Transcription factor Zhx2 restricts NK cell maturation and suppresses their antitumor immunity

J Exp Med. 2021 Sep 6;218(9):e20210009. doi: 10.1084/jem.20210009. Epub 2021 Jul 19.

Abstract

The maturation and functional competence of natural killer (NK) cells is a tightly controlled process that relies on transcription factors (TFs). Here, we identify transcriptional repressor zinc fingers and homeoboxes 2 (Zhx2) as a novel regulator that restricts NK cell maturation and function. Mice with Zhx2 conditional deletion in NK cells (Zhx2Δ/Δ) showed accumulation of matured NK cells. Loss of Zhx2 enhanced NK cell survival and NK cell response to IL-15. Transcriptomic analysis revealed Zeb2, a key TF in NK cell terminal maturation, as a direct downstream target of Zhx2. Therapeutically, transfer of Zhx2-deficient NK cells resulted in inhibition of tumor growth and metastasis in different murine models. Our findings collectively unmask a previously unrecognized role of Zhx2 as a novel negative regulator in NK cell maturation and highlight its therapeutic potential as a promising strategy to enhance NK cell-mediated tumor surveillance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Survival
  • Homeodomain Proteins / genetics*
  • Homeodomain Proteins / metabolism*
  • Homeostasis
  • Humans
  • Interleukin-15 / metabolism
  • Interleukin-15 / pharmacology
  • Killer Cells, Natural / drug effects
  • Killer Cells, Natural / immunology*
  • Killer Cells, Natural / physiology
  • Liver Neoplasms, Experimental / immunology*
  • Liver Neoplasms, Experimental / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Transcription Factors / genetics
  • Transcription Factors / metabolism*
  • Xenograft Model Antitumor Assays
  • Zinc Finger E-box Binding Homeobox 2 / genetics
  • Zinc Finger E-box Binding Homeobox 2 / metabolism

Substances

  • Homeodomain Proteins
  • Interleukin-15
  • Transcription Factors
  • ZEB2 protein, human
  • ZHX2 protein, human
  • Zhx2 protein, mouse
  • Zinc Finger E-box Binding Homeobox 2