The incidence and mortality of Hepatocellular carcinoma (HCC) rank fifth and third, respectively [1]. The majority of patients are identified at later stages, which generally results in an overall poor prognosis of the carcinoma. Moreover, Inflammation, multiple molecular occurrences, and several cellular signaling pathways were all linked to HCC advancement, apart from Hepatitis C virus and Hepatitis B virus infection [2]. Drug resistance, tumor recurrence, and metastasis significantly restrict the effectiveness of HCC treatments despite the availability of numerous treatment options, including targeted therapy and immunotherapeutic medications [3].
The tumor microenvironment (TME) has recently become recognized as having an essential part in the growth of tumors and could be a potential target for cancer therapy [4]. In the TME, tumor-associated macrophages (TAMs) are widely distributed and are regarded as crucial immunosuppressive cellular components [5]. The activation of TAMs is a complicated process that manifests itself in a variety of phenotypes during the progression of tumors [6]. Typically, early-stage tumor-initiating macrophages have an M1 phenotype and engage in anti-tumor actions [7], while the pro-tumorigenic TAMs receive instructions from the tumor cells to develop an immunosuppressive state and encourage the growth of the malignancy by either secreting a variety of anti-inflammatory chemicals or by blocking the cytotoxic activity of CD8 + T cells, thus evading the immune surveillance [8]. TAMs have anti-tumorigenic and pro-tumorigenic plasticity, due to which they are regarded as a potential target for therapeutic intervention against malignancies [9]. Several preclinical investigations have shown that preventing macrophage recruitment or modifying their characteristic phenotype to restricted M2 type might prevent tumor growth and enhance therapeutic response [10–14]. The identification of novel compounds capable of interfering with macrophages may provide novel targets for TAM-centered immunotherapy against cancer, and by possible reversal of the M2 state of TAMs in the tumors may thus be viewed as a potential therapeutic method.
Eukaryotic RNA binding proteins (RBPs) are highly conserved in nature. The PUF family, including the FBF and Pumilio, binds to the sequence regions post-transcriptionally, which are responsible for repressing gene expression. By binding targets specifically on the mRNAs at the 3'UTR region, the Pumilio-binding elements (PBEs) control cell differentiation and fate determination [15–17]. Recent genetic research on the genes that encode the RNA-binding proteins known as Pumilio-1 (Pum1) and Pumilio-2 (Pum2), members of the mammalian PUF family, have shown the functions of post-transcriptionally controlling growth, reproduction, and development of the eukaryotic brain in addition to malignant tumors progression [18–20]. An earlier study revealed that PUM1 is overexpressed in colon cancer cells that have developed Cetuximab resistance and is associated with TAM [21–22]. However, the mechanism of action of PUM1 in HCC is still largely unknown.
In the current study, we sought to understand better the processes by which PUM1 promotes the development of HCC by demonstrating that PUM1 inhibits anti-tumor immunity in HCC and is necessary for the M2 polarization of TAMs using PUM1-knockout mice. Our findings offer further proof showing the function of PUM1 in the tumor microenvironment in HCC.