MLK4 as an immune marker and its correlation with immune infiltration in Cervical squamous cell carcinoma and

Meng Gong1, Fujin Shen1, Yang Li1

  • 1Gynecology Department, Renmin Hospital of Wuhan University, Wuhan, China.

Plos One
|August 18, 2023
PubMed

Insights

Mixed lineage kinase 4 (MLK4) is overexpressed in cervical cancer and linked to reduced immune cell infiltration. Silencing MLK4 inhibits cancer cell proliferation and invasion, suggesting MLK4 as a potential therapeutic target in cervical cancer.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Mixed lineage kinase 4 (MLK4) is part of the serine/threonine kinases mixed lineage kinase (MLK) family.
  • The role of MLK4 in cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC) and its association with immune responses are not well understood.

Purpose of the Study:

  • To investigate the expression of MLK4 in CESC tissues.
  • To evaluate the correlation between MLK4 expression and immune cell infiltration in CESC.
  • To explore the functional role of MLK4 in CESC cell proliferation, invasion, and inflammatory responses.

Main Methods:

  • Analysis of MLK4 expression in CESC using The Cancer Genome Atlas (TCGA) database and tissue microarrays.
  • Evaluation of MLK4's effect on immune invasion using the Deseq2 package.
  • In vitro assays (EDU, transwell) to assess the impact of MLK4 knockdown on C33A cell proliferation, invasion, and cytokine expression (IL-1β, TNF-α, IL-6).

Main Results:

  • MLK4 was significantly overexpressed in CESC tissues and correlated with WHO grade.
  • High MLK4 expression was negatively correlated with the infiltration of immune cells, including CD8+ T cells.
  • MLK4 expression positively correlated with immune checkpoints (PD-L1, CTLA4, LAG3) and negatively with immune promotion genes (CD86, CD80).
  • MLK4 knockdown reduced C33A cell proliferation and invasion, increased inflammatory cytokines, and inhibited tumor markers (CEA, AFP, HCG).

Conclusions:

  • MLK4 is upregulated in CESC and associated with a suppressed immune microenvironment.
  • MLK4 plays a role in promoting cervical cancer cell proliferation and invasion.
  • MLK4 inhibition may represent a potential therapeutic strategy for cervical cancer.