Krupple-Like Factor 5 is a Potential Therapeutic Target and Prognostic Marker in Epithelial Ovarian Cancer

Abdul K Siraj1, Poyil Pratheeshkumar1, Sasidharan Padmaja Divya1

  • 1Human Cancer Genomic Research, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Frontiers in Pharmacology
|January 11, 2021
PubMed

Insights

Krupple-like factor 5 (KLF5) is overexpressed in epithelial ovarian cancer (EOC) and promotes tumor growth and metastasis. Targeting KLF5 may offer a new therapeutic strategy for EOC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Gynecologic Oncology

Background:

  • Epithelial ovarian cancer (EOC) is a leading cause of cancer death among women.
  • Current treatments for advanced EOC have limited efficacy, highlighting the need for novel therapeutic targets.
  • Krupple-like factor 5 (KLF5), a transcription factor, is implicated in various cancers, but its role in EOC is not well-defined.

Purpose of the Study:

  • To investigate the expression and function of KLF5 in epithelial ovarian cancer.
  • To explore the relationship between KLF5 and the signal transducer and activator of transcription 3 (STAT3) signaling pathway in EOC.
  • To evaluate KLF5 as a potential therapeutic target for EOC.

Main Methods:

  • Immunohistochemical analysis of KLF5 protein expression in 425 primary EOC samples using tissue microarrays.
  • Functional studies involving forced expression and knockdown of KLF5 in EOC cell lines (MDAH2774, OVISE, OVSAHO).
  • Assessment of cell growth, migration, invasion, epithelial-to-mesenchymal transition (EMT), and spheroid self-renewal upon KLF5 manipulation. Evaluation of KLF5's effect on cisplatin-induced apoptosis and STAT3 signaling.

Main Results:

  • KLF5 was overexpressed in 53% of EOC samples and correlated with aggressive tumor markers.
  • Forced KLF5 expression increased cell growth in a low-expressing EOC cell line.
  • KLF5 knockdown reduced cell growth, migration, invasion, EMT, and spheroid self-renewal in high-expressing EOC cell lines.
  • Downregulation of KLF5 enhanced cisplatin-induced apoptosis and was linked to STAT3 pathway activation.

Conclusions:

  • KLF5 plays a pro-tumorigenic role in epithelial ovarian cancer.
  • KLF5 contributes to EOC progression by activating the STAT3 signaling pathway.
  • KLF5 represents a promising molecular therapeutic target for epithelial ovarian cancer treatment.