Abstract
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 CUL4ADET1-COP1. 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.
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Acknowledgements
We thank all the other members of the J.W laboratory for their suggestions and technical assistance. We are grateful to Prof. Cheng-Ming Chiang (UT Southwestern Medical Center) for critical reading our manuscript. This study was supported by grants from National Natural Science Foundation of China (81530078 and 31961133009 to JW and 82203355 to LK), and Shanghai Science and Technology Committee (20JC1411500 to JW).
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KL: Conceptualization, formal analysis, investigation, visualization, methodology, writing–original draft. YL: Conceptualization, formal analysis, validation, investigation, visualization. JH: Conceptualization, validation, investigation, visualization. YW: Validation, investigation, visualization. MX: Validation, investigation, visualization. XW: Investigation. ZW: Investigation, methodology. YZ: Investigation, visualization, methodology. MC: Validation, visualization. JL: Validation, methodology. WW: Methodology. LL: Supervision, methodology. JL: Project management. EL: funding acquisition, supervision. RZ: Conceptualization, supervision, funding acquisition, project administration. LX: Conceptualization, formal analysis, supervision, funding acquisition, writing–original draft, project administration. JW: Conceptualization, formal analysis, supervision, funding acquisition, writing–original draft, project administration.
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Kang, L., Liu, Y., He, J. et al. GSK3β-driven SOX2 overexpression is a targetable vulnerability in esophageal squamous cell carcinoma. Oncogene 42, 2297–2314 (2023). https://doi.org/10.1038/s41388-023-02748-w
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DOI: https://doi.org/10.1038/s41388-023-02748-w