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Over-Expression of TNFRSF12A Promotes Immune Suppression and Facilitates Angiogenesis in Triple-Negative Breast
Can Jiang1, Zhengwei Zhou1, Guang Shu1
1Department of Pathology, Xiangya School of Basic Medical Sciences, Central South University, Changsha 410013, China.
Abstract:
The urgent need for novel therapeutic strategies in triple-negative breast cancer (TNBC)-characterized by absent ER, PR, and HER2 expression-stems from its association with a paucity of effective treatments and an adverse prognosis. This study identifies TNFRSF12A as a key gene specifically overexpressed in TNBC versus other subtypes. Validation with clinical specimens confirmed its exclusive upregulation in TNBC tissues, correlating significantly with worse patient outcomes. Functional enrichment analysis (STRING/DAVID) indicated TNFRSF12A's primary involvement in pathways positively regulating cell migration, angiogenesis, and hypoxia response. Immune infiltration profiling (TIMER/TISCH2) revealed selective enrichment of TNFRSF12A in cancer-associated fibroblasts (CAFs). Its expression showed a significant positive correlation with the CAF marker FAP (ρ = 0.304) and CAF infiltration levels, but inverse correlations with CD8+ T-cell (Cor = -0.165) and B-cell (Cor = -0.164) infiltration. Regarding chemoresistance, elevated TNFRSF12A expression significantly increased sensitivity to docetaxel. Molecular docking simulations further verified direct binding between TNFRSF12A and docetaxel, mediated by hydrophobic interactions and hydrogen bonds. To elucidate the underlying molecular mechanisms, cellular experiments revealed that TNFRSF12A knockdown resulted in (1) significantly compromised angiogenic capacity in HUVEC tube formation assays (p < 0.01); (2) markedly augmented cytotoxicity of T cells against tumor cells (p < 0.05); and (3) reduced cellular sensitivity to docetaxel, as evidenced by significantly elevated IC50 values in CCK-8 assays (p < 0.01). In summary, this study systematically elucidates how TNFRSF12A propels TNBC malignant progression by remodeling the tumor immune microenvironment and promoting angiogenesis. Concurrently, we reveal a TNFRSF12A-mediated chemosensitizing effect towards docetaxel. Therefore, these results are crucial for improving the targeting of TNFRSF12A and developing precise combination treatment regimens to improve outcomes for patients with TNBC.
Insights
This study identifies TNFRSF12A as a key gene overexpressed in triple-negative breast cancer (TNBC). TNFRSF12A promotes TNBC progression and enhances docetaxel sensitivity, offering new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies and has a poor prognosis.
- Novel therapeutic strategies are urgently needed for TNBC.
- TNBC is defined by the absence of Estrogen Receptor (ER), Progesterone Receptor (PR), and HER2 expression.
Purpose of the Study:
- To identify key genes driving TNBC progression.
- To investigate the role of TNFRSF12A in TNBC.
- To explore TNFRSF12A's impact on the tumor microenvironment and chemoresistance.
Main Methods:
- Gene expression analysis in TNBC tissues.
- Functional enrichment analysis (STRING/DAVID).
- Immune infiltration profiling (TIMER/TISCH2).
- Molecular docking simulations.
- Cellular assays (HUVEC tube formation, CCK-8).
Main Results:
- TNFRSF12A is significantly overexpressed in TNBC and correlates with worse outcomes.
- TNFRSF12A promotes angiogenesis, cell migration, and hypoxia response.
- TNFRSF12A is enriched in cancer-associated fibroblasts (CAFs) and inversely correlates with T-cell and B-cell infiltration.
- Elevated TNFRSF12A enhances sensitivity to docetaxel.
- TNFRSF12A knockdown impairs angiogenesis, augments T-cell cytotoxicity, and reduces docetaxel sensitivity.
Conclusions:
- TNFRSF12A drives TNBC progression by modulating the tumor immune microenvironment and promoting angiogenesis.
- TNFRSF12A plays a crucial role in docetaxel chemoresistance.
- Targeting TNFRSF12A offers potential for novel combination therapies in TNBC.
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