From heterogeneity to mechanism: a systems-level analysis pinpoints the S100A8/A9 axis in colorectal cancer

Hamideh Raeisi1, Mahsa Saeedi Niasar2, Ehsan Nazemalhosseini Mojarad1

  • 1Gastroenterology and Liver Diseases Research Centre, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Insights

The S100 protein family

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • The S100 protein family's role in colorectal cancer (CRC) is unclear, despite widespread dysregulation.
  • Their complex expression patterns limit their use as prognostic markers or therapeutic targets.

Purpose of the Study:

  • To elucidate the functional roles of S100 proteins in colorectal cancer.
  • To resolve the heterogeneity of S100 protein expression and identify potential therapeutic strategies.

Main Methods:

  • Integrated multi-omics data including bulk transcriptomics (TCGA) and single-cell RNA-seq.
  • Utilized machine learning for prioritization and spatial annotation from the Pan-GI Cell Atlas.
  • Validated findings via qRT-PCR and in vitro functional assays.

Main Results:

  • Seventeen S100 genes were differentially expressed in bulk CRC tissue but lacked prognostic value.
  • Single-cell analysis revealed S100A8 and S100A9 expression is concentrated in myeloid cells, not tumor cells.
  • Myeloid S100A8/S100A9 expression correlated with high-grade CRC and drove inflammation by inducing NF-κB, IL-6, and IL-8.

Conclusions:

  • The S100A8/S100A9 axis, originating from myeloid cells, amplifies the pro-tumorigenic inflammatory microenvironment in CRC.
  • This axis links innate immunity to carcinogenesis, presenting a potential therapeutic target for anti-inflammatory or immunomodulatory treatments in CRC.