Formation of the eIF4F translation-initiation complex determines sensitivity to anticancer drugs targeting the EGFR

Pierre Zindy1, Yann Bergé, Ben Allal

  • 1INSERM U563, Université Paul Sabatier, Toulouse, France.

Cancer Research
|April 19, 2011
PubMed

Insights

Cancer cells

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Therapeutic resistance to HER receptor antagonists is a significant clinical challenge.
  • Deregulation of the phosphatidylinositol-3-kinase (PI3K)/Akt/mTOR pathway is implicated in resistance.
  • mTOR-dependent phosphorylation of 4E-BP1 affects translation initiation complex formation.

Purpose of the Study:

  • To investigate the role of the eukaryotic initiation factor 4F (eIF4F) complex in cancer cell response to HER receptor antagonists.
  • To determine if eIF4E expression influences sensitivity or resistance to targeted therapies.

Main Methods:

  • Treatment of breast, colon, and head and neck cancer cells with trastuzumab, cetuximab, and erlotinib.
  • Assessment of eIF4F complex formation.
  • Ectopic expression of eIF4E in cancer cells.
  • Evaluation of cell proliferation and xenograft tumor growth.
  • Analysis of eIF4E levels in patient tumor specimens.

Main Results:

  • Trastuzumab, cetuximab, and erlotinib decreased eIF4F complex formation in respective cancer cell lines.
  • Ectopic eIF4E expression restored eIF4F formation and conferred resistance to trastuzumab.
  • Overexpression of eIF4E rescued breast cancer xenografts from trastuzumab inhibition.
  • Higher eIF4E levels in breast tumors correlated with better response to trastuzumab-based therapy.

Conclusions:

  • eIF4F complex formation is a key mediator of response to HER2 and EGFR-targeting drugs.
  • eIF4E plays a critical role in mediating resistance to HER receptor antagonists.
  • eIF4E expression level may serve as a predictive biomarker for targeted cancer therapy response.

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