Aug 2026· iScience· Vol 29· 0 citations· 21 references
Medicine
TL;DR
It was revealed that RFC5 exerted a co-transcriptional activation function, which was negatively regulated by GATA3, to promote NSCLC progression by activating the STAT3-c-Myc signaling pathway.
Abstract
Summary Non-small cell lung cancer (NSCLC), a leading cause of cancer death worldwide, is often characterized by late diagnosis and treatment resistance, which adversely affect patient prognosis. This study identified replication factor C subunit 5 (RFC5) as a critical oncoprotein in NSCLC progression. Single-cell transcriptomic analysis of multi-stage NSCLC tissues revealed RFC5 as the most specific marker for a highly proliferative and migratory tumor subpopulation. RFC5 promoted NSCLC malignant phenotypes. Mechanistically, RFC5 interacted with and activated STAT3, functioning as a co-transcriptional activator to upregulate the expression of the oncogene c-Myc. Furthermore, GATA3 acts as an upstream negative regulator of RFC5. Collectively, this study revealed that RFC5 exerted a co-transcriptional activation function, which was negatively regulated by GATA3, to promote NSCLC progression by activating the STAT3-c-Myc signaling pathway. Thus, RFC5 represented a promising prognostic biomarker and therapeutic target for NSCLC.
A multilayered regulatory signaling axis linking the immunogenomic microenvironment to NSCLC progression is delineated, which provides mechanistic insights and translational implications for developing immunotherapeutic strategies targeting KBTBD10, LINC 01585, and LINC 01585 in NSCLC treatment.
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