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Activated ATF6α is a hepatic tumour driver restricting immunosurveillance - PubMed

3 months ago
  • #ATF6α
  • #Immunosurveillance
  • #Hepatocellular Carcinoma
  • Activated ATF6α is identified as a hepatic tumour driver that restricts immunosurveillance in hepatocellular carcinoma (HCC).
  • ATF6α activation in human HCC correlates with aggressive tumour phenotypes, reduced patient survival, and local immunosuppression.
  • In mice, hepatocyte-specific ATF6α activation leads to progressive hepatitis, ER stress, immunosuppression, and hepatocyte proliferation.
  • ATF6α increases glycolysis and directly represses the gluconeogenic enzyme FBP1, contributing to metabolic dysregulation.
  • Restoring FBP1 expression can mitigate pathologies associated with ATF6α activation.
  • Prolonged ATF6α activation triggers hepatocarcinogenesis and immune exhaustion, which can be reversed by immune checkpoint blockade (ICB).
  • Patients with HCC responding well to immunotherapy show increased ATF6α activation.
  • Targeting ATF6α through various methods reduces HCC in preclinical models, suggesting it as a therapeutic target.