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E2F1 drives chemotherapeutic drug resistance via ABCG2
M T Rosenfeldt1, L A Bell1, J S Long1
1Tumour Cell Death Laboratory, Cancer Research UK Beatson Institute, Glasgow, UK.
Abstract:
Multidrug resistance is a major barrier against successful chemotherapy, and this has been shown in vitro to be often caused by ATP-binding cassette (ABC) transporters. These transporters are frequently overexpressed in human cancers and confer an adverse prognosis in many common malignancies. The genetic factors, however, that initiate their expression in cancer are largely unknown. Here we report that the major multidrug transporter ABCG2 (BCRP/MXR) is directly and specifically activated by the transcription factor E2F1--a factor perturbed in the majority of human cancers. E2F1 regulates ABCG2 expression in multiple cell systems, and, importantly, we have identified a significant correlation between elevated E2F1 and ABCG2 expression in human lung cancers. We show that E2F1 causes chemotherapeutic drug efflux both in vitro and in vivo via ABCG2. Furthermore, the E2F1-ABCG2 axis suppresses chemotherapy-induced cell death that can be restored by the inhibition of ABCG2. These findings therefore identify a new axis in multidrug resistance and highlight a radical new function of E2F1 that is relevant to tumor therapy.
Insights
The transcription factor E2F1 directly activates ABCG2 transporter expression, a key driver of multidrug resistance in cancer. Inhibiting this E2F1-ABCG2 pathway can restore chemotherapy sensitivity and reduce tumor cell survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Multidrug resistance (MDR) is a significant challenge in cancer chemotherapy, often mediated by ATP-binding cassette (ABC) transporters.
- Overexpression of ABC transporters in human cancers is linked to poor prognosis, but the genetic triggers for their expression remain largely unknown.
Purpose of the Study:
- To investigate the genetic factors regulating ABCG2 transporter expression in cancer.
- To elucidate the role of the transcription factor E2F1 in multidrug resistance.
Main Methods:
- Analysis of E2F1 regulation of ABCG2 expression in various cell systems.
- Correlation studies between E2F1 and ABCG2 levels in human lung cancer tissues.
- In vitro and in vivo experiments assessing chemotherapeutic drug efflux and cell death.
Main Results:
- The transcription factor E2F1 directly activates the expression of the major multidrug transporter ABCG2.
- Elevated E2F1 and ABCG2 expression show a significant correlation in human lung cancers.
- E2F1-mediated ABCG2 activity promotes chemotherapeutic drug efflux and suppresses chemotherapy-induced apoptosis, which can be reversed by ABCG2 inhibition.
Conclusions:
- Identified a novel E2F1-ABCG2 signaling axis contributing to multidrug resistance in cancer.
- Demonstrated a new function for E2F1 in regulating drug efflux and chemotherapy resistance.
- This axis represents a potential therapeutic target for overcoming multidrug resistance in cancer treatment.
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