Abstract
Numerous ubiquitination-related proteases (URPs) have been identified as facilitators of disease progression through the disruption of ubiquitination homeostasis in substrate proteins. Notably, some URPs have exhibited non-classical biological functions. In this study, we experimentally elucidate the role of the E3 ubiquitin ligase IRF2BPL as transcriptional activator that promotes malignant phenotypes in esophageal squamous cell carcinoma (ESCC) and inhibits the infiltration of various immune cells within the tumor microenvironment. Specifically, we found that IRF2BPL is highly expressed in ESCC cells and promotes IGFBP2 transcription, thereby facilitating ESCC development both in vivo and in vitro. Moreover, the chemical drug ONC201 was shown to effectively impede ESCC progression induced by the hyperactive IRF2BPL-IGFBP2 axis in tumor cells. Collectively, our findings verified that the IRF2BPL-IGFBP2 axis plays a critical role in enhancing ESCC progression by increasing the malignancy of ESCC cells and fostering an immune-deficient tumor microenvironment. Targeting the IRF2BPL-IGFBP2 axis may represent a promising therapeutic strategy for ESCC.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 50 print issues and online access
$259.00 per year
only $5.18 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout








Similar content being viewed by others
Data availability
The data in this study are available from the corresponding author on reasonable request.
References
Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74:229–63.
Han B, Zheng R, Zeng H, Wang S, Sun K, Chen R, et al. Cancer incidence and mortality in China, 2022. J Natl Cancer Cent. 2024;4:47–53.
Morgan E, Soerjomataram I, Rumgay H, Coleman HG, Thrift AP, Vignat J, et al. The global landscape of esophageal squamous cell carcinoma and esophageal adenocarcinoma incidence and mortality in 2020 and projections to 2040: new estimates from GLOBOCAN 2020. Gastroenterology. 2022;163:649–58.e642.
Deboever N, Jones CM, Yamashita K, Ajani JA, Hofstetter WL. Advances in diagnosis and management of cancer of the esophagus. BMJ. 2024;385:e074962.
Ajani JA, D’Amico TA, Bentrem DJ, Chao J, Corvera C, Das P, et al. Esophageal and Esophagogastric junction cancers, version 2.2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2019;17:855–83.
Huang J, Xu J, Chen Y, Zhuang W, Zhang Y, Chen Z, et al. Camrelizumab versus investigator’s choice of chemotherapy as second-line therapy for advanced or metastatic oesophageal squamous cell carcinoma (ESCORT): a multicentre, randomised, open-label, phase 3 study. Lancet Oncol. 2020;21:832–42.
Hershko A, Ciechanover A. The ubiquitin system. Annu Rev Biochem. 1998;67:425–79.
Komander D, Clague MJ, Urbé S. Breaking the chains: structure and function of the deubiquitinases. Nat Rev Mol Cell Biol. 2009;10:550–63.
Martínez-Jiménez F, Muiños F, López-Arribillaga E, Lopez-Bigas N, Gonzalez-Perez A. Systematic analysis of alterations in the ubiquitin proteolysis system reveals its contribution to driver mutations in cancer. Nat Cancer. 2020;1:122–35.
Tokheim C, Wang X, Timms RT, Zhang B, Mena EL, Wang B, et al. Systematic characterization of mutations altering protein degradation in human cancers. Mol Cell. 2021;81:1292–308.e1211.
Hoeller D, Hecker CM, Dikic I. Ubiquitin and ubiquitin-like proteins in cancer pathogenesis. Nat Rev Cancer. 2006;6:776–88.
Liu F, Chen J, Li K, Li H, Zhu Y, Zhai Y, et al. Ubiquitination and deubiquitination in cancer: from mechanisms to novel therapeutic approaches. Mol Cancer. 2024;23:148.
Li L, Zhu R, Zhou H, Cui CP, Yu X, Liu Y, et al. All-Trans retinoic acid promotes a tumor suppressive OTUD6B-β-TrCP-SNAIL Axis in esophageal squamous cell carcinoma and enhances immunotherapy. Adv Sci. 2023;10:e2207458.
Zhang H, Han Y, Xiao W, Gao Y, Sui Z, Ren P, et al. USP4 promotes the proliferation, migration, and invasion of esophageal squamous cell carcinoma by targeting TAK1. Cell Death Dis. 2023;14:730.
Zhao X, Ma Y, Li J, Sun X, Sun Y, Qu F, et al. The AEG-1-USP10-PARP1 axis confers radioresistance in esophageal squamous cell carcinoma via facilitating homologous recombination-dependent DNA damage repair. Cancer Lett. 2023;577:216440.
Wang Q, Wu L, Cao R, Gao J, Chai D, Qin Y, et al. Fbxo45 promotes the malignant development of esophageal squamous cell carcinoma by targeting GGNBP2 for ubiquitination and degradation. Oncogene. 2022;41:4795–807.
Wang L, Liu C, Li L, Wei H, Wei W, Zhou Q, et al. RNF20 regulates oocyte meiotic spindle assembly by recruiting TPM3 to centromeres and spindle poles. Adv Sci. 2024;11:e2306986.
Wang Z, Yan M, Ye L, Zhou Q, Duan Y, Jiang H, et al. VHL suppresses autophagy and tumor growth through PHD1-dependent Beclin1 hydroxylation. EMBO J. 2024;43:931–55.
Yu R, Han H, Chu S, Qin L, Du M, Ma Y, et al. Cullin 4B-RING E3 ligase negatively regulates the immunosuppressive capacity of mesenchymal stem cells by suppressing iNOS. Cell Death Differ. 2024;32:149–61.
Zhao D, Qiang L, Lei Z, Ge P, Lu Z, Wang Y, et al. TRIM27 elicits protective immunity against tuberculosis by activating TFEB-mediated autophagy flux. Autophagy. 2024;20:1483–504.
Rampazzo A, Pivotto F, Occhi G, Tiso N, Bortoluzzi S, Rowen L, et al. Characterization of C14orf4, a novel intronless human gene containing a polyglutamine repeat, mapped to the ARVD1 critical region. Biochem Biophys Res Commun. 2000;278:766–74.
Heger S, Mastronardi C, Dissen GA, Lomniczi A, Cabrera R, Roth CL, et al. Enhanced at puberty 1 (EAP1) is a new transcriptional regulator of the female neuroendocrine reproductive axis. J Clin Invest. 2007;117:2145–54.
Bauersachs D, Bomholtz L, del Rey Mateos S, Kühn R, Lisowski P. Novel human neurodevelopmental and neurodegenerative disease associated with IRF2BPL gene variants—mechanisms and therapeutic avenues. Front Neurosci. 2024;18:1426177.
Sinha Ray S, Dutta D, Dennys C, Powers S, Roussel F, Lisowski P, et al. Mechanisms of IRF2BPL-related disorders and identification of a potential therapeutic strategy. Cell Rep. 2022;41:111751.
Marcogliese PC, Dutta D, Ray SS, Dang NDP, Zuo Z, Wang Y, et al. Loss of IRF2BPL impairs neuronal maintenance through excess Wnt signaling. Sci Adv. 2022;8:eabl5613.
Higashimori A, Dong Y, Zhang Y, Kang W, Nakatsu G, Ng SSM, et al. Forkhead Box F2 suppresses gastric cancer through a novel FOXF2–IRF2BPL–β-catenin signaling axis. Cancer Res. 2018;78:1643–56.
Yokoyama A, Kouketsu T, Otsubo Y, Noro E, Sawatsubashi S, Shima H, et al. Identification and functional characterization of a novel androgen receptor coregulator, EAP1. J Endocr Soc. 2021;5:bvab150.
Wang J, Yu X, Gong W, Liu X, Park KS, Ma A, et al. EZH2 noncanonically binds cMyc and p300 through a cryptic transactivation domain to mediate gene activation and promote oncogenesis. Nat Cell Biol. 2022;24:384–99.
Yeung KT, Das S, Zhang J, Lomniczi A, Ojeda SR, Xu CF, et al. A novel transcription complex that selectively modulates apoptosis of breast cancer cells through regulation of FASTKD2. Mol Cell Biol. 2011;31:2287–98.
Wu Y, Zhang Y, Wang D, Zhang Y, Zhang J, Zhang Y, et al. USP29 enhances chemotherapy-induced stemness in non-small cell lung cancer via stabilizing Snail1 in response to oxidative stress. Cell Death Dis. 2020;11:796.
Hänzelmann S, Castelo R, Guinney J. GSVA: gene set variation analysis for microarray and RNA-seq data. BMC Bioinforma. 2013;14:7.
Chen B, Khodadoust MS, Liu CL, Newman AM, Alizadeh AA. Profiling tumor infiltrating immune cells with CIBERSORT. Methods Mol Biol. 2018;1711:243–59.
Yan Q, Chen BJ, Hu S, Qi SL, Li LY, Yang JF, et al. Emerging role of RNF2 in cancer: from bench to bedside. J Cell Physiol. 2021;236:5453–65.
Yang J, Zhang Q, Zhao P, Qiao T, Cao Z, Gao F, et al. DNA methyltransferase 3 beta regulates promoter methylation of microRNA-149 to augment esophageal squamous cell carcinoma development through the ring finger protein 2/Wnt/β-catenin axis. Bioengineered. 2022;13:4010–27.
Lavorando E, Owens MC, Liu KF. Comparing the roles of sex chromosome-encoded protein homologs in gene regulation. Genes Dev. 2024;38:585–96.
Liu Z, Zhao Y, Kong P, Liu Y, Huang J, Xu E, et al. Integrated multi-omics profiling yields a clinically relevant molecular classification for esophageal squamous cell carcinoma. Cancer Cell. 2023;41:181–95.e189.
Liu W, Xie L, He YH, Wu ZY, Liu LX, Bai XF, et al. Large-scale and high-resolution mass spectrometry-based proteomics profiling defines molecular subtypes of esophageal cancer for therapeutic targeting. Nat Commun. 2021;12:4961.
Russo VC, Azar WJ, Yau SW, Sabin MA, Werther GA. IGFBP-2: The dark horse in metabolism and cancer. Cytokine Growth Factor Rev. 2015;26:329–46.
Zhang B, Hong CQ, Luo YH, Wei LF, Luo Y, Peng YH, et al. Prognostic value of IGFBP2 in various cancers: a systematic review and meta-analysis. Cancer Med. 2022;11:3035–47.
Li T, Forbes ME, Fuller GN, Li J, Yang X, Zhang W. IGFBP2: integrative hub of developmental and oncogenic signaling network. Oncogene. 2020;39:2243–57.
Bagheri-Yarmand R, Dadu R, Ye L, Shiny Jebaraj Y, Martinez JA, Ma J, et al. ONC201 shows potent anticancer activity against medullary thyroid cancer via transcriptional inhibition of RET, VEGFR2, and IGFBP2. Mol Cancer Therapeutics. 2021;20:665–75.
Allen JE, Krigsfeld G, Mayes PA, Patel L, Dicker DT, Patel AS, et al. Dual inactivation of Akt and ERK by TIC10 signals Foxo3a nuclear translocation, TRAIL gene induction, and potent antitumor effects. Sci Transl Med. 2013;5:171ra17.
Wagner J, Kline CL, Zhou L, Campbell KS, MacFarlane AW, Olszanski AJ, et al. Dose intensification of TRAIL-inducing ONC201 inhibits metastasis and promotes intratumoral NK cell recruitment. J Clin Investig. 2018;128:2325–38.
Pan B, Shi H, Shan G, Wu G, Rao K, Liang J, et al. Prognostic modeling and Emerging therapeutic targets Unveiled through single-cell sequencing in esophageal squamous Cell carcinoma. Heliyon 2024;10:e38078.
Zhong Q, Xiao X, Qiu Y, Xu Z, Chen C, Chong B, et al. Protein posttranslational modifications in health and diseases: functions, regulatory mechanisms, and therapeutic implications. MedComm. 2023;4:e261.
Childs KS. Goodbourn S. Identification of novel co-repressor molecules for Interferon Regulatory Factor-2. Nucleic Acids Res. 2003;31:3016–26.
Marcogliese PC, Shashi V, Spillmann RC, Stong N, Rosenfeld JA, Koenig MK, et al. IRF2BPL is associated with neurological phenotypes. Am J Hum Genet. 2018;103:245–60.
Mueller JK, Koch I, Lomniczi A, Loche A, Rulfs T, Castellano JM, et al. Transcription of the human EAP1 gene is regulated by upstream components of a puberty-controlling Tumor Suppressor Gene network. Mol Cell Endocrinol. 2012;351:184–98.
Chen Z, Zhao M, Liang J, Hu Z, Huang Y, Li M, et al. Dissecting the single-cell transcriptome network underlying esophagus non-malignant tissues and esophageal squamous cell carcinoma. EBioMedicine. 2021;69:103459.
Walterskirchen N, Muller C, Ramos C, Zeindl S, Stang S, Herzog D, et al. Metastatic colorectal carcinoma-associated fibroblasts have immunosuppressive properties related to increased IGFBP2 expression. Cancer Lett. 2022;540:215737.
Shimizu M, Koma YI, Sakamoto H, Tsukamoto S, Kitamura Y, Urakami S et al. Metallothionein 2A expression in cancer-associated fibroblasts and cancer cells promotes esophageal squamous cell carcinoma progression. Cancers. 2021;13:4552.
Sun L, Zhang X, Song Q, Liu L, Forbes E, Tian W, et al. IGFBP2 promotes tumor progression by inducing alternative polarization of macrophages in pancreatic ductal adenocarcinoma through the STAT3 pathway. Cancer Lett. 2021;500:132–46.
Venneti S, Kawakibi AR, Ji S, Waszak SM, Sweha SR, Mota M, et al. Clinical efficacy of ONC201 in H3K27M-mutant diffuse midline gliomas is driven by disruption of integrated metabolic and epigenetic pathways. Cancer Discov. 2023;13:2370–93.
Farmaki E, Nath A, Emond R, Karimi KL, Grolmusz VK, Cosgrove PA, et al. ONC201/TIC10 enhances durability of mTOR inhibitor everolimus in metastatic ER+ breast cancer. eLife 2023;12:e85898.
Kumar V, Sethi B, Staller DW, Shrestha P, Mahato RI. Gemcitabine elaidate and ONC201 combination therapy for inhibiting pancreatic cancer in a KRAS mutated syngeneic mouse model. Cell Death Discovery 2024;10:158.
Patil SS, Gokulnath P, Bashir M, Shwetha SD, Jaiswal J, Shastry AH, et al. Insulin-like growth factor binding protein-2 regulates β-catenin signaling pathway in glioma cells and contributes to poor patient prognosis. Neuro Oncol. 2016;18:1487–97.
Wagner J, Kline CL, Zhou L, Khazak V, El-Deiry WS. Anti-tumor effects of ONC201 in combination with VEGF-inhibitors significantly impacts colorectal cancer growth and survival in vivo through complementary non-overlapping mechanisms. J Exp Clin Cancer Res. 2018;37:11.
Acknowledgements
This work was supported by Shenzhen Bay Laboratory High Performance Computing and Informatics Facility; Computation was mainly carried out at Shenzhen Bay Laboratory High Performance Computing and Informatics Facility. We sincerely thank YOU CLAIRE, an undergraduate at Nanyang Technological University, for her valuable assistance during the experimental work. Her contributions were essential to the successful completion of this research.
Funding
This work was supported by grants from Shenzhen Medical Research Funds (C2303002), National Natural Science Foundation of China (82341024, U21A20372, 82172930, 82302916, 82103143, 82203286), Shenzhen “San-Ming” Project of Medicine (SZSM202311014), Major Program of Shenzhen Bay Laboratory (S201101004), Guangdong Basic and Applied Basic Research Foundation (2019B030302012), National Key R&D Program of China (2022YFC3401002), Noncommunicable Chronic Diseases-National Science and Technology Major Project (2023ZD0501101).
Author information
Authors and Affiliations
Contributions
YGW, HYC, WMZ, and YPC conceptualized and designed the study; YGW drafted the manuscript with critical revisions contributed by YGW, WMZ, HYC, and YPC; Methodology development was conducted by YGW, WMZ, HYC, and ND; Data curation was performed by YGW, SSB, HX, and YKC; Formal analysis was undertaken by HYC, LLW, YJW, and YKC; Investigation tasks were executed by YGW, ND, MWG, HJL, and QQS; YPC and WMZ supervised the research and ensured quality control. All authors reviewed and approved the final manuscript.
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Ethics approval and consent to participate
All methods were performed in accordance with the relevant guidelines and regulations. The patient specimens were collected from Shanxi Cancer Hospital, and the approval for the study was granted by the Institutional Review Boards of Shanxi Cancer Hospital (Approval number 2019LL245). All animal experimental procedures were approved by the Animal Welfare and Ethics Committee of Shenzhen PKU-HKUST Medical Center (Approval number 2022-1128). No human subjects were involved in this study.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Wu, Y., Cui, H., Wang, L. et al. IRF2BPL transcriptionally regulates IGFBP2 to promote tumor progression and suppresses immune cell infiltration in esophageal squamous cell carcinoma. Oncogene 45, 505–520 (2026). https://doi.org/10.1038/s41388-025-03658-9
Received:
Revised:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41388-025-03658-9


