UXS1 Knockdown Suppresses Cell Proliferation and Invasion in Hepatocellular Carcinoma by Inducing Ferroptosis via

Jun Lv1, Kang Han2, Fu-Yuan Gan2

  • 1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China. yfy004219@sr.gxmu.edu.cn.

Abstract

Insights

High UDP-glucuronate decarboxylase 1 (UXS1) expression predicts poor outcomes in hepatocellular carcinoma (HCC). Silencing UXS1 inhibits HCC progression by inducing ferroptosis, suggesting UXS1 is a potential therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide.
  • Identifying novel molecular drivers is critical for developing effective therapeutic strategies against HCC.
  • UDP-glucuronate decarboxylase 1 (UXS1) has emerged as a potential factor in cancer progression.

Purpose of the Study:

  • To investigate the clinical significance of UDP-glucuronate decarboxylase 1 (UXS1) in hepatocellular carcinoma (HCC).
  • To elucidate the biological function and underlying mechanisms of UXS1 in HCC progression.
  • To evaluate UXS1 as a potential prognostic biomarker and therapeutic target in HCC.

Main Methods:

  • Analyzed UXS1 expression and prognostic value using the Gene Expression Profiling Interactive Analysis (GEPIA) database.
  • Performed in vitro knockdown of UXS1 in HCC cell lines (Huh-7, HCCLM3) using siRNA.
  • Assessed malignant phenotypes (proliferation, migration, invasion), transcriptome (RNA-seq), oxidative stress markers, and ferroptosis regulators (GPX4, SLC7A11).
  • Conducted rescue experiments with Ferrostatin-1 to validate the ferroptosis mechanism.

Main Results:

  • UXS1 mRNA expression was significantly upregulated in HCC tissues, correlating with poorer overall and progression-free survival.
  • UXS1 knockdown suppressed HCC cell proliferation, migration, and invasion.
  • Transcriptome analysis revealed enrichment of reactive oxygen species (ROS) and ferroptosis pathways.
  • UXS1 silencing disrupted ROS homeostasis and downregulated GPX4 and SLC7A11, key ferroptosis regulators.
  • Ferrostatin-1 treatment reversed the tumor-suppressive effects of UXS1 knockdown, confirming ferroptosis induction.

Conclusions:

  • Elevated UXS1 expression serves as a significant prognostic biomarker for HCC patients.
  • Knockdown of UXS1 inhibits HCC progression, partly by inducing ferroptosis through the SLC7A11/GPX4 axis.
  • UXS1 represents a promising therapeutic target and a novel ferroptosis checkpoint in HCC treatment strategies.

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