Targeting SLC5A2 suppresses colorectal tumour development by enhancing NK cell activity through extracellular

Jun Xiao1,2,3, Jianghua Wu1,3, Fengliu Deng4

  • 1Department of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Insights

Sodium-glucose cotransporter 2 (SLC5A2/SGLT2) promotes colorectal cancer (CRC) by enabling tumor cells to evade natural killer (NK) cell attacks. Dapagliflozin may offer a new therapeutic strategy for CRC patients.

Area of Science:

  • Oncology
  • Immunology
  • Metabolic Research

Background:

  • Tumor metabolic modulation is a key therapeutic strategy for cancers like colorectal cancer (CRC).
  • The role of sodium-glucose cotransporter 2 (SLC5A2/SGLT2) in CRC remains largely unknown.
  • Dapagliflozin, an SLC5A2 inhibitor, is clinically approved but its function in CRC needs clarification.

Purpose of the Study:

  • To investigate the oncogenic role of SLC5A2 in colorectal cancer.
  • To explore the potential of dapagliflozin as a therapeutic agent for CRC.
  • To elucidate the mechanisms by which SLC5A2 influences the tumor microenvironment and immune surveillance.

Main Methods:

  • Utilized transgenic rats and an azoxymethane/dextran sulphate sodium (AOM/DSS) induced CRC model.
  • Performed immunofluorescence, tissue microarray, gene expression profiling, and coculture experiments.
  • Employed perforated patch-clamp and calcium imaging to analyze cellular mechanisms.

Main Results:

  • Found an inverse correlation between SLC5A2 expression and natural killer (NK) cell infiltration in clinical CRC samples.
  • Demonstrated that SLC5A2 impairs NKG2D-mediated NK cell cytotoxicity.
  • Showed SLC5A2 enhances MICA/B secretion via extracellular vesicles (EVs), facilitating CRC cell evasion of NK cell surveillance.

Conclusions:

  • SLC5A2 plays a critical oncogenic role in colorectal cancer progression.
  • Dapagliflozin shows promise as a novel therapeutic option for CRC.
  • This study highlights dapagliflozin's potential, especially for CRC patients with metabolic comorbidities.

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