Discovery of PAK2 as a Key Regulator of Cancer Stem Cell in Head and Neck Squamous Cell Carcinoma Using Multi-Omic

Puyu Wang1, Shengshan Xu2, Qian Guo1

  • 1Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Stem Cells International
|November 28, 2025
PubMed

Insights

This study identifies PAK2 as a key gene in head and neck squamous cell carcinoma (HNSC) progression, linking it to cell death, stemness, and immune evasion. Butein emerges as a potential therapeutic agent targeting PAK2 in HNSC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Head and neck squamous cell carcinoma (HNSC) is aggressive, with progression linked to disrupted programmed cell death (PCD) and cancer stem cell (CSC) traits.
  • Identifying key genes driving HNSC pathogenesis is crucial for developing targeted therapies.

Purpose of the Study:

  • To systematically screen for pathogenic genes in HNSC using single-cell analysis.
  • To identify PAK2 as a central gene involved in HNSC progression and its association with PCD and CSC characteristics.
  • To investigate the role of PAK2 in the tumor microenvironment and identify potential therapeutic agents.

Main Methods:

  • Single-cell RNA sequencing analysis of HNSC datasets (GSE150321).
  • Machine learning algorithms for gene prioritization.
  • TCGA and external dataset analysis for gene expression and prognostic value.
  • Functional assays for malignant phenotypes, immune infiltration, and spatial transcriptomics.
  • Connectivity Map (cMAP) screening and molecular docking for drug discovery.

Main Results:

  • PAK2 was identified as a central pathogenic gene in HNSC, significantly overexpressed and associated with poor prognosis.
  • PAK2 overexpression correlated with metabolic reprogramming, tumor metastasis, and suppressed antitumor immunity.
  • PAK2 influences immune cell infiltration and activity within the tumor microenvironment.
  • Butein was identified as a potential therapeutic agent targeting PAK2, showing stable binding and reversing pro-cancer features.

Conclusions:

  • PAK2 plays a critical role in HNSC pathogenesis by regulating PCD, CSC properties, and the immune microenvironment.
  • PAK2 overexpression is a potential diagnostic and prognostic biomarker for HNSC.
  • Butein represents a promising candidate for targeted therapy against PAK2 in HNSC.

Related Concept Videos

mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
4.6K
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
5.1K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
6.9K
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
5.8K
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
7.2K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.3K