Krüppel-Like Factor 4, a Hub Gate for Cell Crosstalk in Tumor Microenvironment
Min Tang1, Binle Tian1, Jingyi Zhou1
1Department of Medical Oncology, Cancer Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Objective:
Krüppel-like factor 4 (KLF4) is a zinc finger transcription factor that plays context-dependent roles in cancer. It functions as either a tumor suppressor or an oncogene depending on tumor type and cellular context. This review aimed to comprehensively summarize the roles of KLF4 in the tumor microenvironment (TME) and evaluate its potential as a therapeutic target.
Methods:
We conducted a comprehensive literature review to elucidate the expression patterns, regulatory mechanisms, and functional roles of KLF4 across different TME components, including cancer cells, immune cells, cancer-associated fibroblasts, pericytes, and extracellular matrix.
Results:
KLF4 exhibits dual roles in cancer cells, acting as a tumor suppressor in gastric, lung, and pancreatic cancers while promoting oncogenesis in breast, colorectal, and prostate cancers. In the TME, KLF4 regulates macrophage polarization (M1/M2), T-cell exhaustion, NK cell activity, and MDSC recruitment. Additionally, KLF4 modulates CAF activation and ECM remodeling. KLF4 expression is regulated by miRNAs, lncRNAs, and epigenetic modifications. Emerging therapeutic strategies targeting KLF4, such as APTO-253, show promise in preclinical and early clinical trials.
Conclusions:
KLF4 serves as a hub gate orchestrating cell crosstalk within the TME. Understanding its context-dependent functions may facilitate the development of KLF4-targeted therapies for precision oncology.
Insights
Krüppel-like factor 4 (KLF4) has dual roles in cancer, acting as a tumor suppressor or oncogene. Its complex functions in the tumor microenvironment (TME) offer potential for targeted cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Krüppel-like factor 4 (KLF4) is a transcription factor with context-dependent roles in cancer.
- KLF4 can function as either a tumor suppressor or an oncogene.
- Its intricate roles within the tumor microenvironment (TME) are critical for cancer progression.
Purpose of the Study:
- To comprehensively review the multifaceted roles of KLF4 within the TME.
- To evaluate KLF4 as a potential therapeutic target in oncology.
- To understand KLF4's orchestration of cell crosstalk in the TME.
Main Methods:
- Comprehensive literature review.
- Analysis of KLF4 expression patterns and regulatory mechanisms.
- Investigation of KLF4 functions across various TME components (cancer cells, immune cells, fibroblasts, etc.).
Main Results:
- KLF4 exhibits opposing roles: tumor suppressor in gastric, lung, and pancreatic cancers; oncogene in breast, colorectal, and prostate cancers.
- KLF4 regulates macrophage polarization, T-cell exhaustion, NK cell activity, and myeloid-derived suppressor cell recruitment.
- KLF4 influences cancer-associated fibroblast activation and extracellular matrix remodeling, with expression modulated by miRNAs, lncRNAs, and epigenetics.
Conclusions:
- KLF4 acts as a central regulator of intercellular communication within the TME.
- Understanding KLF4's context-specific functions is key to developing precision oncology therapies.
- Emerging KLF4-targeting agents show promise in preclinical and early clinical settings.
Related Concept Videos
The Tumor Microenvironment
Interactions Between Signaling Pathways
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...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Cancer Stem Cells and Tumor Maintenance
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Mitogens and the Cell Cycle
Regulation of Angiogenesis and Blood Supply


