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.

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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