HSPA1A promotes immune-evasive colorectal liver metastasis through post-transcriptional stabilization of APP mRNA
Ying Wan1, Zhifei Cao2, Shanshan Shen2
1Department of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.
Abstract:
Colorectal cancer (CRC) liver metastasis remains a major clinical challenge, particularly in microsatellite-stable tumors that respond poorly to immune checkpoint blockade. Whether tumor cell-intrinsic stress programs actively promote immune evasion during hepatic colonization remains incompletely understood. Here, we integrated single-cell RNA sequencing analysis of paired primary CRC and liver metastases with in vivo liver metastasis models, HSPA1A loss- and gain-of-function assays, RNA-protein interaction assays, T cell co-culture experiments, and αPD-L1 treatment studies to investigate the role and mechanism of HSPA1A. HSPA1A was enriched in a metastasis-associated tumor cell state, and high HSPA1A expression was associated with poor survival and metastatic progression. Functionally, HSPA1A silencing markedly reduced hepatic metastatic burden in vivo without increasing tumor cell invasiveness or inducing epithelial-mesenchymal transition, suggesting a role in microenvironmental adaptation rather than intrinsic motility. Mechanistically, HSPA1A bound an AU-rich element within the APP mRNA 3' untranslated region, stabilized APP transcripts, and increased APP protein expression. HSPA1A depletion enhanced Th17-like CD4+ T cell responses, whereas APP overexpression attenuated this immune phenotype. Moreover, HSPA1A depletion improved the response to αPD-L1 therapy, prolonging survival and further suppressing liver metastatic burden. Collectively, these preclinical findings suggest that the HSPA1A-APP axis links tumor cell stress adaptation to immune-evasive hepatic colonization and may provide a mechanistic basis for improving immunotherapy responses in colorectal liver metastasis.
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