Ribosomal S6 protein kinase 4 promotes radioresistance in esophageal squamous cell carcinoma

Autor: Jing Ye, Dong-Hui Han, Mingyang Li, Danhui Zhao, Kaichun Wu, Yongzhan Nie, Yan Wang, Peifeng Li, Qingguo Yan, Shuangping Guo, Linni Fan, Yu Shi, Zhe Wang, Jia Chai, Lei Jiang, Jian Zhang, Qiuhong Duan, Zhou Yu, Dezhong Joshua Liao, Juanjuan Xiao, Mei Shi, Feng Zhu, Xiu-Wu Bian, Jing Ma, Shi-Liang Li, Yixiong Liu
Rok vydání: 2019
Předmět:
Zdroj: J Clin Invest
ISSN: 1558-8238
Popis: Esophageal squamous cell carcinoma (ESCC) is one of the most aggressive cancers and is highly resistant to current treatments. ESCC harbors a subpopulation of cells exhibiting cancer stem-like cell (CSC) properties that contribute to therapeutic resistance including radioresistance, but the molecular mechanisms in ESCC CSCs are currently unknown. Here, we report that ribosomal S6 protein kinase 4 (RSK4) plays a pivotal role in promoting CSC properties and radioresistance in ESCC. RSK4 was highly expressed in ESCC CSCs and associated with radioresistance and poor survival in patients with ESCC. RSK4 was found to be a direct downstream transcriptional target of ΔNp63α, the main p63 isoform, which is frequently amplified in ESCC. RSK4 activated the β-catenin signaling pathway through direct phosphorylation of GSK-3β at Ser9. Pharmacologic inhibition of RSK4 effectively reduced CSC properties and improved radiosensitivity in both nude mouse and patient-derived xenograft models. Collectively, our results strongly suggest that the ΔNp63α/RSK4/GSK-3β axis plays a key role in driving CSC properties and radioresistance in ESCC, indicating that RSK4 is a promising therapeutic target for ESCC treatment.
Databáze: OpenAIRE