Caspase-8 mutants activate Nrf2 via phosphorylating SQSTM1 to protect against oxidative stress in esophageal squamous cell carcinoma
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Updated: Aug 27, 2025

Measurements of Physiological Stress Responses in C. Elegans
Published on: May 21, 2020
Lei Li1, Riyue Feng2, Yang Li2
1State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China; Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China.
Abstract:
Caspase-8, a caspase protein, is involved in the regulation of multiple cell death modes and has a predominant role in cell death. Cancer-associated mutations in the protein-coding region of caspase-8 have been widely reported in several solid tumors and might lead to the loss of its apoptotic function and contribute to the pathogenesis of tumors. However, the specific function and molecular mechanisms of mutant caspase-8 in the development of esophageal squamous cell carcinoma (ESCC) remain unknown. Here, we identified caspase-8 mutants exert tumor-promoting properties in ESCC, patients with the mutants presented a worse prognosis, and caspase-8 mutants lost the suppressive effect on tumor growth in ESCC cells. In addition, we demonstrated that caspase-8 mutants gain a new function of abolishing excess reactive oxygen species (ROS) to maintain ESCC cell growth under oxidative stress. An Nrf2 inhibitor reduced the effects of caspase-8 mutants against oxidative stress. Caspase-8 mutants combined with mTOR to phosphorylate SQSTM1 at Ser349, facilitating the interaction of SQSTM1 and Keap1 and reducing the degradation of the Nrf2 protein. Therefore, our study demonstrated that caspase-8 mutants gain a new function of protecting against oxidative stress via the mTOR/SQSTM1/Keap1/Nrf2 axis in ESCC. Caspase-8 status may be a new prognostic factor for survival in ESCC patients.
Insights
Mutant caspase-8 promotes esophageal squamous cell carcinoma (ESCC) by protecting cells from oxidative stress via the Nrf2 pathway, indicating its potential as a prognostic factor.
Area of Science:
- Oncology
- Molecular Biology
- Cell Death Research
Background:
- Caspase-8 is crucial for cell death regulation.
- Cancer-associated caspase-8 mutations are common in solid tumors, potentially affecting its apoptotic function.
- The role of mutant caspase-8 in esophageal squamous cell carcinoma (ESCC) pathogenesis is unclear.
Purpose of the Study:
- To investigate the function and molecular mechanisms of mutant caspase-8 in ESCC.
- To determine if caspase-8 mutations impact patient prognosis in ESCC.
- To elucidate how mutant caspase-8 influences tumor growth and survival under oxidative stress.
Main Methods:
- Identification and characterization of caspase-8 mutants in ESCC.
- Analysis of patient prognosis based on caspase-8 mutation status.
- In vitro studies to assess the effect of caspase-8 mutants on cell growth, reactive oxygen species (ROS) levels, and the Nrf2 pathway.
- Investigation of the interaction between caspase-8 mutants, mTOR, SQSTM1, Keap1, and Nrf2.
Main Results:
- Caspase-8 mutants exhibit tumor-promoting properties in ESCC and are associated with worse patient prognosis.
- Mutant caspase-8 loses its tumor-suppressive effect and gains a function in protecting ESCC cells from oxidative stress.
- Caspase-8 mutants activate the Nrf2 pathway by stabilizing Nrf2 protein via the mTOR/SQSTM1/Keap1 axis, thereby reducing ROS levels.
- Inhibition of Nrf2 diminishes the protective effects of caspase-8 mutants against oxidative stress.
Conclusions:
- Mutant caspase-8 gains a novel function in protecting ESCC cells against oxidative stress through the mTOR/SQSTM1/Keap1/Nrf2 signaling pathway.
- Caspase-8 mutation status may serve as a novel prognostic biomarker for survival in ESCC patients.
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