KLF7 promotes progression of Head and Neck Squamous Cell Carcinoma by remodeling tumor immune microenvironment

Xin Fan1, Wenying Chen1, Yuzhou Wang2

  • 1Department of Otolaryngology Head and Neck Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China; State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Immunology, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China.

Cancer Letters
|January 2, 2026
PubMed

Insights

Kruppel-like factor 7 (KLF-7) promotes head and neck squamous cell carcinoma (HNSCC) by recruiting tumor-associated macrophages (TAMs). This KLF-7/LOX/TAM signaling pathway presents a potential therapeutic target for HNSCC.

Area of Science:

  • Oncology
  • Cancer Immunology
  • Molecular Biology

Background:

  • Aberrant transcription factor (TF) activation drives cancer initiation and progression.
  • Dysregulated TFs and their role in the head and neck squamous cell carcinoma (HNSCC) immune microenvironment are poorly understood.
  • Identifying novel oncogenic TFs is crucial for understanding HNSCC pathogenesis.

Purpose of the Study:

  • To investigate the landscape of dysregulated oncogenic TFs in HNSCC.
  • To elucidate the biological contributions of TFs to the HNSCC immune microenvironment.
  • To identify potential therapeutic vulnerabilities in HNSCC.

Main Methods:

  • Global investigation of oncogenic TF-target interactions in clinical HNSCC samples.
  • In vitro and in vivo experiments to assess KLF-7's role in HNSCC progression and macrophage recruitment.
  • Mechanistic studies to identify direct targets of KLF-7, including LOX.
  • Analysis of extracellular matrix stiffness and its impact on immune cell function.
  • Clinical correlation analysis of KLF-7, LOX, and TAMs in HNSCC.

Main Results:

  • KLF-7 identified as a highly potential oncogenic TF in HNSCC.
  • KLF-7 promotes HNSCC progression by governing autonomous malignant behaviors and recruiting tumor-associated macrophages (TAMs) in a TAM-dependent manner.
  • LOX is a direct transcriptional target of KLF-7 in HNSCC cells.
  • LOX-induced extracellular matrix stiffening promotes TAM recruitment and impairs CD8+ T cell-mediated killing.
  • Significant clinical correlation found between KLF-7, LOX, and TAMs in HNSCC.

Conclusions:

  • KLF-7 plays an extrinsic oncogenic role in HNSCC by remodeling the tumor immune microenvironment.
  • The KLF-7/LOX/TAM signaling axis represents a novel mechanism promoting HNSCC progression.
  • This signaling pathway offers a potential therapeutic vulnerability for HNSCC patients.

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