IGFBP2 modulates the chemoresistant phenotype in esophageal adenocarcinoma

Amy L Myers1, Lin Lin1, Derek J Nancarrow1

  • 1Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

Oncotarget
|August 29, 2015
PubMed

Insights

High IGFBP2 expression correlates with treatment resistance in esophageal adenocarcinoma (EAC). Targeting IGFBP2 and related pathways may sensitize resistant EAC tumors to chemotherapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Esophageal adenocarcinoma (EAC) often presents at advanced stages with poor therapeutic response rates (<40%).
  • Understanding molecular resistance mechanisms is critical for improving EAC patient outcomes.
  • Insulin-like growth factor-binding protein 2 (IGFBP2) influences cell signaling, growth, invasion, and resistance in various cancers.

Purpose of the Study:

  • To investigate the role of IGFBP2 in esophageal adenocarcinoma (EAC) resistance to therapy.
  • To explore IGFBP2's impact on EAC cell proliferation, migration, and invasion.
  • To determine if targeting IGFBP2 can sensitize EAC cells to chemotherapy.

Main Methods:

  • Assessed IGFBP2 expression in primary EAC tissues and correlated it with clinical outcomes.
  • Modulated IGFBP2 expression in EAC cell lines to study its effects on cellular behavior.
  • Investigated the effects of IGFBP2 knockdown on chemosensitivity to cisplatin in vitro.
  • Examined the involvement of AKT and ERK signaling pathways in IGFBP2-mediated chemosensitization.
  • Tested the efficacy of combining IGFBP2 inhibition with MAPK or PI3K/AKT pathway inhibitors.

Main Results:

  • High IGFBP2 expression was found in a subset of EACs and associated with shorter disease-free intervals and treatment resistance.
  • Increased IGFBP2 expression promoted EAC cell proliferation, migration, and invasion.
  • IGFBP2 knockdown sensitized EAC cells to cisplatin, particularly in a serum-dependent manner.
  • Silencing IGFBP2 altered AKT and ERK pathway activation in response to IGF1 and cisplatin.
  • Inhibitors of MEK1/2 (MAPK pathway) or AKT enhanced cisplatin sensitization in IGFBP2-silenced EAC cells.

Conclusions:

  • IGFBP2 plays a significant role in EAC progression and chemoresistance.
  • Targeting IGFBP2, alone or in combination with MAPK or PI3K/AKT pathway inhibitors, may offer a strategy to overcome neoadjuvant chemotherapy resistance in EAC.

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