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Abstract
TNF receptor superfamily member 11a (TNFRSF11a, RANK) and its ligand TNF superfamily member 11 (TNFRSF11, RANKL) are overexpressed in many malignancies. However, the clinical importance of RANKL/RANK in colorectal cancer (CRC) is mainly unknown. We examined CRC samples and found that RANKL/RANK was elevated in CRC tissues compared with nearby normal tissues. A higher RANKL/RANK expression was associated with a worse survival rate. Furthermore, RANKL was mostly produced by regulatory T cells (Tregs), which were able to promote CRC advancement. Overexpression of RANK or addition of RANKL significantly increased the stemness and migration of CRC cells. Furthermore, RANKL/RANK signaling stimulated C-C motif chemokine ligand 20 (CCL20) production by CRC cells, leading to Treg recruitment and boosting tumor stemness and malignant progression. This recruitment process was accomplished by CCL20–CCR6 interaction, demonstrating a connection between CRC cells and immune cells. These findings suggest an important role of RANKL/RANK in CRC progression, offering a potential target for CRC prevention and therapy.
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1 Sun Yat-sen University, Scientific Research Center, The Seventh Affiliated Hospital, Shenzhen, China (GRID:grid.12981.33) (ISNI:0000 0001 2360 039X); Guangdong Provincial Key Laboratory of Digestive Cancer Research, Shenzhen, China (GRID:grid.12981.33)
2 The First Affiliated Hospital of Zhengzhou University, Department of Oncology, Zhengzhou, China (GRID:grid.412633.1)
3 Sun Yat-sen University, Pathological Diagnostic Center, The Seventh Affiliated Hospital, Shenzhen, China (GRID:grid.12981.33) (ISNI:0000 0001 2360 039X)
4 Sun Yat-sen University, Department of Clinical Medical Laboratory, The Seventh Affiliated Hospital, Shenzhen, China (GRID:grid.12981.33) (ISNI:0000 0001 2360 039X)
5 Sun Yat-sen University, Scientific Research Center, The Seventh Affiliated Hospital, Shenzhen, China (GRID:grid.12981.33) (ISNI:0000 0001 2360 039X); Guangdong Provincial Key Laboratory of Digestive Cancer Research, Shenzhen, China (GRID:grid.12981.33); Sun Yat-sen University, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Shenzhen, China (GRID:grid.12981.33) (ISNI:0000 0001 2360 039X)
6 The Shenzhen Second People’s Hospital, Department of Spine Surgery, The First Affiliated Hospital of Shenzhen University, Shenzhen, China (GRID:grid.452847.8) (ISNI:0000 0004 6068 028X)