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Updated: Mar 12, 2026

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
FGFR signaling maintains a drug persistent cell population following epithelial-mesenchymal transition
Wells S Brown1, Saeed Salehin Akhand1, Michael K Wendt1
1Purdue University Center for Cancer Research, Department of Medicinal Chemistry and Molecular Pharmacology, Purdue University, West Lafayette, Indiana 47907, USA.
Abstract:
An emerging characteristic of drug resistance in cancer is the induction of epithelial-mesenchymal transition (EMT). However, the mechanisms of EMT-mediated drug resistance remain poorly defined. Therefore, we conducted long-term treatments of human epidermal growth factor receptor-2 (Her2)-transformed breast cancer cells with either the EGFR/Her2 kinase inhibitor, Lapatinib or TGF-β, a known physiological inducer of EMT. Both of these treatment regimes resulted in robust EMT phenotypes, but upon withdrawal a subpopulation of TGF-β induced cells readily underwent mesenchymal-epithelial transition, where as Lapatinib-induced cells failed to reestablish an epithelial population. The mesenchymal population that remained following TGF-β stimulation and withdrawal was quickly selected for during subsequent Lapatinib treatment, manifesting in inherent drug resistance. The Nanostring cancer progression gene panel revealed a dramatic upregulation of fibroblast growth factor receptor 1 (FGFR1) and its cognate ligand FGF2 in both acquired and inherent resistance. Mechanistically, FGF:Erk1/2 signaling functions to stabilize the EMT transcription factor Twist and thus maintain the mesenchymal and drug resistant phenotype. Finally, Lapatinib resistant cells could be readily eliminated using recently characterized covalent inhibitors of FGFR. Overall our data demonstrate that next-generation targeting of FGFR can be used in combination with Her2-targeted therapies to overcome resistance in this breast cancer subtype.
Insights
Drug resistance in breast cancer involves epithelial-mesenchymal transition (EMT). Targeting fibroblast growth factor receptor 1 (FGFR1) with inhibitors can overcome resistance when combined with Her2-targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Drug resistance is a major challenge in cancer therapy.
- Epithelial-mesenchymal transition (EMT) is an emerging mechanism of drug resistance.
- Mechanisms underlying EMT-mediated drug resistance are not fully understood.
Purpose of the Study:
- To investigate the mechanisms of EMT-induced drug resistance in Her2-positive breast cancer.
- To identify potential therapeutic targets for overcoming drug resistance.
- To evaluate the efficacy of combined Her2-targeted and FGFR-targeted therapies.
Main Methods:
- Long-term treatment of Her2-transformed breast cancer cells with Lapatinib or TGF-β.
- Analysis of EMT phenotypes and mesenchymal-epithelial transition (MET).
- Gene expression profiling using Nanostring cancer progression panel.
- Investigation of FGF:Erk1/2 signaling pathway and Twist stabilization.
- Testing efficacy of covalent FGFR inhibitors.
Main Results:
- Both Lapatinib and TGF-β induced EMT phenotypes.
- TGF-β induced cells could undergo MET, while Lapatinib-induced cells did not.
- Mesenchymal cells were selected for during subsequent Lapatinib treatment, leading to drug resistance.
- Upregulation of fibroblast growth factor receptor 1 (FGFR1) and FGF2 was observed in resistant cells.
- FGF:Erk1/2 signaling stabilized Twist, maintaining the mesenchymal and drug-resistant phenotype.
- Covalent FGFR inhibitors effectively eliminated Lapatinib-resistant cells.
Conclusions:
- Targeting FGFR1 in combination with Her2-targeted therapies can overcome drug resistance in Her2-positive breast cancer.
- The FGF:Erk1/2 signaling pathway plays a crucial role in maintaining EMT and drug resistance.
- FGFR inhibitors represent a promising therapeutic strategy for resistant breast cancer subtypes.
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