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Updated: Aug 30, 2025

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Published on: May 2, 2025
SPOP promotes cervical cancer progression by inducing the movement of PD-1 away from PD-L1 in spatial localization
Jiangchun Wu1,2, Yong Wu1,2, Qinhao Guo1,2
1Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China.
Background:
Metastasis is a major obstacle in the treatment of cervical cancer (CC), and SPOP-mediated regulatory effects are involved in metastasis. However, the mechanisms have not been fully elucidated.
Methods:
Proteomic sequencing and SPOP immunohistochemistry (IHC) were performed for the pelvic lymph node (pLN)-positive and non-pLN groups of CC patients. The corresponding patients were stratified by SPOP expression level for overall survival (OS) and relapse-free survival (RFS) analysis. In vitro and in vivo tests were conducted to verify the causal relationship between SPOP expression and CC metastasis. Multiplex immunofluorescence (m-IF) and the HALO system were used to analyse the mechanism, which was further verified by in vitro experiments.
Results:
SPOP is upregulated in CC with pLN metastasis and negatively associated with patient outcome. In vitro and in vivo, SPOP promotes CC proliferation and metastasis. According to m-IF and HALO analysis, SPOP may promote CC metastasis by promoting the separation of PD-1 from PD-L1. Finally, it was further verified that SPOP can achieve immune tolerance by promoting the movement of PD-1 away from PD-L1 in spatial location and function.
Conclusion:
This study shows that SPOP can inhibit the immune microenvironment by promoting the movement of PD-1 away from PD-L1, thereby promoting pLN metastasis of CC and resulting in worse OS and RFS.
Insights
SPOP protein promotes cervical cancer metastasis by disrupting PD-1 and PD-L1 interaction, leading to immune suppression and poorer patient survival outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Metastasis remains a significant challenge in cervical cancer (CC) treatment.
- The precise mechanisms of SPOP's involvement in CC metastasis require further investigation.
Purpose of the Study:
- To elucidate the role and mechanism of SPOP in cervical cancer metastasis.
- To investigate the association between SPOP expression and patient survival in CC.
Main Methods:
- Proteomic sequencing and SPOP immunohistochemistry (IHC) on CC patient samples.
- In vitro and in vivo experiments to assess SPOP's effect on CC proliferation and metastasis.
- Multiplex immunofluorescence (m-IF) and HALO analysis to explore the underlying mechanism.
Main Results:
- SPOP is upregulated in CC with lymph node metastasis and correlates with worse patient outcomes (OS and RFS).
- SPOP enhances CC proliferation and metastasis in vitro and in vivo.
- SPOP promotes CC metastasis by facilitating the spatial separation of PD-1 from PD-L1, inducing immune tolerance.
Conclusions:
- SPOP promotes pelvic lymph node metastasis in cervical cancer by impairing the immune microenvironment.
- SPOP-induced disruption of PD-1/PD-L1 interaction leads to immune suppression and negatively impacts overall and relapse-free survival in CC patients.
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