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.

Nature Communications
|September 2, 2025
PubMed

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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