In this study, we proved FAT1 suppressed the malignant phenotype of HNSCC through activating the type I interferon signaling pathway. Specifically, we identified FAT1 could phosphorylate CaMKII and further impede the formation of P-STAT1/IRF9 complex, thereby exerting its cancer suppressive role (Fig. 7). Based on our findings, we posit that Fat1 holds significant promise as a viable target for the treatment of HNSCC.
Recently, Fat1 mutations have been identified in various cancer types, with its mutation rate in HNSCC second only to that of Tp53[9, 10, 26]. In the present study, we found that FAT1 was lowly expressed in HNSCC tissues/cells, and patients with higher FAT1 expression had better prognosis, suggesting that FAT1 might play a tumor-suppressor role in HNSCC, which was consist with previous studies [12, 27–30]. The CSCs theory proposes that tumor consist of a heterogeneous population of cells, and the hierarchy of cells within tumor is maintained by a small group of cells called CSCs, which have continuous self-renewal ability and stronger resistant to chemoradiotherapy [31–34]. Recently, Li et al reported that loss of FAT1 activated Hippo signaling pathway, which was closely related to the pluripotency of CSCs [35]. Zhai et al uncovered that FAT1 inhibited the stemness and ABCC3-related cisplatin resistance of ESCC cells via Wnt/β-catenin signaling pathway [36]. Hence, we wondered whether FAT1 exerted its cancer-suppressive activity by the modulation of CSCs properties of HNSCC. We interfered with the expression of FAT1 in CAL27 and SCC25 cells using siRNAs and demonstrated that inhibition of FAT1 endowed HNSCC cells with heightened CSCs properties and a diminished apoptosis rate.
By means of transcriptomic sequencing, we found that knockdown of FAT1 affected the type I interferon signaling pathway, which has been recognized to act as a tumor suppressor [37, 38]. Here, we noticed treatment with IFN-α resulted in decreased CSCs properties and increased apoptosis rate of tumor cells, indicating that the activation of interferon pathway did suppress the malignant phenotype of tumors. Zhang et al observed IFN-α strengthened the therapeutic efficacy of EGFR-targeted therapies by augmenting RIG-I, and the m6A demethylase ALKBH5 could negatively regulate RIG-I expression and IFN-α production through the IKKε/TBK1/IRF3 pathway in HNSCC[39, 40]. However, scant efforts have been directed towards investigating the interplay between FAT1 and interferon pathway. STAT1 and IRF9 serve as pivotal transcription factors within the type I interferon signaling pathway, and the formation of P-STAT1/IRF9 complex represents the activation of the interferon signaling pathway [41]. The transcriptomic sequencing results revealed that the expression of STAT1 and IRF9 were significantly upregulated after FAT1 knockdown, signifying the engagement of interferon pathway. However, we found that IRF3, which triggers the secretion of type I IFNs, remained largely unaffected upon FAT1 knockdown [17], and the secretion of type I IFNs was only slightly higher than that in the control group. As such, we hypothesized that FAT1 did not activate the STAT1/IRF9 pathway through the IRF3-engaged pattern. Pastushenko et al reported that FAT1 regulated the phosphorylation of CaMKII, which then directly or indirectly phosphorylated YES and SRC [12]. Here, we found FAT1 directly regulated the type I interferon pathway by inhibiting the phosphorylation of CaMKII, which subsequently phosphorylated of STAT1 and promoted the formation of the P-STAT1/IRF9 complex. Using KN93, an inhibitor of CaMKII phosphorylation, blocking the effect of FAT1 on the type I interferon pathway. Additionally, the overexpression of STAT1 and IRF9 rescued the inactivation of the type I interferon pathway following FAT1 knockdown.
In the present study, we uncovered a previously unreported mechanism through which FAT1 exerts its tumor-suppressor role by impeding type I interferon pathway. This novel insight enriched the role of FAT1 in the field of HNSCC. However, our focus was confined to the role of FAT1 on the malignant attributes of tumor cells, omitting an investigation into the underlying causes of of Fat1 mutation and its contribution to the transformation of normal cells into malignant tumor cells. In addition, the type I interferon pathway is intricately intertwined with immunity, yet our exploration did not extend to investigating the influence of FAT1 on tumor immunity.
In summary, our findings indicate that FAT1 knockdown could prevent the activation of the type I interferon pathway through noncanonical CaMKII-dependent pathway. As a result, directing therapeutic attention towards FAT1 holds significant promise as a potentially effective strategy for addressing HNSCC.