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Updated: May 20, 2026

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
Altered death receptor signaling promotes epithelial-to-mesenchymal transition and acquired chemoresistance
James W Antoon1, Rongye Lai, Amanda P Struckhoff
1Departments of Pharmacology, Tulane University School of Medicine, Tulane Avenue, New Orleans, LA, USA.
Abstract:
Altered death receptor signaling and resistance to subsequent apoptosis is an important clinical resistance mechanism. Here, we investigated the role of death receptor resistance in breast cancer progression. Resistance of the estrogen receptor alpha (ER)-positive, chemosensitive MCF7 breast cancer cell line to tumor necrosis factor (TNF) was associated with loss of ER expression and a multi-drug resistant phenotype. Changes in three major pathways were involved in this transition to a multidrug resistance phenotype: ER, Death Receptor and epithelial to mesenchymal transition (EMT). Resistant cells exhibited altered ER signaling, resulting in decreased ER target gene expression. The death receptor pathway was significantly altered, blocking extrinsic apoptosis and increasing NF-kappaB survival signaling. TNF resistance promoted EMT changes, resulting in a more aggressive phenotype. This first report identifying specific mechanisms underlying acquired resistance to TNF could lead to a better understanding of the progression of breast cancer in response to chemotherapy treatment.
Insights
Acquired resistance to tumor necrosis factor (TNF) in breast cancer involves altered estrogen receptor (ER) signaling, impaired apoptosis, and increased epithelial-mesenchymal transition (EMT), leading to a more aggressive, multi-drug resistant phenotype.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Altered death receptor signaling is a key mechanism of clinical resistance to cancer therapies.
- Understanding resistance to chemotherapy in breast cancer is crucial for improving treatment outcomes.
Purpose of the Study:
- To investigate the role of death receptor resistance in breast cancer progression.
- To identify specific molecular mechanisms underlying acquired resistance to tumor necrosis factor (TNF) in breast cancer cells.
Main Methods:
- Utilized the estrogen receptor alpha (ER)-positive MCF7 breast cancer cell line.
- Investigated changes in estrogen receptor (ER) signaling, death receptor pathway, and epithelial to mesenchymal transition (EMT).
- Assessed apoptosis, NF-kappaB signaling, and multi-drug resistance phenotype.
Main Results:
- TNF resistance in MCF7 cells was linked to loss of ER expression and a multi-drug resistant phenotype.
- Resistant cells showed altered ER signaling, reduced ER target gene expression, and blocked extrinsic apoptosis.
- Increased NF-kappaB survival signaling and EMT were observed, contributing to a more aggressive phenotype.
Conclusions:
- Acquired resistance to TNF involves coordinated changes in ER signaling, death receptor pathway, and EMT.
- These alterations promote a more aggressive and chemoresistant breast cancer phenotype.
- This study provides insights into mechanisms of acquired resistance to TNF, aiding understanding of breast cancer progression during chemotherapy.
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