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KDM1A-driven RNF81 downregulation promotes gastric cancer progression via KLF4 destabilization

Abstract

Gastric cancer (GC) is a leading cause of cancer-related deaths worldwide, especially in East Asia, with a low 5-year survival rate due to late-stage diagnosis. Identifying molecular mechanisms that regulate GC progression is critical for improving clinical outcomes. RNF81, a member of the tripartite motif (TRIM) family, has demonstrated diverse roles in various cancers. In this study, we uncover its tumor-suppressive function in GC through novel regulatory pathways. Analysis of clinical data and tissue microarrays revealed that RNF81 expression is significantly downregulated in GC tissues and positively correlates with patient survival. Mechanistically, we identified lysine demethylase KDM1A as a key repressor of RNF81 expression. KDM1A recruits transcription factor E2F1 to form a transcriptional repressor complex, reducing H3K4me1 and H3K4me2 levels at the RNF81 promoter. Functional studies showed that RNF81 stabilizes the tumor suppressor KLF4 by binding through its SPRY domain, thereby inhibiting KLF4 ubiquitination and degradation. Overexpression of RNF81 suppressed GC cell proliferation, migration, and invasion in vitro and reduced tumor growth in vivo, effects that were partially rescued by KLF4 knockdown. These findings reveal a novel KDM1A-RNF81-KLF4 regulatory axis in GC and highlight RNF81 as a potential therapeutic target for GC treatment. Targeting this pathway may offer promising strategies to improve outcomes for GC patients.

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Fig. 1: Low expression of RNF81 correlates with poor prognosis and increased malignancy in gastric cancer patients.
Fig. 2: KDM1A inhibits RNF81 expression by regulating H3K4 methylation levels on the RNF81 promoter.
Fig. 3: KDM1A-E2F1 complex transcriptionally inhibits RNF81 expression.
Fig. 4: RNF81 inhibits cell proliferation and tumor growth in gastric cancer.
Fig. 5: Identification of KLF4 as an RNF81-interacting protein and determination of their binding domains.
Fig. 6: RNF81 inhibits the ubiquitination and degradation of KLF4.
Fig. 7: RNF81 suppresses gastric cancer cell proliferation and tumor growth via KLF4.
Fig. 8: KDM1A-mediated transcriptional repression of RNF81 and its regulatory role in gastric cancer progression.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

References

  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71:209–49.

    PubMed  Google Scholar 

  2. Sexton RE, Al Hallak MN, Diab M, Azmi AS. Gastric cancer: a comprehensive review of current and future treatment strategies. Cancer Metastasis Rev. 2020;39:1179–203.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Reymond A, Meroni G, Fantozzi A, Merla G, Cairo S, Luzi L, et al. The tripartite motif family identifies cell compartments. EMBO J. 2001;20:2140–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Fukuda-Kamitani T, Kamitani T. Ubiquitination of Ro52 autoantigen. Biochem Biophys Res Commun. 2002;295:774–8.

    Article  CAS  PubMed  Google Scholar 

  5. Lazzari E, Korczeniewska J, Ni Gabhann J, Smith S, Barnes BJ, Jefferies CA. TRIpartite motif 21 (TRIM21) differentially regulates the stability of interferon regulatory factor 5 (IRF5) isoforms. PLoS ONE. 2014;9:e103609.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Zhang Z, Bao M, Lu N, Weng L, Yuan B, Liu YJ. The E3 ubiquitin ligase TRIM21 negatively regulates the innate immune response to intracellular double-stranded DNA. Nat Immunol. 2013;14:172–8.

    Article  CAS  PubMed  Google Scholar 

  7. Su X, Feng C, Wang S, Shi L, Gu Q, Zhang H, et al. The noncoding RNAs SNORD50A and SNORD50B-mediated TRIM21-GMPS interaction promotes the growth of p53 wild-type breast cancers by degrading p53. Cell Death Differ. 2021;28:2450–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Reddy BA, van der Knaap JA, Bot AG, Mohd-Sarip A, Dekkers DH, Timmermans MA, et al. Nucleotide biosynthetic enzyme GMP synthase is a TRIM21-controlled relay of p53 stabilization. Mol Cell. 2014;53:458–70.

    Article  CAS  PubMed  Google Scholar 

  9. Guha A, Ahuja D, Das Mandal S, Parasar B, Deyasi K, Roy D, et al. Integrated regulation of HuR by translation repression and protein degradation determines pulsatile expression of p53 under DNA damage. iScience. 2019;15:342–59.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Sun J, Chen X, Ji X, Meng S, Wang W, Wang P, et al. TRIM21 deficiency promotes cell proliferation and tumorigenesis via regulating p21 expression in ovarian cancer. Bioengineered. 2022;13:6024–35.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Wang F, Wu Z, Li Q, Ni Z, Wang C, Lu J. Ubiquitination of p21 by E3 Ligase TRIM21 Promotes the Proliferation of Human Neuroblastoma Cells. Neuromolecular Med. 2021;23:549–60.

    Article  CAS  PubMed  Google Scholar 

  12. Sabile A, Meyer AM, Wirbelauer C, Hess D, Kogel U, Scheffner M, et al. Regulation of p27 degradation and S-phase progression by Ro52 RING finger protein. Mol Cell Biol. 2006;26:5994–6004.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Zhao Z, Wang Y, Yun D, Huang Q, Meng D, Li Q, et al. TRIM21 overexpression promotes tumor progression by regulating cell proliferation, cell migration and cell senescence in human glioma. Am J Cancer Res. 2020;10:114–30.

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Liu J, Zhang C, Xu D, Zhang T, Chang CY, Wang J, et al. The ubiquitin ligase TRIM21 regulates mutant p53 accumulation and gain of function in cancer. J Clin Investig. 2023;133:e164354.

  15. Jin Y, Zhang Y, Li B, Zhang J, Dong Z, Hu X, et al. TRIM21 mediates ubiquitination of Snail and modulates epithelial to mesenchymal transition in breast cancer cells. Int J Biol Macromol. 2019;124:846–53.

    Article  CAS  PubMed  Google Scholar 

  16. Niida M, Tanaka M, Kamitani T. Downregulation of active IKK beta by Ro52-mediated autophagy. Mol Immunol. 2010;47:2378–87.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Wang YK, Ma N, Xu S, Huang JY, Ni QZ, Cao HJ, et al. PPDPF suppresses the development of hepatocellular carcinoma through TRIM21-mediated ubiquitination of RIPK1. Cell Rep. 2023;42:112340.

    Article  CAS  PubMed  Google Scholar 

  18. Jauharoh SN, Saegusa J, Sugimoto T, Ardianto B, Kasagi S, Sugiyama D, et al. SS-A/Ro52 promotes apoptosis by regulating Bcl-2 production. Biochem Biophys Res Commun. 2012;417:582–7.

    Article  CAS  PubMed  Google Scholar 

  19. Sjostrand M, Ambrosi A, Brauner S, Sullivan J, Malin S, Kuchroo VK, et al. Expression of the immune regulator tripartite-motif 21 is controlled by IFN regulatory factors. J Immunol. 2013;191:3753–63.

    Article  PubMed  Google Scholar 

  20. Wang F, Zhang J, Tang H, Pang Y, Ke X, Peng W, et al. Nup54-induced CARM1 nuclear importation promotes gastric cancer cell proliferation and tumorigenesis through transcriptional activation and methylation of Notch2. Oncogene. 2022;41:246–59.

    Article  PubMed  Google Scholar 

  21. Alomari M. TRIM21 - A potential novel therapeutic target in cancer. Pharmacol Res. 2021;165:105443.

    Article  CAS  PubMed  Google Scholar 

  22. Shin HJ, Kim H, Oh S, Lee JG, Kee M, Ko HJ, et al. AMPK-SKP2-CARM1 signalling cascade in transcriptional regulation of autophagy. Nature. 2016;534:553–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Thomas LR, Foshage AM, Weissmiller AM, Tansey WP. The MYC-WDR5 Nexus and Cancer. Cancer Res. 2015;75:4012–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. He Y, Zhao Y, Wang L, Bohrer LR, Pan Y, Wang L, et al. LSD1 promotes S-phase entry and tumorigenesis via chromatin co-occupation with E2F1 and selective H3K9 demethylation. Oncogene. 2018;37:534–43.

    Article  CAS  PubMed  Google Scholar 

  25. Decker P, Moulinet T, Pontille F, Cravat M, De Carvalho Bittencourt M, Jaussaud R. An updated review of anti-Ro52 (TRIM21) antibodies impact in connective tissue diseases clinical management. Autoimmun Rev. 2022;21:103013.

    Article  CAS  PubMed  Google Scholar 

  26. Jones EL, Laidlaw SM, Dustin LB. TRIM21/Ro52 - roles in innate immunity and autoimmune disease. Front Immunol. 2021;12:738473.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. He Z, He J, Xie K. KLF4 transcription factor in tumorigenesis. Cell Death Discov. 2023;9:118.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Yang L, Shi P, Zhao G, Xu J, Peng W, Zhang J, et al. Targeting cancer stem cell pathways for cancer therapy. Signal Transduct Target Ther. 2020;5:8.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Li JC, Chen QH, Jian R, Zhou JR, Xu Y, Lu F, et al. The partial role of KLF4 and KLF5 in gastrointestinal tumors. Gastroenterol Res Pr. 2021;2021:2425356.

    Google Scholar 

  30. Hashimoto I, Nagata T, Sekine S, Moriyama M, Shibuya K, Hojo S, et al. Prognostic significance of KLF4 expression in gastric cancer. Oncol Lett. 2017;13:819–26.

    Article  CAS  PubMed  Google Scholar 

  31. Zhang J, Zhu Z, Wu H, Yu Z, Rong Z, Luo Z, et al. PODXL, negatively regulated by KLF4, promotes the EMT and metastasis and serves as a novel prognostic indicator of gastric cancer. Gastric Cancer. 2019;22:48–59.

    Article  CAS  PubMed  Google Scholar 

  32. Hashimoto H, Wang D, Steves AN, Jin P, Blumenthal RM, Zhang X, et al. Distinctive Klf4 mutants determine preference for DNA methylation status. Nucleic Acids Res. 2016;44:10177–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Sun Z, Yu S, Chen S, Liu H, Chen Z. SP1 regulates KLF4 via SP1 binding motif governed by DNA methylation during odontoblastic differentiation of human dental pulp cells. J Cell Biochem. 2019;120:14688–99.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Cockram PE, Kist M, Prakash S, Chen SH, Wertz IE, Vucic D. Ubiquitination in the regulation of inflammatory cell death and cancer. Cell Death Differ. 2021;28:591–605.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Zhang Y, Qian H, Wu B, You S, Wu S, Lu S, et al. E3 Ubiquitin ligase NEDD4 family‑regulatory network in cardiovascular disease. Int J Biol Sci. 2020;16:2727–40.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Xiao K, Peng S, Lu J, Zhou T, Hong X, Chen S, et al. UBE2S interacting with TRIM21 mediates the K11-linked ubiquitination of LPP to promote the lymphatic metastasis of bladder cancer. Cell Death Dis. 2023;14:408.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Chen X, Li Z, Yong H, Wang W, Wang D, Chu S, et al. Trim21-mediated HIF-1alpha degradation attenuates aerobic glycolysis to inhibit renal cancer tumorigenesis and metastasis. Cancer Lett. 2021;508:115–26.

    Article  CAS  PubMed  Google Scholar 

  38. Wu Z, Zhang J, Jia Z, Yang Z, Liu S, Wang H, et al. TRIM21-mediated ubiquitylation of TAT suppresses liver metastasis in gallbladder cancer. Cancer Lett. 2024;592:216923.

    Article  CAS  PubMed  Google Scholar 

  39. Ye WL, Huang L, Yang XQ, Wan S, Gan WJ, Yang Y, et al. TRIM21 induces selective autophagic degradation of c-Myc and sensitizes regorafenib therapy in colorectal cancer. Proc Natl Acad Sci USA. 2024;121:e2406936121.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Liu Y, Liu F, Li C, Zhang T, Han T, Dai Y, et al. TRIM21-mediated ubiquitination and phosphorylation of ERK1/2 promotes cell proliferation and drug resistance in pituitary adenomas. Neuro Oncol. 2025;27:727–42.

  41. Wang S, Qiao X, Cui Y, Liu L, Cooper T, Hu Y, et al. NCAPH, ubiquitinated by TRIM21, promotes cell proliferation by inhibiting autophagy of cervical cancer through AKT/mTOR dependent signaling. Cell Death Dis. 2024;15:565.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Yang J, Liao Y, Wang B, Cui L, Yu X, Wu F, et al. EDARADD promotes colon cancer progression by suppressing E3 ligase Trim21-mediated ubiquitination and degradation of Snail. Cancer Lett. 2023;577:216427.

    Article  CAS  PubMed  Google Scholar 

  43. Zhang L, Li Q, Yang J, Xu P, Xuan Z, Xu J, et al. Cytosolic TGM2 promotes malignant progression in gastric cancer by suppressing the TRIM21-mediated ubiquitination/degradation of STAT1 in a GTP binding-dependent modality. Cancer Commun (Lond). 2023;43:123–49.

    Article  PubMed  Google Scholar 

  44. He L, Zhou J, Ding D, Jiang Y, Yang R, Li Z. MiR-99a-3p downregulates TRIM21 to promote gastric cancer development. Mol Cell Biochem. 2025;480:1001–12.

  45. Tetreault MP, Wang ML, Yang Y, Travis J, Yu QC, Klein-Szanto AJ, et al. Klf4 overexpression activates epithelial cytokines and inflammation-mediated esophageal squamous cell cancer in mice. Gastroenterology. 2010;139:2124–2134 e2129.

    Article  CAS  PubMed  Google Scholar 

  46. Ma X, Wang L, Shi G, Sun S. The deubiquitinase OTUD1 inhibits non-small cell lung cancer progression by deubiquitinating and stabilizing KLF4. Thorac Cancer. 2022;13:761–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Zou H, Chen H, Zhou Z, Wan Y, Liu Z. ATXN3 promotes breast cancer metastasis by deubiquitinating KLF4. Cancer Lett. 2019;467:19–28.

    Article  CAS  PubMed  Google Scholar 

  48. Zhou H, Guan Q, Hou X, Liu L, Zhou L, Li W, et al. Epithelial-mesenchymal reprogramming by KLF4-regulated Rictor expression contributes to metastasis of non-small cell lung cancer cells. Int J Biol Sci. 2022;18:4869–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Wang X, Xia S, Li H, Wang X, Li C, Chao Y, et al. The deubiquitinase USP10 regulates KLF4 stability and suppresses lung tumorigenesis. Cell Death Differ. 2020;27:1747–64.

    Article  CAS  PubMed  Google Scholar 

  50. Zhou Y, Hofstetter WL, He Y, Hu W, Pataer A, Wang L, et al. KLF4 inhibition of lung cancer cell invasion by suppression of SPARC expression. Cancer Biol Ther. 2010;9:507–13.

    Article  CAS  PubMed  Google Scholar 

  51. Yan Y, Li Z, Kong X, Jia Z, Zuo X, Gagea M, et al. KLF4-mediated suppression of CD44 Signaling Negatively Impacts Pancreatic Cancer Stemness and Metastasis. Cancer Res. 2016;76:2419–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Chen Z, Jiang Z, Meng L, Wang Y, Lin M, Wei Z, et al. SAMHD1, positively regulated by KLF4, suppresses the proliferation of gastric cancer cells through MAPK p38 signaling pathway. Cell Cycle. 2022;21:2065–78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Zang Y, Tian Z, Wang D, Li Y, Zhang W, Ma C, et al. METTL3-mediated N(6)-methyladenosine modification of STAT5A promotes gastric cancer progression by regulating KLF4. Oncogene. 2024;43:2338–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Funding

This research was supported by the National Natural Science Foundation of China (Grant No. 82203339), the Natural Science Foundation Project of Chongqing, China (Grant Nos. CSTB2024NSCQ-MSX0678 and CSTB2024NSCQ-MSX1201) and the Science and Technology Research Program of Chongqing Municipal Education Commission(Grant Nos. KJZD-K202402701 and KJQN202402705). Wanzhou District Science and Technology Bureau, Chongqing (Grant Nos. wzstc-20240028 and wzstc-20240022).

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Feng Wang and Po Hao contributed to the study design, data acquisition, analysis, interpretation, in vivo studies and drafting of the manuscript; Feng Wang, Yongli Pu and Xiao He conducted analysis and in vitro studies; Qing He contributed to the conception and interpretation of the study; Hongjuan Cui contributed to the analysis and critical revision of the manuscript; Feng Wang, Hongjuan Cui and Suting Jiang contributed to the conception and interpretation of the study, acquired funding, supervised the work, and wrote the final version of the manuscript. All authors have read and approved the final version of this manuscript.

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Correspondence to Hongjuan Cui or Suting Jiang.

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All animal experiments in this study were conducted in accordance with the relevant guidelines and regulations, including institutional and national standards for the care and use of laboratory animals. Ethical approval was obtained from the Institutional Animal Care and Use Committee (IACUC) of the Three Gorges Medical College (Approval Number: TGMC-IACUC-2024-026). No human participants were involved in this study; therefore, informed consent and consent for publication are not applicable.

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Wang, F., Hao, P., Pu, Y. et al. KDM1A-driven RNF81 downregulation promotes gastric cancer progression via KLF4 destabilization. Oncogene 44, 3864–3878 (2025). https://doi.org/10.1038/s41388-025-03549-z

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