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.

Frontiers in Immunology
|November 24, 2025
PubMed

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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