Kang Li, Liu Yujie, He Jianzhong, Wang Yaling, Xue Mengyang, Wu Xin, Wang Zhen, Zhang Yunpeng, Chu Manyu, Li Jialun, Wei Wei, Li Jiwen, Li Enmin, Liao Lujian, Xiao Jianru, Zhang Rong, Xu Liyan, Wong Jiemin
Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai, China.
Joint Center for Translational Medicine, Fengxian District Central Hospital, 6600th Nanfeng Road, Fengxian District, Shanghai, China.
Oncogene. 2023 Jul;42(30):2297-2314. doi: 10.1038/s41388-023-02748-w. Epub 2023 Jun 22.
Esophageal squamous cell carcinoma (ESCC) is one of the deadliest forms of human malignancy that currently lacks approved targeted therapeutics. Accumulating evidence suggests that SOX2 overexpression is a key driving factor for ESCC and various squamous cell carcinoma. Here, through screening a small-molecule kinase inhibitor library, we identified GSK3β as a kinase that is critically required for robust SOX2 expression in ESCC cells. GSK3β did not promote SOX2 transcriptionally but was required for SOX2 protein stability. We demonstrated that GSK3β interacts with and phosphorylates SOX2 at residue S251, which blocks SOX2 from ubiquitination and proteasome-dependent degradation instigated by ubiquitin E3 ligase CUL4A. Pharmacological inhibition or knockdown of GSK3β by RNA interference selectively impaired SOX2-positive ESCC cell proliferation, cancer stemness, and tumor growth in mouse xenograft model, suggesting that GSK3β promotes ESCC tumorigenesis primarily by driving SOX2 overexpression. GSK3β was found to be frequently overexpressed in clinical esophageal tumors, and there was a positive correlation between GSK3β and SOX2 protein levels. Notably, we found that SOX2 enhanced GSK3β expression transcriptionally, suggesting the existence of a vicious cycle that drives a coordinated GSK3β and SOX2 overexpression in ESCC cells. Finally, we demonstrated in tumor xenograft model that GSK3β inhibitor AR-A014418 was effective in suppressing SOX2-positive ESCC tumor progression and inhibited tumor progression cooperatively with chemotherapeutic agent carboplatin. In conclusion, we uncovered a novel role for GSK3β in driving SOX2 overexpression and tumorigenesis and provided evidence that targeting GSK3β may hold promise for the treatment of recalcitrant ESCCs.
食管鳞状细胞癌(ESCC)是人类最致命的恶性肿瘤之一,目前缺乏经批准的靶向治疗方法。越来越多的证据表明,SOX2过表达是ESCC和各种鳞状细胞癌的关键驱动因素。在这里,通过筛选小分子激酶抑制剂文库,我们确定GSK3β是ESCC细胞中强大的SOX2表达所必需的激酶。GSK3β不是通过转录促进SOX2,而是SOX2蛋白稳定性所必需的。我们证明GSK3β与SOX2相互作用并在S251残基处磷酸化SOX2,这阻止了SOX2被泛素E3连接酶CUL4A引发的泛素化和蛋白酶体依赖性降解。通过RNA干扰对GSK3β进行药理学抑制或敲低,选择性地损害了SOX2阳性ESCC细胞的增殖、癌症干性以及小鼠异种移植模型中的肿瘤生长,表明GSK3β主要通过驱动SOX2过表达促进ESCC肿瘤发生。发现GSK3β在临床食管肿瘤中经常过表达,并且GSK3β与SOX2蛋白水平之间存在正相关。值得注意的是,我们发现SOX2在转录上增强了GSK3β的表达,这表明存在一个恶性循环,在ESCC细胞中驱动GSK3β和SOX2的协同过表达。最后,我们在肿瘤异种移植模型中证明,GSK3β抑制剂AR-A014418可有效抑制SOX2阳性ESCC肿瘤进展,并与化疗药物卡铂协同抑制肿瘤进展。总之,我们揭示了GSK3β在驱动SOX过表达和肿瘤发生中的新作用,并提供了证据表明靶向GSK3β可能为治疗难治性ESCC带来希望。 2(原文中最后一处应为SOX2,译文已修正)