Radiotherapy‐Associated Cellular Senescence and EMT Alterations Contribute to Distinct Disease Relapse Patterns in Locally Advanced Cervical Cancer
A notable number of locally advanced cervical carcinoma (LACC) patients experience local or distant disease relapse following radiotherapy. The contribution of tumor microenvironment (TME) to tumor recurrence at different sites remains unclear. Here, single-nucleus RNA sequencing data from 28 pre- and on-treatment LACC samples from patients with different disease relapse patterns is analyzed. The findings revealed opposing alterations in the expression levels of the cellular senescence pathway after radiotherapy in patients with local and distant relapses. In contrast, an increase in the expression of the epithelial-mesenchymal transition module after radiotherapy in both relapse groups is observed. Cell-cell interactions, drug-target expression analyses in malignant cells after radiation, and multiplex immunofluorescence of tumor tissue identified interleukin-1 receptor type I (IL1R1) as a potential therapeutic target. It is demonstrated that combining the IL1R1 inhibitor anakinra with radiation can mitigate the effects of radiation on tumor cells. This study highlights the distinct roles of cellular senescence and EMT in tumor recurrence.
Authors
- Jianming Tang (ORCID: https://orcid.org/0000-0003-3738-9761)
- Yongrui Bai (ORCID: https://orcid.org/0000-0002-5369-2755)
- Minjie Hu (ORCID: https://orcid.org/0000-0003-1685-3422)
- Lei Zhang (ORCID: https://orcid.org/0000-0002-2414-0505)
- Ying Jing (ORCID: https://orcid.org/0000-0001-6364-6130)
- Bin Hu (ORCID: https://orcid.org/0000-0002-0278-8466)
- Di Zhou
- Haiyan Chen (ORCID: https://orcid.org/0000-0001-5012-6865)
- Jun Zhang (ORCID: https://orcid.org/0000-0003-1113-6264)
- Jun Ma (ORCID: https://orcid.org/0000-0002-5510-6895)
- Xiumei Ma (ORCID: https://orcid.org/0000-0002-6881-1534)
- Jinlin Cheng (ORCID: https://orcid.org/0009-0003-2880-5601)
- Junjun Zhou
Institutions
- Shanghai Jiao Tong University (CN)
- Fudan University (CN)
- Renji Hospital (CN)
- National Clinical Research Center for Digestive Diseases (CN)
- Eye & ENT Hospital of Fudan University (CN)
- First Hospital of Lanzhou University (CN)
- First Affiliated Hospital Zhejiang University (CN)
- State Key Laboratory of Diagnosis and Treatment of Infectious Diseases
- State Key Laboratory of Genetic Engineering
- Lanzhou University (CN)
Publication Details
- Journal
- Advanced Science
- Published
- 2025-02-04
- DOI
- https://doi.org/10.1002/advs.202412574
- Citations
- 8
- Primary Topic
- Immune cells in cancer
- Type
- article
- Field-Weighted Citation Impact
- 6.38
Funders
- Beijing Xisike Clinical Oncology Research Foundation
- Imperial College London
- National Natural Science Foundation of China
- Science and Technology Commission of Shanghai Municipality
- Renji Hospital