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

  • Ming Yang Li
  • , Lin Ni Fan
  • , Dong Hui Han
  • , Zhou Yu
  • , Jing Ma
  • , Yi Xiong Liu
  • , Pei Feng Li
  • , Dan Hui Zhao
  • , Jia Chai
  • , Lei Jiang
  • , Shi Liang Li
  • , Juan Juan Xiao
  • , Qiu Hong Duan
  • , Jing Ye
  • , Mei Shi
  • , Yong Zhan Nie
  • , Kai Chun Wu
  • , Dezhong Joshua Liao
  • , Yu Shi
  • , Yan Wang
  • Qing Guo Yan, Shuang Ping Guo, Xiu Wu Bian, Feng Zhu*, Jian Zhang*, Zhe Wang*
*Corresponding author for this work
  • Xijing Hospital
  • East China University of Science and Technology
  • Guilin Medical College
  • Huazhong University of Science and Technology
  • Guizhou University of Traditional Chinese Medicine
  • Army Medical University
  • Air Force Medical University

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)4301-4319
Number of pages19
JournalJournal of Clinical Investigation
Volume140
Issue number8
DOIs
StatePublished - 3 Aug 2020
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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