Palmitoylation prevents B7-H4 lysosomal degradation sustaining tumor immune evasion

Nat Commun. 2025 May 8;16(1):4254. doi: 10.1038/s41467-025-58552-5.

Abstract

B7-H4 functions as an immune checkpoint in the tumor microenvironment (TME). However, the post-translational modification (PTM) of B7-H4 and its translational potential in cancer remains incompletely understood. We find that ZDHHC3, a zinc finger DHHC-type palmitoyltransferase, palmitoylates B7-H4 at Cys130 in breast cancer cells, preventing its lysosomal degradation and sustaining B7-H4-mediated immunosuppression. Knockdown of ZDHHC3 in tumors results in robust anti-tumor immunity and reduces tumor progression in murine models. Moreover, abemaciclib, a CDK4/6 inhibitor, primes lysosome activation and promotes lysosomal degradation of B7-H4 independently of the tumor cell cycle. Treatment with abemaciclib results in T cell activation and mitigates B7-H4-mediated immune suppression via inducing B7-H4 degradation in preclinical tumor models. Thus, B7-H4 palmitoylation is an important PTM controlling B7-H4 protein stability and abemaciclib may be repurposed to promote B7-H4 degradation, thereby treating patients with B7-H4 expressing tumors.

MeSH terms

  • Acyltransferases / genetics
  • Acyltransferases / metabolism
  • Aminopyridines / pharmacology
  • Animals
  • Benzimidazoles / pharmacology
  • Breast Neoplasms* / drug therapy
  • Breast Neoplasms* / immunology
  • Breast Neoplasms* / metabolism
  • Breast Neoplasms* / pathology
  • Cell Line, Tumor
  • Female
  • Humans
  • Lipoylation* / drug effects
  • Lymphocyte Activation / drug effects
  • Lysosomes* / drug effects
  • Lysosomes* / metabolism
  • Mice
  • Proteolysis / drug effects
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • Tumor Escape* / drug effects
  • Tumor Escape* / immunology
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / immunology
  • V-Set Domain-Containing T-Cell Activation Inhibitor 1* / genetics
  • V-Set Domain-Containing T-Cell Activation Inhibitor 1* / immunology
  • V-Set Domain-Containing T-Cell Activation Inhibitor 1* / metabolism

Substances

  • Acyltransferases
  • V-Set Domain-Containing T-Cell Activation Inhibitor 1
  • Aminopyridines
  • Benzimidazoles
  • abemaciclib
  • VTCN1 protein, human