GLA is associated with ESCC progression and chemotherapy response via DNA damage repair–related pathways - Summary - MDSpire

GLA is associated with ESCC progression and chemotherapy response via DNA damage repair–related pathways

  • By

  • Ke Chen

  • Qinsong Yang

  • Chen Fang

  • Weiran Zhang

  • Yu Feng

  • Haitao Ma

  • July 15, 2026

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Objective:

To investigate the expression and biological function of α-Galactosidase A (GLA) in esophageal squamous cell carcinoma (ESCC) and its role in chemotherapy resistance.

Approach:
  • Data Analysis: Utilized two independent ESCC datasets for gene screening, validated findings through single-cell RNA-seq, and assessed GLA expression via immunohistochemistry, qRT-PCR, and Western blot.
  • Functional Assays: Conducted siRNA-mediated knockdown of GLA and performed CCK-8, EdU, colony formation, Transwell, and wound healing assays to evaluate its biological function.
  • Enrichment Analyses: Performed KEGG, GO, and GSEA to explore underlying mechanisms and assessed the impact of GLA knockdown on chemosensitivity.
  • Combination Treatment Evaluation: Evaluated the effect of combining the GLA pharmacological chaperone Migalastat with gemcitabine or cisplatin on ESCC cell lines.
Key Findings:
  • GLA was significantly upregulated in ESCC and showed strong diagnostic performance across datasets.
  • GLA knockdown suppressed proliferation, colony formation, and migration of ESCC cells.
  • High GLA expression was associated with DNA damage repair and chemotherapy resistance-related genes.
  • GLA knockdown increased sensitivity of ESCC cells to gemcitabine and cisplatin.
  • Migalastat combined with chemotherapy enhanced cytotoxicity in ESCC cell lines.
Interpretation:

GLA is identified as an oncogenic factor in ESCC, linked to DNA damage repair mechanisms and chemotherapy response.

Limitations:
  • The study primarily relies on in vitro analyses, which may not fully replicate in vivo conditions.
  • Further mechanistic and in vivo investigations are needed to validate findings.
Conclusion:

GLA is a novel, upregulated gene in ESCC with diagnostic relevance and an oncogenic role.

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