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Updated: Nov 1, 2025

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting therapy-resistant lung cancer stem cells via disruption of the AKT/TSPYL5/PTEN positive-feedback loop
In-Gyu Kim1,2, Jei-Ha Lee3, Seo-Yeon Kim3
1Department of Radiation Biology, Environmental Radiation Research Group, Korea Atomic Energy Research Institute, Daejeon, South Korea. igkim@kaeri.re.kr.
Abstract:
Cancer stem cells (CSCs) are regarded as essential targets to overcome tumor progression and therapeutic resistance; however, practical targeting approaches are limited. Here, we identify testis-specific Y-like protein 5 (TSPYL5) as an upstream regulator of CSC-associated genes in non-small cell lung cancer cells, and suggest as a therapeutic target for CSC elimination. TSPYL5 elevation is driven by AKT-dependent TSPYL5 phosphorylation at threonine-120 and stabilization via inhibiting its ubiquitination. TSPYL5-pT120 also induces nuclear translocation and functions as a transcriptional activator of CSC-associated genes, ALDH1 and CD44. Also, nuclear TSPYL5 suppresses the transcription of PTEN, a negative regulator of PI3K signaling. TSPYL5-pT120 maintains persistent CSC-like characteristics via transcriptional activation of CSC-associated genes and a positive feedback loop consisting of AKT/TSPYL5/PTEN signaling pathway. Accordingly, elimination of TSPYL5 by inhibiting TSPYL5-pT120 can block aberrant AKT/TSPYL5/PTEN cyclic signaling and TSPYL5-mediated cancer stemness regulation. Our study suggests TSPYL5 be an effective target for therapy-resistant cancer.
Insights
Testis-specific Y-like protein 5 (TSPYL5) regulates cancer stem cells in lung cancer. Inhibiting TSPYL5 phosphorylation offers a new therapeutic strategy to eliminate therapy-resistant cancer stem cells.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cancer stem cells (CSCs) drive tumor progression and therapeutic resistance.
- Targeting CSCs is crucial for effective cancer treatment, but practical strategies are limited.
Purpose of the Study:
- To identify upstream regulators of CSC-associated genes in non-small cell lung cancer (NSCLC).
- To evaluate testis-specific Y-like protein 5 (TSPYL5) as a potential therapeutic target for CSC elimination.
Main Methods:
- Investigated TSPYL5 as a regulator of CSC markers ALDH1 and CD44 in NSCLC cells.
- Examined the role of AKT-dependent phosphorylation and ubiquitination in TSPYL5 stabilization.
- Analyzed TSPYL5's effect on PTEN transcription and PI3K signaling.
Main Results:
- TSPYL5 acts as an upstream regulator of CSC-associated genes ALDH1 and CD44.
- AKT-dependent phosphorylation of TSPYL5 at threonine-120 (TSPYL5-pT120) enhances its stability and nuclear translocation.
- Nuclear TSPYL5 activates CSC genes and suppresses PTEN, creating a positive feedback loop with AKT/TSPYL5/PTEN signaling, maintaining CSC characteristics.
Conclusions:
- TSPYL5-pT120 is a key driver of CSC-like properties in NSCLC.
- Targeting TSPYL5-pT120 can disrupt the AKT/TSPYL5/PTEN signaling pathway.
- TSPYL5 represents a promising therapeutic target for overcoming resistance in advanced cancers.
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