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DBF4 Dependent Kinase Inhibition Suppresses Hepatocellular Carcinoma Progression and Potentiates Anti-Programmed Cell
Liang Zhang1,2, Jiawei Hong1,2, Wei Chen3
1Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Abstract:
The progression of hepatocellular carcinoma (HCC) remains a huge clinical challenge, and elucidation of the underlying molecular mechanisms is critical to develop effective therapeutic strategy. Dumbbell former 4 (DBF4) complexes with cell division cycle 7 (CDC7) to form DBF4-dependent kinase (DDK), playing instrumental roles in tumor cell survival, whereas its roles in HCC remain elusive. This study revealed that DBF4 expression was upregulated in HCC and constituted an independent prognostic factor of patient survival. We identified p65 as an upstream inducer which increased DBF4 expression by directly binding to its promoter. DBF4 accelerated HCC cell proliferation and tumorigenesis in vitro and in vivo. Mechanistically, DBF4 complexed with CDC7 to bind to the coiled coil domain of STAT3 and activate STAT3 signaling through XPO1-mediated nuclear exportation. Notably, p65 enhanced the nuclear transport of DDK and DDK-STAT3 interaction by transcriptionally upregulating XPO1. DBF4 expression positively correlated with activated STAT3 and XPO1 in HCC tissues. Furthermore, combining DDK inhibitor XL413 with anti-PD-1 immunotherapy dramatically suppressed HCC growth and prolonged the survival of HCC-bearing mouse. Our findings reveal that DDK activates STAT3 pathway and facilitates HCC progression, and demonstrate the proof of the concept of targeting DDK to improve the efficacy of HCC immunotherapy.
Insights
Dumbbell former 4-dependent kinase (DDK) promotes hepatocellular carcinoma (HCC) progression by activating STAT3 signaling. Targeting DDK enhances anti-PD-1 immunotherapy efficacy, offering a new therapeutic strategy for HCC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Hepatocellular carcinoma (HCC) progression is a major clinical challenge.
- Understanding HCC molecular mechanisms is crucial for effective therapies.
- The role of Dumbbell former 4 (DBF4)-dependent kinase (DDK) in HCC is largely unknown.
Purpose of the Study:
- To investigate the role of DBF4 in HCC progression.
- To elucidate the molecular mechanisms by which DBF4 affects HCC.
- To evaluate DDK inhibition combined with immunotherapy for HCC treatment.
Main Methods:
- Analysis of DBF4 expression in HCC tissues.
- Identification of upstream regulators and downstream targets of DBF4.
- In vitro and in vivo experiments to assess DBF4's impact on HCC.
- Combination therapy studies using DDK inhibitor XL413 and anti-PD-1 immunotherapy.
Main Results:
- DBF4 expression is upregulated in HCC and predicts poor patient survival.
- p65 upregulates DBF4 expression by binding to its promoter.
- DBF4 accelerates HCC cell proliferation and tumorigenesis.
- DBF4-CDC7 complex activates STAT3 signaling via XPO1-mediated nuclear export.
- p65 enhances DDK nuclear transport and DDK-STAT3 interaction by upregulating XPO1.
- DBF4 expression correlates with activated STAT3 and XPO1 in HCC tissues.
- Combination of XL413 and anti-PD-1 immunotherapy suppressed HCC growth and prolonged survival in mice.
Conclusions:
- DBF4-dependent kinase (DDK) promotes HCC progression by activating the STAT3 pathway.
- Targeting DDK can enhance the efficacy of anti-PD-1 immunotherapy in HCC.
- This study provides a proof-of-concept for DDK-targeted therapy in HCC.
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