Therapeutic Reversal of SOX9-Mediated Chemoresistance in Esophageal Adenocarcinoma via APE1-Redox Inhibition

Highlights

  • Identification of the APE1-redox function as a critical post-translational stabilizer of the SOX9 transcription factor in esophageal adenocarcinoma (EAC).
  • Mechanistic discovery that acidic bile salts, mimicking gastroesophageal reflux disease (GERD), activate the APE1-SOX9-ALDH1A1 signaling cascade.
  • Pharmacological inhibition of APE1’s redox activity using the small molecule APX2009 successfully reverses oxaliplatin resistance in patient-derived xenograft (PDX) models.
  • Clinical validation confirms that a high SOX9 molecular signature is a potent predictor of poor relapse-free survival in patients with EAC.

Background

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