Single-cell transcriptomics reveals FXR1 as an actionable target for siRNA therapy in ovarian cancer

Jasmine George1, Xiaolong Ma2, Ishaque Pulikkal Kadamberi1

  • 1Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI, USA.

Nature Communications
|April 3, 2026
PubMed

Insights

Fragile X-related protein 1 (FXR1) is overexpressed in ovarian cancer. Silencing FXR1 with LNA-modified siRNA effectively inhibits tumor growth and metastasis, offering a new therapeutic strategy for ovarian cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Ovarian cancer is a leading cause of cancer mortality with limited treatment options.
  • Fragile X-related protein 1 (FXR1) is overexpressed in ovarian and other cancers, regulating oncogene translation.
  • FXR1 represents a potential therapeutic target for ovarian cancer treatment.

Purpose of the Study:

  • To investigate the therapeutic potential of FXR1 silencing in ovarian cancer.
  • To evaluate the efficacy of locked nucleic acid-modified siRNA (siFXR1-LNA) targeting FXR1.
  • To analyze the impact of FXR1 silencing on tumor microenvironment and immune cells.

Main Methods:

  • RNA interference (RNAi) using siFXR1-LNA in ovarian cancer models.
  • In vivo studies assessing tumor growth, ascites, and metastasis.
  • Single-cell RNA sequencing (scRNA-seq) to analyze cellular composition of ascites.
  • Assessment of immune cell populations within the tumor microenvironment.

Main Results:

  • siFXR1-LNA demonstrated superior inhibition of tumor growth, ascites, and metastasis compared to native siRNA.
  • LNA modification enhanced siRNA stability and tumor tissue uptake, leading to robust mRNA inhibition.
  • FXR1 silencing suppressed tumor cell proliferation and reduced M2-like macrophages.
  • FXR1 silencing increased cytotoxic T cells, NK cells, and dendritic cells with anti-tumor functions.

Conclusions:

  • FXR1 is a critical regulator of oncogenic processes and a therapeutic liability in ovarian cancer.
  • FXR1 silencing via siFXR1-LNA is an effective strategy for treating FXR1-expressing ovarian tumors.
  • Targeting FXR1 modulates both tumor cells and the tumor immune microenvironment.

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