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Updated: Feb 3, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
DNA damage-inducible transcript 4 is an innate guardian for human squamous cell carcinoma and an molecular vector for
Xiaojiao Zhang1, Fuling Luo2, Jing Li3
1Department of Dermatology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Abstract:
Cutaneous squamous cell carcinoma (SCC) is one of the most common non-melanoma skin cancers worldwide. While its exact tumorigenesis mechanisms is far from well-established and less satisfied therapeutic strategy can be clinically used nowadays. In this study, we intended to investigate the role of DNA damage-inducible transcript 4 (DDIT4) in human SCC. Firstly, we identified DDIT4 is significantly suppressed in human SCC tissue and cultured A431 cell line, and reduced DDIT4 accelerates keratinocytes proliferation but impedes the autophagy flux through mTORC1 pathway by affecting the downstream S6 Kinase1, 4E-BP1, Beclin1 and LC3 II/I. While 1,25(OH)2 D3 enhanced DDIT4 expression and activated autophagy and inhibit mTORC1 to take the effect of anti-proliferation and activating autophagy. Further, formation of direct vitamin D receptor (VDR)-DDIT4 transcription complex was verified by ChIP-qPCR, which showed the molecular mechanism of how 1,25(OH)2 D3 promotes DDIT4 transcription. Thirdly, xenograft tumor-bearing mice model treated by gradient concentrations of 1,25(OH)2 D3 revealed the obvious anti-carcinoma effect of 1,25(OH)2 D3 in vivo and DDIT4 acted the molecular vector of 1,25(OH)2 D3 through mTORC1. Lastly, elevated DDIT4 expression was verified in human actinic keratoses tissue, and chronic long-term ultraviolet (UV) irradiation on mouse disclosed UV could promote DDIT4 expression inside epidermis. Conclusively, our research suggested a novel molecular mechanism about the human SCC tumorigenesis and the pharmacological mechanism about how 1,25(OH)2 D3 take its anti-carcinoma role on human SCC, as well as a striking paradoxes that how UV irradiation plays the tumorigenesis effect but synchronously take a protective role in the early stage of SCC carcinogenesis.
Insights
DNA damage-inducible transcript 4 (DDIT4) is suppressed in skin cancer, hindering autophagy and promoting proliferation. Vitamin D enhances DDIT4, inhibiting cancer growth via the mTORC1 pathway.
Area of Science:
- Oncology
- Molecular Biology
- Dermatology
Background:
- Cutaneous squamous cell carcinoma (SCC) is a prevalent non-melanoma skin cancer with limited therapeutic options.
- The precise mechanisms of SCC tumorigenesis and effective treatments remain incompletely understood.
Purpose of the Study:
- To investigate the role of DNA damage-inducible transcript 4 (DDIT4) in human SCC.
- To elucidate the molecular mechanisms underlying 1,25(OH)2D3's anti-carcinoma effects in SCC.
Main Methods:
- Analysis of DDIT4 expression in human SCC tissues and cell lines.
- Investigation of DDIT4's impact on keratinocyte proliferation and autophagy via the mTORC1 pathway.
- Chromatin immunoprecipitation quantitative PCR (ChIP-qPCR) to verify VDR-DDIT4 complex formation.
- In vivo studies using xenograft tumor-bearing mice models treated with 1,25(OH)2D3.
- Assessment of DDIT4 expression in actinic keratoses and UV-irradiated mouse skin.
Main Results:
- DDIT4 is significantly suppressed in human SCC, correlating with accelerated keratinocyte proliferation and impaired autophagy.
- 1,25(OH)2D3 enhances DDIT4 expression, activates autophagy, and inhibits the mTORC1 pathway, leading to anti-proliferative effects.
- A direct VDR-DDIT4 transcription complex was identified, explaining 1,25(OH)2D3's transcriptional regulation of DDIT4.
- In vivo studies confirmed the anti-carcinoma efficacy of 1,25(OH)2D3, with DDIT4 mediating its effects through mTORC1.
- Elevated DDIT4 was observed in actinic keratoses, and UV irradiation paradoxically increased epidermal DDIT4 expression.
Conclusions:
- DDIT4 plays a critical role in SCC development by regulating keratinocyte proliferation and autophagy.
- 1,25(OH)2D3 exerts anti-cancer effects in SCC by upregulating DDIT4 expression and modulating the mTORC1 pathway.
- UV irradiation exhibits a dual role, potentially promoting SCC carcinogenesis while inducing protective DDIT4 expression in early stages.
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