Targeting protein hyper-SUMOylation halts cholangiocarcinoma progression by impairing cancer cell viability and

Paula Olaizola1,2,3, Irene Olaizola1, Marta Fernandez de Ara1

  • 1Department of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute, Donostia University Hospital, University of the Basque Country (UPV/EHU), Donostia-San Sebastian, Spain.

Hepatology (Baltimore, Md.)
|February 11, 2025
PubMed
Abstract

Insights

Aberrant protein SUMOylation drives cholangiocarcinoma (CCA) progression. Targeting SUMOylation inhibits CCA growth and reshapes the tumor microenvironment, showing therapeutic potential for this deadly cancer.

Area of Science:

  • Biochemistry and Molecular Biology
  • Oncology
  • Cancer Research

Background:

  • Cholangiocarcinoma (CCA) is a group of aggressive biliary tract cancers with a poor prognosis.
  • Disruptions in post-translational modifications, including SUMOylation, are implicated in cancer development.
  • The specific role of SUMOylation in cholangiocarcinogenesis requires further investigation.

Purpose of the Study:

  • To investigate the role of protein SUMOylation in the development and progression of cholangiocarcinoma.
  • To explore the potential of targeting SUMOylation as a therapeutic strategy for CCA.

Main Methods:

  • Analysis of SUMOylation machinery gene expression (SAE1, UBE2I) in CCA patient cohorts and cell lines.
  • Identification of deregulated SUMOylated proteins using immunoprecipitation and mass spectrometry.
  • Inhibition of SUMOylation using genetic (UBE2I knockdown) and pharmacological (ML792, S-adenosyl-methionine) approaches in preclinical CCA models.

Main Results:

  • Increased expression of SAE1 and UBE2I, leading to elevated SUMO1-conjugated proteins, was observed in CCA.
  • Higher SAE1 and UBE2I levels correlated with unfavorable clinical outcomes.
  • SUMOylation inhibition suppressed tumor growth, reduced cancer-associated fibroblasts, increased anti-tumor immune cells, and induced CCA cell death, without affecting normal cholangiocytes.

Conclusions:

  • Aberrant SUMOylation is a key driver of CCA progression, promoting cell survival, proliferation, and influencing the tumor microenvironment.
  • Targeting SUMOylation effectively inhibits CCA growth in preclinical models.
  • Inhibition of SUMOylation represents a promising therapeutic strategy for cholangiocarcinoma.

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