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Updated: Jan 10, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
NK cell function down regulated by HMGB2 through ANGPT1/PI3K/AKT pathway and its effect on esophageal squamous
Xiaodi Yin1, Huihong Cai1, Aohua Zhang1
1Department of Clinical Laboratory, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Abstract:
Natural killer (NK) cells are crucial for immune defense against tumors, but their function is often impaired in the tumor microenvironment. High mobility group box 2 (HMGB2), a chromatin-associated protein, is implicated in various cancers, yet its role in regulating NK cells, particularly in esophageal squamous cell carcinoma (ESCC), is unclear. We conducted transcriptomic and proteomic analyses of peripheral blood mononuclear cells (PBMCs) from ESCC patients and healthy donors to identify immunoregulatory molecules. Flow cytometry confirmed upregulation of HMGB2 in NK cells from ESCC patients, correlating with advanced tumor stage. Using RNA interference, CRISPR/Cas9, and overexpression methods, we modulated HMGB2 in NK-92 cells and assessed their cytotoxicity against ESCC cells. HMGB2 silencing or knockout enhanced NK cell cytotoxicity, evidenced by increased granzyme B, perforin, IFN-γ, and TNF-α, and higher tumor cell lysis. Conversely, HMGB2 overexpression suppressed these effects. Mechanistically, HMGB2 ablation induced ANGPT1 expression and activated the PI3K/AKT pathway. ANGPT1 knockdown in KO-HMGB2 NK cells reduced PI3K/AKT activation, confirming the involvement of the ANGPT1/PI3K/AKT axis in enhanced NK cell function. These results indicate that HMGB2 inhibits NK cell-mediated anti-tumor immunity in ESCC. HMGB2 depletion enhances NK cell cytotoxicity via the ANGPT1/PI3K/AKT pathway, suggesting its potential as a therapeutic target to improve NK cell-based immunotherapy in ESCC.
Insights
High mobility group box 2 (HMGB2) impairs natural killer (NK) cell anti-tumor immunity in esophageal squamous cell carcinoma (ESCC). Depleting HMGB2 enhances NK cell function via the ANGPT1/PI3K/AKT pathway, offering a potential immunotherapy target.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Natural killer (NK) cells are vital for anti-tumor immunity but are often suppressed within the tumor microenvironment.
- The role of High-mobility group box 2 (HMGB2) in regulating NK cell function, especially in esophageal squamous cell carcinoma (ESCC), remains largely unknown.
Purpose of the Study:
- To investigate the impact of HMGB2 on NK cell function in ESCC.
- To elucidate the underlying molecular mechanisms by which HMGB2 influences NK cell-mediated anti-tumor activity.
Main Methods:
- Transcriptomic and proteomic analyses of peripheral blood mononuclear cells (PBMCs) from ESCC patients and healthy donors.
- Flow cytometry to quantify HMGB2 expression in NK cells.
- RNA interference and CRISPR/Cas9 to modulate HMGB2 levels in NK-92 cells.
- Assessment of NK cell cytotoxicity and cytokine production (granzyme B, perforin, IFN-γ, TNF-α).
Main Results:
- HMGB2 was upregulated in NK cells from ESCC patients, correlating with advanced tumor stage.
- HMGB2 silencing or knockout significantly enhanced NK cell cytotoxicity and cytokine production against ESCC cells.
- HMGB2 depletion induced ANGPT1 expression and activated the PI3K/AKT pathway, which was crucial for the enhanced NK cell function.
Conclusions:
- HMGB2 inhibits NK cell-mediated anti-tumor immunity in ESCC.
- HMGB2 depletion enhances NK cell cytotoxicity through the ANGPT1/PI3K/AKT signaling pathway.
- Targeting HMGB2 may represent a novel therapeutic strategy to augment NK cell-based immunotherapy for ESCC.
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