Related Experiment Video
Updated: Oct 3, 2025

Author Spotlight: Exploring the Role of Inflammation in the Co-occurrence of Primary Sjogren's Syndrome and Lung Adenocarcinoma
Published on: September 20, 2024
Protein disulfide isomerase a4 promotes lung cancer development via the Stat3 pathway in stromal cells
Tzung-Yan Chen1,2, Chun-Yen Yang1,3, Meng-Ting Yang1
1Agricultural Biotechnology Research Center, Academia Sinica, Taipei, Taiwan.
Background:
Protein disulfide isomerases a4 (Pdia4) is known to be involved in cancer development. Our previous publication showed that Pdia4 positively promotes cancer development via its inhibition of procaspase-dependent apoptosis in cancer cells. However, nothing is known about its role in the cancer microenvironment.
Results:
Here, we first found that Pdia4 expression in lung cancer was negatively correlated with patient survival. Next, we investigated the impact of host Pdia4 in stromal cells during cancer development. We showed that Pdia4 was expressed at a low level in stromal cells, and this expression was up-regulated akin to its expression in cancer cells. This up-regulation was stimulated by tumour cell-derived stimuli. Genetics studies in tumour-bearing wild-type and Pdia4-/- mice showed that host Pdia4 promoted lung cancer development in the mice via cancer stroma. This promotion was abolished in Rag1-/- mice which lacked T and B cells. This promotion could be restored once T and B cells were added back to Rag1-/- mice. In addition, host Pdia4 positively regulated the number and immunosuppressive function of stromal cells. Mechanistic studies showed that host Pdia4 positively controlled the Stat3/Vegf pathway in T and B lymphocytes via its stabilization of activated Stat3 in a Thioredoxin-like domain (CGHC)-dependent manner.
Conclusions:
These findings identify Pdia4 as a possible target for intervention in cancer stroma, suggesting that targeting Pdia4 in cancer stroma is a promising anti-cancer approach.
Insights
Protein disulfide isomerase a4 (Pdia4) promotes lung cancer by affecting the tumor microenvironment and immune cells. Targeting Pdia4 in cancer stroma offers a promising anti-cancer strategy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Protein disulfide isomerase a4 (Pdia4) is implicated in cancer development by inhibiting apoptosis.
- The role of Pdia4 in the tumor microenvironment remains largely unknown.
Purpose of the Study:
- To investigate the role of host Pdia4 in lung cancer development within the tumor microenvironment.
- To elucidate the mechanisms by which Pdia4 influences stromal cells and immune responses.
Main Methods:
- Correlation analysis of Pdia4 expression with patient survival.
- Genetic studies using Pdia4 knockout mice and Rag1 knockout mice.
- Analysis of immune cell populations and function.
- Investigation of signaling pathways including Stat3/Vegf.
Main Results:
- Pdia4 expression negatively correlates with lung cancer patient survival.
- Host Pdia4 in stromal cells promotes lung cancer development via the cancer stroma.
- Pdia4 influences T and B lymphocytes, regulating their number and immunosuppressive function.
- Host Pdia4 stabilizes activated Stat3 in a Thioredoxin-like domain (CGHC)-dependent manner, controlling the Stat3/Vegf pathway.
Conclusions:
- Host Pdia4 plays a critical role in promoting lung cancer progression through the tumor microenvironment.
- Targeting Pdia4 in cancer stroma represents a potential therapeutic strategy for anti-cancer interventions.
Related Concept Videos
The JAK-STAT Signaling Pathway
PI3K/mTOR/AKT Signaling Pathway
Abnormal Proliferation
TGF - β Signaling Pathway
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

