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Updated: Aug 3, 2025

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
All-Trans Retinoic Acid Promotes a Tumor Suppressive OTUD6B-β-TrCP-SNAIL Axis in Esophageal Squamous Cell Carcinoma
Lei Li1,2, Rui Zhu1, Honghong Zhou1
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, P. R. China.
Abstract:
β-TrCP is an E3 ubiquitin ligase that plays important roles in multiple human cancers including esophageal squamous cell carcinoma (ESCC). Analysis of ESCC patient samples reveal that only protein level but not transcript level of β-TrCP associated with patient prognosis, suggesting regulators of β-TrCP protein stability play an essential role in ESCC progression and may be novel targets to develop ESCC therapies. Although β-TrCP stability is known to be mediated by the ubiquitin-proteasome system, it is unclear which enzymes play a major role to determine β-TrCP stability in the context of ESCC. In this study, OTUD6B is identified as a potent deubiquitinase of β-TrCP that suppress ESCC progression through the OTUD6B-β-TrCP-SNAIL axis. Low OTUD6B expression is associated with a poor prognosis of ESCC patients. Importantly, all-trans retinoic acid (ATRA) is found to promote OTUD6B translation and thus suppress ESCC tumor growth and enhance the response of ESCC tumors to anti-PD-1 immunotherapies. These findings demonstrate that OTUD6B is a crucial deubiquitinase of β-TrCP in ESCC and suggest combination of ATRA and anti-PD-1 immune checkpoint inhibitor may benefit a cohort of ESCC patients.
Insights
OTUD6B deubiquitinase stabilizes β-TrCP, suppressing esophageal squamous cell carcinoma (ESCC). All-trans retinoic acid (ATRA) boosts OTUD6B, inhibiting ESCC growth and enhancing anti-PD-1 therapy response.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- β-TrCP, an E3 ubiquitin ligase, is crucial in esophageal squamous cell carcinoma (ESCC) progression.
- β-TrCP protein levels, not transcript levels, correlate with ESCC patient prognosis, highlighting the importance of its stability regulators.
- The specific enzymes regulating β-TrCP stability in ESCC remain largely uncharacterized.
Purpose of the Study:
- To identify novel regulators of β-TrCP stability in ESCC.
- To elucidate the role of OTUD6B in ESCC progression and its therapeutic potential.
- To investigate the effect of all-trans retinoic acid (ATRA) on OTUD6B and its impact on ESCC treatment.
Main Methods:
- Identification of OTUD6B as a deubiquitinase for β-TrCP using molecular assays.
- Analysis of OTUD6B expression in ESCC patient samples and correlation with prognosis.
- In vitro and in vivo studies to evaluate the effect of ATRA on OTUD6B, ESCC growth, and immunotherapy response.
Main Results:
- OTUD6B was identified as a deubiquitinase of β-TrCP, suppressing ESCC via the OTUD6B-β-TrCP-SNAIL pathway.
- Low OTUD6B expression in ESCC patients is linked to poor prognosis.
- ATRA treatment increases OTUD6B translation, reducing ESCC tumor growth and improving anti-PD-1 therapy efficacy.
Conclusions:
- OTUD6B is a key deubiquitinase for β-TrCP in ESCC, acting as a tumor suppressor.
- OTUD6B expression level is a prognostic biomarker for ESCC.
- Combining ATRA with anti-PD-1 immunotherapy presents a promising therapeutic strategy for a subset of ESCC patients.
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