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Updated: Sep 9, 2025

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
SOX2 drives esophageal squamous carcinoma by reprogramming lipid metabolism and histone acetylation landscape
Zhen Wang1,2, Ruofei Dai3, Li Kang4
1Shanghai Key Laboratory of Regulatory Biology, Fengxian District Central Hospital-ECNU Joint Center of Translational Medicine, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai, China. zhenwang@sdfmu.edu.cn.
Abstract:
SOX2 is a potent oncodriver for various squamous cancers, but the underlying mechanism is largely unknown. Here we uncover a role of SOX2 in promoting global histone acetylation in esophageal squamous cancer cells (ESCCs). Mechanistic studies reveal that SOX2 promotes global histone acetylation in an AKT-independent manner, and does so by promoting histone acetylation at both SOX2 binding and non-SOX2 binding sites, and accounts for the formation of about half of the super-enhancers. Combined metabolic and transcriptional analyses reveal two mechanisms by which SOX2 enhances global histone acetylation: promoting the expression of multiple histone acetyltransferases and reducing acetyl-CoA consuming fatty acid synthesis in part by repressing the expression of ACSL5. Finally, SOX2 expression correlates negatively with ACSL5 and positively with histone acetylation in clinical esophageal squamous tumors. Altogether, our study uncovers a role of SOX2 in reprogramming lipid metabolism and driving histone hyperacetylation and super-enhancer function, providing mechanistic insights of SOX2 acting as a potent oncodriver.
Insights
SOX2 drives squamous cancers by increasing histone acetylation, a process independent of AKT signaling. This oncodriver reprograms lipid metabolism and enhances super-enhancer function in esophageal squamous cell carcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metabolism
Background:
- SOX2 is a known oncodriver in squamous cancers.
- The precise mechanisms by which SOX2 drives cancer progression are not fully understood.
Purpose of the Study:
- To elucidate the role of SOX2 in global histone acetylation in esophageal squamous cell carcinoma (ESCC).
- To investigate the molecular mechanisms linking SOX2 to histone acetylation and cancer.
- To explore the impact of SOX2 on cellular metabolism and super-enhancer formation.
Main Methods:
- Mechanistic studies in esophageal squamous cancer cells (ESCCs).
- Analysis of SOX2 binding sites and histone acetylation patterns.
- Combined metabolic and transcriptional analyses.
- Correlation studies with clinical esophageal squamous tumor data.
Main Results:
- SOX2 promotes global histone acetylation in ESCCs through AKT-independent pathways.
- SOX2 influences acetylation at both direct binding and non-binding sites, contributing to super-enhancer formation.
- SOX2 enhances histone acetyltransferase expression and represses fatty acid synthesis by downregulating ACSL5.
- Clinical data show an inverse correlation between SOX2 and ACSL5, and a positive correlation between SOX2 and histone acetylation.
Conclusions:
- SOX2 plays a critical role in reprogramming lipid metabolism and driving histone hyperacetylation in ESCC.
- SOX2 enhances super-enhancer function, providing mechanistic insights into its role as a potent oncodriver.
- Targeting SOX2-mediated pathways may offer therapeutic strategies for squamous cancers.
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