Despite the improvements in surgery and drug development, the prognosis of patients with recurrent and metastatic HNSC who received traditional chemotherapy is less than 5% at one year [25]. Thus, it is critical to identify a more promising biomarker and therapeutic target for this malignancy.
This study found that ESCO2 was highly expressed in HNSC tumors compared with that in normal tissues, which highlighted the importance of ESCO2 in HPC tumorigenesis. We also noticed that tumors expressing higher levels of ESCO2 are more prone to invade distant organs and lymph nodes. A recent investigation evaluated the ESCO2 expression in lung adenocarcinoma using multiple public databases, which echoes our study. The investigators found that tumors expressing high ESCO2 were associated with higher TNM stages [6]. These findings further compelled us to investigate the role of ESCO2 in HNSC development.
Moreover, our findings demonstrated that silencing ESCO2 restrained HPC's growth and metastatic ability. These findings align with previous studies. For instance, downregulated ESCO2 gastric cancer cells promoted cellular apoptosis and suppressed tumor growth [3]. Also, elevated ESCO2 was connected to tumor progression and poor prognosis in renal cell carcinoma [5]. Also, lung cancer cells expressing high ESCO2 exhibited enhanced proliferative and metastatic potency [6]. All these data suggest ESCO2 plays a crucial role in the proliferation and metastasis of various human cancers. However, some researchers also reported a tumor-suppressive role of ESCO2 [26]. For instance, the author found colorectal cancer patients with higher ESCO2 expression had a longer overall survival rate, and ESCO2-depletion enhanced colon cancer cell migration. This inconsistency may be attributed to organ specificity.
Moreover, our study shows that ESCO2 is closely related to HPC cell migration and proliferation. Meanwhile, ESCO2 was reported to regulate tumor progression via forming a macromolecular complex to interfere with signaling transductions [6, 27]. Therefore, ESCO2 may exert regulatory effects on those cellular activities by interfering with corresponding signaling pathways in a similar manner. Thus, we investigated ESCO2 interactome focusing on cell migration and proliferation-related pathways using Co-IP/MS assay. Among the mass spectrometry-identified candidates, STAT1 exhibited the most pronounced interaction with ESCO2. STAT1 is localized in cell cytoplasm in an inactive unphosphorylated form. Once activated, it undergoes phosphorylation and enters the nucleus, where it binds to the promoters of target genes to induce gene transcription [28].
STAT1 is essential in maintaining cell death/growth homeostasis and regulating cell differentiation under normal conditions [29, 30]. In the context of cancer, STAT1 possesses both tumor-suppressive and tumor-promotive activities [9]. In particular, the loss of activation and/or expression of STAT1 occurs in malignant cells derived from various tumors [9]. However, accumulating evidence has demonstrated the promotive effect of STAT1 in malignancies. For instance, STAT1 has been shown to facilitate the development of leukemia [31]. Moreover, dysregulated STAT1 activation\expression have been shown to assist the cancer cell immune escape and contribute to unfavorable prognosis in breast cancer [32, 33]. Consistently, we have found that overexpressing STAT1 recovered the proliferative and migratory abilities of the ESCO2-depleted cells. Together, these findings highlighted the STAT1’s tumor-promoting role in HPC and indicated its involvement in ESCO2-mediated HPC development.
In this study, we found that ESCO2 mediates tumor progression potentially by affecting STAT1 signaling. It has been well-demonstrated that the phosphorylation-acetylation switch plays a critical role in STAT1 signaling [34]. Under this scenario, post-translational modifiers such as acetyltransferase and deacetylase are important. For instance, STAT1 acetylation has been shown to promote its phosphorylation by recruiting protein kinase, which, in turn, regulates downstream signaling transduction [34]. As an acetyltransferase, ESCO2 may also contribute to the regulation of STAT1 signaling in HPC. We have identified a physical interaction between ESCO2 and STAT1, which suggested the crosstalk between ESCO2 and STAT1 in HPC for the first time.
Interestingly, microarray analysis demonstrated that STAT1 is co-expressed with ESCO2 and may regulate its transcription in breast cancer [24]. These findings indicate a positive regulatory loop in which STAT1 increases ESCO2 expression, which further activates STAT1. However, the detailed molecular activities need further investigation.
The essential duty of ESCO2 is modifying cohesin during the S phase to stabilize the sister chromatid cohesion and gene transcription [35]. Various transcription factors, such as CTCF and REST/NRSF, are enriched around ESCO2 binding sites. Furthermore, the transcription of neuron-specific genes depends on the acetylation of cohesion subunits by ESCO2 [34]. In the present study, the cell cycle arrest in the S phase was apparent in ESCO2 silencing FaDu cells, which provides substantial evidence of the involvement of ESCO2 in the cell fate decision. However, the contribution of ESCO2-controlled gene transcription to the malignant progression of HPC and the specific underlying mechanisms remain enigmatic, which will be the focus of our future research.