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Super-enhancer–driven EFNA1 fuels tumor progression in cervical cancer via the FOSL2-Src/AKT/STAT3 axis
Shu-Qiang Liu, … , Chun-Ling Luo, Jin-Xin Bei
Shu-Qiang Liu, … , Chun-Ling Luo, Jin-Xin Bei
Published February 18, 2025
Citation Information: J Clin Invest. 2025;135(8):e177599. https://doi.org/10.1172/JCI177599.
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Research Article Cell biology Oncology

Super-enhancer–driven EFNA1 fuels tumor progression in cervical cancer via the FOSL2-Src/AKT/STAT3 axis

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Abstract

Super-enhancers (SEs) are expansive cis-regulatory elements known for amplifying oncogene expression across various cancers. However, their role in cervical cancer (CC), a remarkable global malignancy affecting women, remains underexplored. Here we applied integrated epigenomic and transcriptomic profiling to delineate the distinct SE landscape in CC by analyzing paired tumor and normal tissues. Our study identifies a tumor-specific SE at the EFNA1 locus that drives EFNA1 expression in CC. Mechanically, the EFNA1-SE region contains consensus sequences for the transcription factor FOSL2, whose knockdown markedly suppressed luciferase activity and diminished H3K27ac enrichment within the SE region. Functional analyses further underlined EFNA1’s oncogenic role in CC, linking its overexpression to poor patient outcomes. EFNA1 knockdown strikingly reduced CC cell proliferation, migration, and tumor growth. Moreover, EFNA1 cis-interacted with its receptor EphA2, leading to decreased EphA2 tyrosine phosphorylation and subsequent activation of the Src/AKT/STAT3 forward signaling pathway. Inhibition of this pathway with specific inhibitors substantially attenuated the tumorigenic capacity of EFNA1-overexpressing CC cells in both in vitro and in vivo models. Collectively, our study unveils the critical role of SEs in promoting tumor progression through the FOSL2-EFNA1-EphA2-Src/AKT/STAT3 axis, providing new prognostic and therapeutic avenues for CC patients.

Authors

Shu-Qiang Liu, Xi-Xi Cheng, Shuai He, Tao Xia, Yi-Qi Li, Wan Peng, Ya-Qing Zhou, Zi-Hao Xu, Mi-Si He, Yang Liu, Pan-Pan Wei, Song-Hua Yuan, Chang Liu, Shu-Lan Sun, Dong-Ling Zou, Min Zheng, Chun-Yan Lan, Chun-Ling Luo, Jin-Xin Bei

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Figure 3

FOSL2 regulates EFNA1 transcription through binding to SE regions.

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FOSL2 regulates EFNA1 transcription through binding to SE regions.
(A) V...
(A) Venn diagram presenting potential transcription factors binding to the SE regions (E1 and E2) and the core promoter region of EFNA1. (B) Pearson’s correlation analysis showing the positive correlation between EFNA1 and FOSL2 expression in CC samples from the TCGA database (27). TPM, transcripts per million. (C) Expression of FOSL2 and EFNA1 in SiHa and HCC-94 cells transiently transfected with siRNAs targeting FOSL2 or control siRNA. mRNA expression was determined using qRT-PCR. (D and E) Western blotting showing the protein expression levels of FOSL2 and EFNA1 following FOSL2 knockdown (D) or overexpression (E). (F and G) Luciferase reporter assay showing EFNA1 promoter activity in HEK293T cells with FOSL2 knockdown (F) or overexpression (G). (H) Gene tracks showing FOSL2 ChIP-Seq occupancy at the EFNA1 loci in SiHa and HCC-94 cell lines. The x axis shows genomic position, and the y axis shows ChIP-Seq occupancy signal in reads per million mapped reads per base pair (rpm/bp). (I–K) qPCR assay showing FOSL2 and H3K27ac enrichments at the EFNA1 core promoter and SE regions from ChIP assay in HCC-94 cells with FOSL2 and H3K27ac antibodies. Data are presented as mean ± SD from 3 independent experiments. (L) Schematic diagram showing the EFNA1 E2 region (from chr1:155,100,545–155,103,815) with an FOSL2 binding motif (from chr1:155,101,975–155,101,985). (M) Luciferase activity of the indicated plasmids in HEK293T cells. After 48 hours of transfection of specified plasmid, luciferase activity was determined and normalized to pRL-TK luciferase activity. Data are presented as mean ± SD across n = 3 replicates. Statistical analysis was performed using Pearson’s correlation test in B, 1-way ANOVA test in C, F, G, I–K, and M. Significant P values: **P < 0.01, ***P < 0.001.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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