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IRF4 Enhances Radiosensitivity of Cervical Cancer by Inhibiting the PI3K/Akt/mTOR Pathway to Regulate Autophagy
Meihui Gao1, Zhaolei Cui2, Huachun Song3
1Department of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian, China.
Interferon regulatory factor 4 (IRF4) is decreased in cervical cancer, suppressing tumor growth and enhancing radiosensitivity. IRF4 promotes autophagy via the PI3K/Akt/mTOR pathway, offering a potential therapeutic target for improving radiotherapy outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Cervical cancer remains a significant global health challenge.
- The precise role of Interferon regulatory factor 4 (IRF4) in cervical cancer pathogenesis is not well understood.
- Identifying novel therapeutic targets is crucial for improving treatment efficacy.
Purpose of the Study:
- To investigate the biological role of IRF4 in cervical cancer.
- To determine the effect of IRF4 on cervical cancer progression and radiosensitivity.
- To elucidate the underlying molecular mechanisms, including its impact on autophagy and the PI3K/Akt/mTOR pathway.
Main Methods:
- Immunohistochemistry, immunoblotting, CCK-8 assays, EdU incorporation, clonogenic survival assays, flow cytometry, transmission electron microscopy, immunofluorescence, and heterotopic transplantation models.
- Overexpression of IRF4 in cervical cancer cell lines (Siha and HeLa).
- Inhibition of the PI3K/Akt/mTOR pathway and induction of autophagy.
Main Results:
- IRF4 expression was significantly downregulated in cervical cancer tissues and cell lines compared to normal controls.
- IRF4 overexpression inhibited cervical cancer cell proliferation, migration, and invasion.
- IRF4 enhanced radiosensitivity by upregulating autophagy-related proteins (LC3, Beclin-1), promoting autophagosome formation, and downregulating P62 through PI3K/Akt/mTOR pathway inhibition.
- In vivo studies confirmed IRF4's role in augmenting tumor response to radiation, with synergistic effects observed when combined with rapamycin.
Conclusions:
- IRF4 acts as a tumor suppressor in cervical cancer.
- IRF4 enhances radiosensitivity by modulating autophagy via the PI3K/Akt/mTOR pathway.
- IRF4 represents a promising therapeutic target for improving cervical cancer radiotherapy outcomes.
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