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Updated: Jan 7, 2026

Multi-photon Imaging of Tumor Cell Invasion in an Orthotopic Mouse Model of Oral Squamous Cell Carcinoma
Published on: July 25, 2011
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.
Abstract:
Aberrantly high activation of oncogenic transcription factors has been implicated in initiation and progression of malignant diseases. However, the landscape of dysregulated TFs in HNSCC remains poorly characterized, and especially their biological contributions to remodeling of cancer immune microenvironment are unknown. Here, by globally investigating oncogenic TF-target interactions in clinic, we identified that KLF7 is one of the most potential oncogenic TFs in HNSCC. In vitro and in vivo experiments showed that KLF7 governs not only the autonomous malignant behaviors but also recruitment of macrophage in the cancer microenvironment, consequently promoting progression of HNSCC in a tumor-associated macrophage (TAM) dependent manner. Mechanistically, we found that LOX is a bona fide target directly transcriptionally activated by KLF7 in HNSCC cells. In vivo assay showed that LOX-driven crosslinking of extracellular matrix conducted a stiff extracellular matrix environment for macrophage recruitment and consequent disruption of CD8+ T cell mediated killing effect in cancer microenvironment. More importantly, we elucidated the clinical significance of the correlation of KLF7, LOX and TAM in HNSCCs. Our study reveals an extrinsic mechanism of the oncogenic role of KLF7 and further demonstrates that a KLF7/LOX/TAM signaling could be a potential therapeutic vulnerability for HNSCC patients.
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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