The liver talks back: NPY orchestrates attraction of cancer cells and CHK2-dependent clonogenicity in the metastatic niche

L Laura Wormser (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) V Valerie Fritz (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) M Melanie Kappelmann-Fenzl (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) N Nicole Rachinger (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) P Pol Escudé (Central Diagnostic Laboratory Research, University Medical Center Utrecht) K Karin Enderle (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) M Matthias D. Kaufmann (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) M Miriam Düll (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) A Abdo Mahli (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) S Sebastian Zundler (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) M Moritz Leppkes (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) S Stefan Fischer (Faculty of Computer Science, Deggendorf Institute of Technology) F Felix Elsner (Institute of Pathology, Friedrich-Alexander-University Erlangen-Nürnberg) C Carol-Immanuel Geppert (Institute of Pathology, Friedrich-Alexander-University Erlangen-Nürnberg) M Michael Hannus (Biochemistry Center Regensburg, Laboratory for RNA Biology, University of Regensburg, siTools Biotech GmbH) S Susanne Merkel (Department of Surgery, University of Erlangen-Nürnberg) M Michael Erdmann (Department of Dermatology, Uniklinikum Erlangen, Friedrich Alexander University) C Claudia Günther (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) K Katja Evert (Institute of Pathology, University of Regensburg) Z Zubeir El Ahmad (Faculty of Computer Science, Deggendorf Institute of Technology) G Gunter Meister (Biochemistry Center Regensburg, Laboratory for RNA Biology, University of Regensburg) E Elisabetta D’Avanzo (Department of Experimental Medicine 1, Nikolaus-Fiebiger Center for Molecular Medicine, Friedrich-Alexander) M Marc P. Stemmler C Clemens Neufert (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) A Andreas E. Kremer (Department of Gastroenterology and Hepatology, University Hospital Zürich, University of Zürich) G Georg F. Weber (Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen) T Thomas Brabletz S Stephan von Hörsten (Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen) R Reiner Wiest (Department of Visceral Surgery and Medicine, University Inselspital) R Raymond Schiffelers (Central Diagnostic Laboratory Research, University Medical Center Utrecht) A Arndt Hartmann (Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen) J Jürgen Siebler (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) J Jonel Trebicka (Department of Internal Medicine B, University of Münster) M Maximilian Waldner (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) M Markus F. Neurath (Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg) C Claus Hellerbrand (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) A Anja K. Bosserhoff (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg) P Peter Dietrich (Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg)

Abstract

RNA interference (RNAi) therapeutics represent breakthrough discoveries, but their use in cancer remains limited due to hepatocyte-specific targeting. Cancer metastasis is regulated by complex crosstalk between tumor cells and niche-derived factors. However, the molecular mechanisms enabling metastatic seeding and outgrowth in the liver remain incompletely understood, representing a major clinical challenge. We identified neuropeptide Y (NPY) as a promotor of liver metastasis. Hepatocyte-derived NPY attracts metastatic tumor cells to the liver niche. Subsequent microenvironment activation induces TGFβ, promoting a vicious cycle of perimetastatic NPY secretion and liver metastasis. Concomitantly, cancer cells upregulate the NPY-5 receptor (Y5R) which is correlated with liver metastasis. NPY-Y5R crosstalk drives chemotactic migration via cAMP and ERK signaling. Moreover, NPY-Y5R activation dephosphorylates checkpoint kinase 2 to promote clonogenicity and proliferation of cancer cells. Lipid nanoparticles (LNPs) are a promising drug delivery vehicle for siRNAs. LNPs carrying siRNA pools targeting NPY were designed, and preclinical studies provided evidence for efficacy for the treatment of liver metastasis. Our findings transform the limitation of hepatocyte specificity of RNA interference into a therapeutic advantage, introducing a paradigm for the treatment of hepatic metastases.

Article Details

Volume / Issue Vol. 122, Issue 47
Published November 25, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (38)

L

Laura Wormser

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

V

Valerie Fritz

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

M

Melanie Kappelmann-Fenzl

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

N

Nicole Rachinger

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

P

Pol Escudé

Central Diagnostic Laboratory Research, University Medical Center Utrecht

K

Karin Enderle

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

M

Matthias D. Kaufmann

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

M

Miriam Düll

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

A

Abdo Mahli

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

S

Sebastian Zundler

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

M

Moritz Leppkes

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

S

Stefan Fischer

Faculty of Computer Science, Deggendorf Institute of Technology

F

Felix Elsner

Institute of Pathology, Friedrich-Alexander-University Erlangen-Nürnberg

C

Carol-Immanuel Geppert

Institute of Pathology, Friedrich-Alexander-University Erlangen-Nürnberg

M

Michael Hannus

Biochemistry Center Regensburg, Laboratory for RNA Biology, University of Regensburg, siTools Biotech GmbH

S

Susanne Merkel

Department of Surgery, University of Erlangen-Nürnberg

M

Michael Erdmann

Department of Dermatology, Uniklinikum Erlangen, Friedrich Alexander University

C

Claudia Günther

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

K

Katja Evert

Institute of Pathology, University of Regensburg

Z

Zubeir El Ahmad

Faculty of Computer Science, Deggendorf Institute of Technology

G

Gunter Meister

Biochemistry Center Regensburg, Laboratory for RNA Biology, University of Regensburg

E

Elisabetta D’Avanzo

Department of Experimental Medicine 1, Nikolaus-Fiebiger Center for Molecular Medicine, Friedrich-Alexander

M

Marc P. Stemmler

C

Clemens Neufert

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

A

Andreas E. Kremer

Department of Gastroenterology and Hepatology, University Hospital Zürich, University of Zürich

G

Georg F. Weber

Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen

T

Thomas Brabletz

S

Stephan von Hörsten

Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen

R

Reiner Wiest

Department of Visceral Surgery and Medicine, University Inselspital

R

Raymond Schiffelers

Central Diagnostic Laboratory Research, University Medical Center Utrecht

A

Arndt Hartmann

Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum Erlangen

J

Jürgen Siebler

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

J

Jonel Trebicka

Department of Internal Medicine B, University of Münster

M

Maximilian Waldner

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

M

Markus F. Neurath

Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg

C

Claus Hellerbrand

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

A

Anja K. Bosserhoff

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg

P

Peter Dietrich

Institute of Biochemistry, Friedrich-Alexander-University Erlangen-Nürnberg