Clinical and Functional Characterization of CD-NTase Enzymes in Esophageal Squamous Cell Carcinoma

Zhiwen Gong1,2, Hongcheng Zhong1, Shijiancong Liu1

  • 1Department of Thoracic Surgery, The Fifth Affiliated Hospital, Sun Yat-sen Unversity, Zhuhai 519000, China.

Journal of Cancer
|July 14, 2025
PubMed

Insights

MB21D2 is a key prognostic factor in esophageal squamous cell carcinoma (ESCC). Low MB21D2 expression worsens survival and promotes tumor progression, identifying it as a potential therapeutic target for ESCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • The cGAS/DncV-like nucleotidyltransferase (CD-NTase) enzyme family is implicated in tumor development.
  • The specific role of CD-NTase enzymes in esophageal squamous cell carcinoma (ESCC) is not well understood.

Purpose of the Study:

  • To investigate the clinical significance and biological function of CD-NTase enzymes in ESCC.
  • To identify potential prognostic biomarkers and therapeutic targets for ESCC.

Main Methods:

  • Analysis of 352 ESCC cases from public datasets and a clinical cohort.
  • Validation of candidate CD-NTase enzymes using in vivo and in vitro experiments.
  • RNA-sequencing and western blotting to elucidate molecular mechanisms.

Main Results:

  • MB21D2 was identified as the sole significant prognostic factor among 11 CD-NTase enzymes.
  • Low MB21D2 expression correlated with significantly worse overall survival in ESCC patients.
  • Knockdown of MB21D2 promoted ESCC cell proliferation, migration, and invasion, while overexpression had the opposite effect.
  • MB21D2 knockdown activated the Wnt/β-catenin signaling pathway, driving ESCC progression.

Conclusions:

  • MB21D2 is a critical prognostic and functional factor in ESCC progression.
  • MB21D2 represents a potential therapeutic target for improving outcomes in ESCC patients.