USP7 mediates TRAF4 deubiquitination to facilitate the malignant phenotype of ovarian cancer via the RSK4/PI3K/AKT axis.

Ubiquitin-specific peptidase 7 (USP7) is upregulated in multiple human cancers, including ovarian cancer; however, its functional role in the latter remains largely unknown.We conducted quantitative real-time PCR to detect the expression of USP7, TRAF4, and RSK4 in ovarian cancer cell lines. In addition, Western blotting served to determine USP7, TRAF4, RSK4, PI3K, and AKT (protein kinase B,PKB) protein levels and USP7 expression in the tissues was detected by immunohistochemical staining. The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay was used to evaluate cell viability, transwell assays to evaluate cell migration and invasion, and co-immunoprecipitation to evaluate TRAF4 ubiquitination.The results showed USP7 and TRAF4 upregulation, and RSK4 downregulation in ovarian cancer cell lines. Knocking down USP7 suppressed viability, migration, and invasion of ovarian cancer cells; TRAF4 knockdown and RSK4 overexpression had similar effects in ovarian cancer cells. TRAF4 is deubiquitinated and stabilized by USP7, whereas RSK4 is negatively regulated by TRAF4. A mouse xenograft model confirmed that knocking down USP7 suppressed ovarian tumor growth by regulating the TRAF4/RSK4/PI3K/AKT axis.Knocking down USP7 decreased the proliferation, migration, and invasion of ovarian cancer cells and suppressed ovarian tumor growth in mice. Mechanistically, USP7 increased TRAF4 ubiquitination, promoting its degradation and leading to RSK4 upregulation.