BST2 Drives Epithelial Ovarian Cancer Progression via Macrophage M2 Polarization, Neural Remodeling, and

Limin Zhang1,2,3, Xiaoli Huang2,3, Shaoyu Wang2,3

  • 1College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China.

Human Mutation
|November 24, 2025
PubMed
Abstract

Insights

Bone Marrow Stromal Antigen 2 (BST2) promotes epithelial ovarian cancer (EOC) progression and influences macrophage polarization. BST2 expression levels may serve as prognostic markers for EOC patients, suggesting BST2 as a potential immunotherapy target.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Epithelial ovarian cancer (EOC) is a leading cause of gynecological cancer mortality.
  • Current therapeutic interventions offer limited improvements in survival rates for EOC.
  • Novel therapeutic targets are crucial for enhancing patient survival outcomes in EOC.

Purpose of the Study:

  • To investigate the role of Bone Marrow Stromal Antigen 2 (BST2) in EOC pathogenesis.
  • To explore BST2's influence on macrophage polarization in the context of EOC.
  • To evaluate BST2 as a potential target for EOC immunotherapy.

Main Methods:

  • Prognostic models for EOC were developed using TCGA gene expression and clinical data centered on BST2.
  • BST2 expression was quantified in HGSOC cell lines using RT-qPCR and Western blot.
  • Functional impacts of BST2 on EOC cell proliferation, migration, and invasion were assessed via gene silencing and overexpression.

Main Results:

  • Elevated BST2 expression in EOC tissues correlated with poorer prognostic indicators.
  • Increased BST2 expression enhanced EOC cell growth, motility, and invasiveness.
  • BST2 modulation altered macrophage phenotypes in ovarian tumors, impacting tumor progression.

Conclusions:

  • BST2 is identified as a key facilitator in ovarian carcinoma progression.
  • BST2 expression levels show potential as prognostic markers for EOC patient outcomes.
  • Targeting BST2, including its modulation of macrophage polarization, offers a promising avenue for EOC immunotherapy.