CES3 promotes NSCLC progression via lipid metabolic reprogramming regulated by TFAP2A

Pengfei Luo1,2, Zirui Huang3, Sijuan Ding2

  • 1Department of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.

Journal of Cancer
|December 24, 2025
PubMed

Insights

Transcription factor AP-2α (TFAP2A) promotes non-small cell lung cancer (NSCLC) by upregulating carboxylesterase 3 (CES3), leading to increased proliferation and invasion. Targeting this TFAP2A/CES3 pathway offers a potential therapeutic strategy for NSCLC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Metabolic reprogramming is a hallmark of non-small cell lung cancer (NSCLC), contributing to therapeutic resistance.
  • Dysregulated lipid metabolism in NSCLC presents opportunities for identifying novel biomarkers and therapeutic targets.

Purpose of the Study:

  • To investigate the role of carboxylesterase 3 (CES3) in NSCLC progression and its relationship with transcription factor AP-2α (TFAP2A).
  • To explore the potential of targeting the TFAP2A/CES3 axis as a therapeutic strategy for NSCLC.

Main Methods:

  • RNA next-generation sequencing was performed on 25 paired NSCLC and adjacent normal tissues.
  • Functional studies involved knockdown and overexpression of CES3 and TFAP2A in NSCLC cells.
  • Analysis included cell proliferation, invasion assays, and lipid accumulation assessments.

Main Results:

  • Carboxylesterase 3 (CES3) was found to be upregulated in NSCLC tissues.
  • CES3 knockdown inhibited NSCLC cell proliferation and invasion while promoting lipid accumulation.
  • Transcription factor AP-2α (TFAP2A) was upregulated in NSCLC, correlated with poor outcomes, and regulated CES3 levels.
  • TFAP2A inhibition suppressed NSCLC progression and increased lipid accumulation, effects reversed by CES3 overexpression.

Conclusions:

  • TFAP2A dysregulation drives NSCLC tumorigenesis through CES3 overexpression.
  • The TFAP2A/CES3 axis represents a promising therapeutic target for non-small cell lung cancer.

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