A1 Refereed original research article in a scientific journal
C1s protects cutaneous squamous carcinoma cells from TRAIL-induced apoptosis
Authors: Salmela, Maria; Nissinen, Liisa; Rappu, Pekka; Viiklepp, Kristina; Ojalill, Marjaana; Heino, Jyrki; Riihilä, Pilvi; Kähäri, Veli-Matti
Publisher: Springer Science and Business Media LLC
Publication year: 2026
Journal: Oncogenesis
Article number: 11
Volume: 15
Issue: 1
eISSN: 2157-9024
DOI: https://doi.org/10.1038/s41389-026-00606-4
Publication's open availability at the time of reporting: Open Access
Publication channel's open availability : Open Access publication channel
Web address : https://doi.org/10.1038/s41389-026-00606-4
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/516033507
Self-archived copy's licence: CC BY NC ND
Self-archived copy's version: Publisher`s PDF
Cutaneous squamous cell carcinoma (cSCC) is the most common metastatic skin cancer. The prognosis of the metastatic cSCC is poor, and there are no established biomarkers to predict metastasis risk, nor specific targeted therapies for advanced or metastatic cSCC. Previous studies have demonstrated that the complement serine proteinase C1s promotes cSCC growth both in culture and in vivo by modulating apoptotic signaling. Here, we investigated the mechanistic role of C1s in regulating apoptosis by examining its impact on cell surface proteome of cSCC cells. Mass spectrometric analysis of cell surface proteins following silencing of C1s identified TRAIL receptor 1 (DR4) as a candidate target, showing increased accumulation at the cell surface. This finding was validated using cell surface biotinylation and western blot analysis in both siRNA-mediated C1s knockdown and CRISPR/Cas9-generated C1s knockout cells. Functionally, high endogenous levels or forced overexpression of C1s conferred resistance to TRAIL-induced apoptosis in cSCC cells, whereas reduced C1s levels sensitized cells to apoptotic signaling. These findings suggest that upregulation of complement C1s in cSCC not only contributes to tumor progression but also serves as a protective mechanism against TRAIL-induced apoptosis, highlighting its potential as a therapeutic target and biomarker in aggressive cSCC.
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Funding information in the publication:
This study was supported by the Research Council of Finland (V-MK and JH grants 363211 and 362240), Sigrid Jusélius Foundation, the Finnish Cancer Research Foundation and The state research funding of the Turku University Hospital (project 13336), and by personal grants from the Cancer Foundation of Southwest Finland (LN and PRi), Turku University Foundation (LN), Finnish Dermatological Society (PRi) and Finnish Cultural Foundation (PRi).