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Updated: Jul 17, 2025

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Thymidylate synthase promotes esophageal squamous cell carcinoma growth by relieving oxidative stress through
Jian Yang1,2, Jingjing Zhang3, Jingtian Chen4
1Translational Medicine Research Center, Shanxi Medical University, Taiyuan, Shanxi, PR China.
Background:
Thymidylate synthase (TYMS) is involved in the malignant process of multiple cancers, and has gained much attention as a cancer treatment target. However, the mechanism in carcinogenesis of esophageal squamous cell cancer (ESCC) is little reported. The present study was to clear the biological roles and carcinogenic mechanism of TYMS in ESCC, and explored the possibility to use TYMS as a tumor marker in diagnosis and a drug target for the treatment of ESCC.
Methods:
Stably TYMS-overexpression cells established by lentivirus transduction were used for the analysis of cell proliferation. RNA sequencing was performed to explore the possible carcinogenic mechanisms.
Results:
GEPIA databases analysis showed that TYMS expression in esophageal cancer tissues was higher than that in normal tissues. The MTT assay, colony formation assay, and nude mouse subcutaneous tumor model found that the overexpression of TYMS increased cell proliferation. Transcriptome sequencing analysis revealed that the promoted cell proliferation in TYMS-overexpression ESCC cells were mediated through activating genes expression of nuclear factor erythroid 2-related factor 2 (Nrf2) and Nrf2 dependent antioxidant enzymes to relieve oxidative stress, which was confirmed by increased glutathione (GSH), glutathione peroxidase (GPX) activities, and reduced reactive oxygen species. Nrf2 active inhibitors (ML385) used in TYMS-overexpression cells inhibited the expression of Nrf2-dependent antioxidant enzyme genes, thereby increasing oxidative stress and blocking cell proliferation.
Conclusion:
Our study indicated a novel and effective regulatory capacity of TYMS in the cell proliferation of ESCC by relieving oxidative stress through activating expression of Nrf2 and Nrf2-dependent antioxidant enzymes genes. These properties make TYMS and Nrf2 as appealing targets for ESCC clinical chemotherapy.
Insights
Thymidylate synthase (TYMS) promotes esophageal squamous cell cancer (ESCC) proliferation by activating Nrf2-dependent antioxidant pathways to reduce oxidative stress. Targeting TYMS and Nrf2 offers potential for ESCC chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Thymidylate synthase (TYMS) is implicated in various cancers but its role in esophageal squamous cell cancer (ESCC) carcinogenesis is understudied.
- Understanding TYMS's mechanism in ESCC is crucial for developing targeted therapies and diagnostic markers.
Purpose of the Study:
- To elucidate the biological functions and carcinogenic mechanisms of TYMS in ESCC.
- To investigate the potential of TYMS as a diagnostic marker and therapeutic target for ESCC.
Main Methods:
- Established TYMS-overexpressing ESCC cells using lentivirus transduction for proliferation analysis.
- Utilized RNA sequencing to explore carcinogenic pathways and conducted MTT, colony formation assays, and a nude mouse model.
Main Results:
- TYMS expression was elevated in ESCC tissues compared to normal tissues.
- TYMS overexpression enhanced cell proliferation by activating nuclear factor erythroid 2-related factor 2 (Nrf2) and its downstream antioxidant genes, reducing oxidative stress.
- Inhibition of Nrf2 by ML385 blocked proliferation in TYMS-overexpressing cells.
Conclusions:
- TYMS plays a significant role in ESCC cell proliferation by alleviating oxidative stress via the Nrf2 pathway.
- Both TYMS and Nrf2 represent promising therapeutic targets for ESCC clinical chemotherapy.
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