of tumor cell-intrinsic immune responses that drives an immune-cold tumor microenvironment in Rb1/Trp53-driven autochthonous mouse models. Consistently, Crebbp deletion promotes immune escape in syngeneic SCLC models. Mechanistically, Crebbp loss suppresses Sting and major histocompatibility complex class-I expression by reducing histone H3 acetylation. Notably, HDAC inhibition restores histone acetylation, reactivates these silenced genes, and induces tumor cell-intrinsic immune responses. Moreover, pharmacological HDAC inhibition synergizes with immune checkpoint blockade to suppress tumor growth in both Crebbp-mutant and Crebbp-wild-type SCLCs, with a more prominent effect in Crebbp-mutant tumors. Collectively, these findings establish CREBBP loss as a key mechanism of immune evasion and immunotherapy resistance in SCLC, highlighting HDAC inhibition as a promising strategy to enhance immunotherapy efficacy.
SN - 2375-2548
ER -