KLHL1 suppresses triple-negative breast cancer progression by promoting M1 macrophage polarization via APOC2

Ziran He1, Zhenhua Zhang2, Li Ding1

  • 1Department of Breast and Thyroid Surgery, Hunan University of Medicine General Hospital, Huaihua, 418000, Hunan, China.

Insights

The KLHL1/APOC2 pathway regulates the immune microenvironment in triple-negative breast cancer (TNBC). Activating this axis enhances M1 macrophage polarization, inhibiting TNBC progression and tumor growth.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Triple-negative breast cancer (TNBC) is aggressive, with an immunosuppressive tumor microenvironment and chemotherapy resistance.
  • Apolipoprotein C-II (APOC2) is implicated in malignancy immune microenvironments and upregulated in breast cancer.
  • The specific roles of APOC2 in TNBC's immune microenvironment are not fully understood.

Purpose of the Study:

  • Investigate the molecular mechanisms of APOC2 in regulating the TNBC immune microenvironment.
  • Determine the relationship between APOC2, macrophage infiltration, and TNBC progression.
  • Identify potential therapeutic targets within the APOC2 regulatory pathway.

Main Methods:

  • Analysis of APOC2 expression in TNBC tissues and correlation with M1 macrophage infiltration.
  • In vitro studies using 4T1 cells to assess the effects of APOC2 overexpression on tumor cell behavior and macrophage polarization.
  • Investigation of the interaction between APOC2 and KLHL1 (Cullin3-RING E3 ubiquitin ligase substrate adaptor).
  • Ubiquitin-proteasome pathway analysis to elucidate APOC2 degradation mechanism.
  • In vivo xenograft experiments to evaluate the impact of APOC2 and KLHL1 on tumor growth and M1 macrophage polarization.

Main Results:

  • APOC2 was upregulated in TNBC tissues and negatively correlated with M1 macrophage infiltration.
  • APOC2 overexpression promoted proliferation, migration, and invasion of 4T1 cells while suppressing M1 macrophage polarization.
  • KLHL1 interacted with APOC2 and promoted its degradation via the ubiquitin-proteasome pathway, reversing APOC2's effects.
  • KLHL1 overexpression enhanced M1 macrophage polarization and suppressed tumor cell malignancy.
  • In vivo, APOC2 reduced M1 macrophage polarization and increased tumor growth; KLHL1 counteracted these effects.

Conclusions:

  • The KLHL1/APOC2 axis plays a critical role in regulating the immune microenvironment of TNBC.
  • Activation of KLHL1 enhances M1 macrophage polarization by promoting APOC2 degradation, thereby inhibiting TNBC progression.
  • Targeting the KLHL1/APOC2 pathway offers a potential therapeutic strategy for TNBC.