The ISGylation tapestry in cancer: weaving phenotypic plasticity through multidimensional regulatory looms

Ruicheng Wu, Fanglin Shao, Siang Boon Koh, Uzoamaka Adaobi Okoli, Dengxiong Li, Jie Wang, Zhouting Tuo, Rong Zhang, Dilinaer Wusiman, Umber Cheema*, Depei Kong*, Dechao Feng*

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

Abstract

Post-translational modification is an important mechanism for regulating protein function and cell signaling networks. Among these modifications, ISGylation is a ubiquitin-like modification regulated by ISG15. In this review, we explore the role of ISGylation in a variety of related phenotypes in the tumor context, including apoptosis regulation, autophagy regulation, immune escape, metabolic reprogramming, cancer stem cell maintenance, and DNA damage repair. ISGylation plays a dual role in apoptosis, promoting either pro-survival or pro-death pathways depending on contexts. It also regulates autophagy by promoting tumor adaptation or by regulating immune responses. Moreover, ISGylation contributes to the immune escape mechanism by regulating the stability of PD-L1 and immune cell infiltration. In addition, ISGylation is involved in metabolic reprogramming, supporting tumor growth and therapeutic resistance by regulating key metabolic pathways. It also plays a key role in maintaining the properties of cancer stem cells by stabilizing essential metabolic and signaling proteins. In sum, this review examines the functions and mechanisms of ISG15 and ISGylation in various tumor-associated phenotypes, enhancing our understanding of their role in tumorigenesis and disease progression. Graphical abstract:
Original languageEnglish
Article number132
Number of pages20
JournalCellular and Molecular Biology Letters
Volume30
Issue number1
DOIs
Publication statusPublished - 5 Nov 2025

Bibliographical note

Publisher Copyright:
© The Author(s) 2025.

Keywords

  • ISGylation
  • Drug resistance
  • Tumor microenvironment
  • Post-translational modification
  • Immune evasion

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