The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma

ABSTRACT Background Malignant tumors release growth factors, promoting lymphangiogenesis in primary tumors and draining sentinel lymph nodes, ultimately facilitating lymph node metastasis. As a malignant lymphatic tumor entity, lymphangiosarcomas are characterized by low survival rates and limited t...

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Main Authors: Katja K. Koll, Martin M. Zimmermann, Patrick A. Will, Ulrich Kneser, Christoph Hirche
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Cancer Reports
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Online Access:https://doi.org/10.1002/cnr2.70110
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author Katja K. Koll
Martin M. Zimmermann
Patrick A. Will
Ulrich Kneser
Christoph Hirche
author_facet Katja K. Koll
Martin M. Zimmermann
Patrick A. Will
Ulrich Kneser
Christoph Hirche
author_sort Katja K. Koll
collection DOAJ
description ABSTRACT Background Malignant tumors release growth factors, promoting lymphangiogenesis in primary tumors and draining sentinel lymph nodes, ultimately facilitating lymph node metastasis. As a malignant lymphatic tumor entity, lymphangiosarcomas are characterized by low survival rates and limited treatment options. The transcription factor SOX18 plays a crucial role in both lymphatic endothelial cell differentiation and cancer‐induced lymphangiogenesis. Aims In this in vitro study, we investigated the potential therapeutic effect of a small molecule called Sm4, which inhibits SOX18, on lymphatic endothelial and lymphangiosarcoma cells in vitro. Methods and Results Human dermal lymphatic endothelial cells (HDLECs), lymphangiosarcoma cells (MO‐LAS), and other endothelial cell lines were cultured. We found that Sox18 exhibited high mRNA expression levels in both HDLEC and MO‐LAS. Sm4 treatment decreased the Sox18 expression level at the mRNA and protein levels in both HDLEC and MO‐LAS significantly, a phenomenon confirmed through immunofluorescence images. Additionally, Sm4 treatment suppressed the expression of key lymphatic phenotype markers (Prox1, Flt4, and Lyve1) and hindered migration in both HDLEC and MO‐LAS, all while maintaining cell viability. Conclusion These findings suggest that targeting SOX18 with Sm4 may hold potential as a therapeutic strategy for lymphangiosarcoma and cancer‐induced lymphatic metastasis. Further in vitro studies are warranted to investigate the mechanisms and conduct dose–response analyses to evaluate Sm4's potential as a targeted therapy for lymphangiosarcoma and cancer‐induced lymphangiogenesis in the future.
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spelling doaj-art-e5c529f855974c6ebf8bac32badc5ec52025-01-30T15:46:35ZengWileyCancer Reports2573-83482025-01-0181n/an/a10.1002/cnr2.70110The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and LymphangiosarcomaKatja K. Koll0Martin M. Zimmermann1Patrick A. Will2Ulrich Kneser3Christoph Hirche4Department of Hand, Plastic and Reconstructive Surgery, Microsurgery Burn Centre BG Klinik Ludwigshafen Ludwigshafen GermanyDepartment of Hand, Plastic and Reconstructive Surgery, Microsurgery Burn Centre BG Klinik Ludwigshafen Ludwigshafen GermanyDepartment of Plastic and Hand Surgery Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden Dresden GermanyDepartment of Hand, Plastic and Reconstructive Surgery, Microsurgery Burn Centre BG Klinik Ludwigshafen Ludwigshafen GermanyDepartment of Plastic, Hand, and Reconstructive Microsurgery, BG Unfallklinik Frankfurt Am Main Affiliated Hospital of Goethe‐University Frankfurt am Main GermanyABSTRACT Background Malignant tumors release growth factors, promoting lymphangiogenesis in primary tumors and draining sentinel lymph nodes, ultimately facilitating lymph node metastasis. As a malignant lymphatic tumor entity, lymphangiosarcomas are characterized by low survival rates and limited treatment options. The transcription factor SOX18 plays a crucial role in both lymphatic endothelial cell differentiation and cancer‐induced lymphangiogenesis. Aims In this in vitro study, we investigated the potential therapeutic effect of a small molecule called Sm4, which inhibits SOX18, on lymphatic endothelial and lymphangiosarcoma cells in vitro. Methods and Results Human dermal lymphatic endothelial cells (HDLECs), lymphangiosarcoma cells (MO‐LAS), and other endothelial cell lines were cultured. We found that Sox18 exhibited high mRNA expression levels in both HDLEC and MO‐LAS. Sm4 treatment decreased the Sox18 expression level at the mRNA and protein levels in both HDLEC and MO‐LAS significantly, a phenomenon confirmed through immunofluorescence images. Additionally, Sm4 treatment suppressed the expression of key lymphatic phenotype markers (Prox1, Flt4, and Lyve1) and hindered migration in both HDLEC and MO‐LAS, all while maintaining cell viability. Conclusion These findings suggest that targeting SOX18 with Sm4 may hold potential as a therapeutic strategy for lymphangiosarcoma and cancer‐induced lymphatic metastasis. Further in vitro studies are warranted to investigate the mechanisms and conduct dose–response analyses to evaluate Sm4's potential as a targeted therapy for lymphangiosarcoma and cancer‐induced lymphangiogenesis in the future.https://doi.org/10.1002/cnr2.70110cancer‐induced lymphatic metastasislymphangiosarcomalymphatic endothelial cellsMO‐LASSm4SOX18 inhibitor
spellingShingle Katja K. Koll
Martin M. Zimmermann
Patrick A. Will
Ulrich Kneser
Christoph Hirche
The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
Cancer Reports
cancer‐induced lymphatic metastasis
lymphangiosarcoma
lymphatic endothelial cells
MO‐LAS
Sm4
SOX18 inhibitor
title The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
title_full The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
title_fullStr The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
title_full_unstemmed The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
title_short The Transcription Factor SOX18 Inhibitor Small Molecule 4 Is a Potential Treatment of Cancer‐Induced Lymphatic Metastasis and Lymphangiosarcoma
title_sort transcription factor sox18 inhibitor small molecule 4 is a potential treatment of cancer induced lymphatic metastasis and lymphangiosarcoma
topic cancer‐induced lymphatic metastasis
lymphangiosarcoma
lymphatic endothelial cells
MO‐LAS
Sm4
SOX18 inhibitor
url https://doi.org/10.1002/cnr2.70110
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