LILRB2 inhibition enhances radiation sensitivity in non-small cell lung cancer by attenuating radiation-induced senescence

Cancer Lett. 2024 Jul 1:593:216930. doi: 10.1016/j.canlet.2024.216930. Epub 2024 May 3.

Abstract

Radiotherapy (RT) in non-small cell lung cancer (NSCLC) triggers cellular senescence, complicating tumor microenvironments and affecting treatment outcomes. This study examines the role of lymphocyte immunoglobulin-like receptor B2 (LILRB2) in modulating RT-induced senescence and radiosensitivity in NSCLC. Through methodologies including irradiation, lentivirus transfection, and various molecular assays, we assessed LILRB2's expression and its impact on cellular senescence levels and tumor cell behaviors. Our findings reveal that RT upregulates LILRB2, facilitating senescence and a senescence-associated secretory phenotype (SASP), which in turn enhances tumor proliferation and resistance to radiation. Importantly, LILRB2 silencing attenuates these effects by inhibiting the JAK2/STAT3 pathway, significantly increasing radiosensitivity in NSCLC models. Clinical data correlate high LILRB2 expression with reduced RT response and poorer prognosis, suggesting LILRB2's pivotal role in RT-induced senescence and its potential as a therapeutic target to improve NSCLC radiosensitivity.

Keywords: Cell senescence; LILRB2; Non-small cell lung cancer; Radiotherapy.

MeSH terms

  • A549 Cells
  • Animals
  • Carcinoma, Non-Small-Cell Lung* / genetics
  • Carcinoma, Non-Small-Cell Lung* / metabolism
  • Carcinoma, Non-Small-Cell Lung* / pathology
  • Carcinoma, Non-Small-Cell Lung* / radiotherapy
  • Cell Line, Tumor
  • Cell Proliferation / radiation effects
  • Cellular Senescence* / radiation effects
  • Female
  • Gene Expression Regulation, Neoplastic / radiation effects
  • Humans
  • Janus Kinase 2 / genetics
  • Janus Kinase 2 / metabolism
  • Lung Neoplasms* / genetics
  • Lung Neoplasms* / metabolism
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / radiotherapy
  • Membrane Glycoproteins / genetics
  • Membrane Glycoproteins / metabolism
  • Mice
  • Radiation Tolerance* / genetics
  • Receptors, Immunologic* / genetics
  • Receptors, Immunologic* / metabolism
  • STAT3 Transcription Factor / genetics
  • STAT3 Transcription Factor / metabolism
  • Senescence-Associated Secretory Phenotype / genetics
  • Signal Transduction

Substances

  • Receptors, Immunologic
  • LILRB2 protein, human
  • Membrane Glycoproteins
  • STAT3 Transcription Factor
  • Janus Kinase 2
  • STAT3 protein, human
  • JAK2 protein, human