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Updated: Sep 11, 2025

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
DNA/RNA-binding protein KIN17 supports esophageal cancer progression via resolving noncanonical STING activation
Zichao Wei1, Ning Zhao1, Lu Kuang1
1State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, PR China.
Abstract:
Targeting the DNA damage response (DDR) exhibits potent efficacy in inducing immune activation and enhancing patient prognosis. However, the benefits of DDR regulation are not universally observed across all patients, owing to the intricate compensatory mechanisms operative in certain cancers. There still exists a gap in the function of activated DDR protein in esophageal squamous cell carcinoma (ESCC). Here, we demonstrate that increased expression of DDR genes contributes to the progression of esophageal squamous cell carcinoma and suppresses the tumor immune microenvironment. Notably, the abundant presence of the DDR protein KIN in ESCC tissues facilitates efficient DNA damage clearance and promotes escape from apoptosis. Depletion of KIN significantly inhibited proliferation and induced DNA damage accumulation in ESCC cells. Mechanistically, KIN functions to support the recruitment of the R-loop regulator DHX9 to R-loop sites, thereby addressing DNA damage associated R-loops. Intriguingly, the depletion of KIN activates the STING pathway via NFκB signaling, which is induced by the accumulation of R-loops, ultimately initiating an innate immune response. Depletion of KIN improved the immune microenvironment and the effect of immune therapy in mouse model. Collectively, our findings identify KIN as a novel R-loop binding protein that facilitates the recruitment of the R-loop resolution complex and suppresses tumor-intrinsic innate immunity.
Insights
In esophageal squamous cell carcinoma (ESCC), the DNA damage response (DDR) protein KIN promotes cancer progression by resolving R-loops and suppressing immunity. Inhibiting KIN activates anti-tumor immunity and enhances immunotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Targeting the DNA damage response (DDR) can enhance anti-tumor immunity and patient outcomes.
- However, compensatory mechanisms in some cancers limit DDR-targeting therapy efficacy.
- The role of activated DDR proteins in esophageal squamous cell carcinoma (ESCC) remains unclear.
Purpose of the Study:
- Investigate the function of DDR proteins in ESCC progression.
- Determine the impact of DDR protein KIN on the tumor immune microenvironment.
- Explore KIN's role in R-loop resolution and its therapeutic potential in ESCC.
Main Methods:
- Analysis of DDR gene expression in ESCC tissues.
- Depletion of KIN in ESCC cells and assessment of proliferation and DNA damage.
- Investigated KIN's interaction with DHX9 and R-loop resolution.
- Assessed STING pathway activation and immune response following KIN depletion.
- Evaluated KIN depletion effects on the immune microenvironment and immunotherapy in a mouse model.
Main Results:
- Increased DDR gene expression correlates with ESCC progression and a suppressed immune microenvironment.
- Abundant KIN in ESCC facilitates DNA damage repair and apoptosis evasion.
- KIN depletion inhibits ESCC cell proliferation, increases DNA damage, and activates the STING pathway via NFκB signaling.
- KIN acts as an R-loop binding protein, recruiting DHX9 to resolve DNA damage-associated R-loops.
- Depletion of KIN improves the immune microenvironment and enhances immunotherapy efficacy in a mouse model.
Conclusions:
- KIN is a novel R-loop binding protein that promotes ESCC progression by resolving R-loops and suppressing innate immunity.
- Targeting KIN may overcome resistance to DDR-targeting therapies by reactivating anti-tumor immune responses.
- KIN inhibition represents a potential therapeutic strategy to enhance immunotherapy in ESCC.
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