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EGFR Family Members' Regulation of Autophagy Is at a Crossroads of Cell Survival and Death in Cancer
Elizabeth Henson1, Yongqiang Chen2, Spencer Gibson3,4
1Research Institute in Oncology and Hematology, CancerCare Manitoba, 675 McDermot Ave., Winnipeg, MB R3E 0V9, Canada. Elizabeth.Henson@umanitoba.ca.
Abstract:
The epidermal growth factor receptor (EGFR) signaling pathways are altered in many cancers contributing to increased cell survival. These alterations are caused mainly through increased expression or mutation of EGFR family members EGFR, ErbB2, ErbB3, and ErbB4. These receptors have been successfully targeted for cancer therapy. Specifically, a monoclonal antibody against ErbB2, trastuzumab, and a tyrosine kinase inhibitor against EGFR, gefitinib, have improved the survival of breast and lung cancer patients. Unfortunately, cancer patients frequently become resistant to these inhibitors. This has led to investigating how EGFR can contribute to cell survival and how cancer cells can overcome inhibition of its signaling. Indeed, it is coming into focus that EGFR signaling goes beyond a single signal triggering cell proliferation and survival and is a sensor that regulates the cell's response to microenvironmental stresses such as hypoxia. It acts as a switch that modulates the ability of cancer cells to survive. Autophagy is a process of self-digestion that is inhibited by EGFR allowing cancer cells to survive under stresses that would normally cause death and become resistant to chemotherapy. Inhibiting EGFR signaling allows autophagy to contribute to cell death. This gives new opportunities to develop novel therapeutic strategies to treat cancers that rely on EGFR signaling networks and autophagy. In this review, we summarize the current understanding of EGFR family member regulation of autophagy in cancer cells and how new therapeutic strategies could be developed to overcome drug resistance.
Insights
Epidermal growth factor receptor (EGFR) signaling regulates cancer cell survival and drug resistance by controlling autophagy. Inhibiting EGFR can restore autophagy, promoting cancer cell death and overcoming resistance to therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Epidermal growth factor receptor (EGFR) signaling pathways are frequently altered in cancer, promoting cell survival and contributing to therapeutic resistance.
- Targeted therapies like trastuzumab and gefitinib, which inhibit EGFR family members, have improved patient outcomes but are often met with resistance.
- Emerging evidence suggests EGFR signaling acts as a sensor for microenvironmental stresses, modulating cancer cell survival and therapeutic response.
Purpose of the Study:
- To review the current understanding of how EGFR family members regulate autophagy in cancer cells.
- To explore the role of EGFR-mediated autophagy in cancer cell survival and drug resistance.
- To identify novel therapeutic strategies targeting the interplay between EGFR signaling and autophagy to overcome drug resistance.
Main Methods:
- Literature review of studies investigating EGFR signaling, autophagy, and cancer.
- Analysis of mechanisms by which EGFR regulates autophagy.
- Examination of therapeutic strategies targeting EGFR and autophagy pathways.
Main Results:
- EGFR signaling inhibits autophagy, enabling cancer cells to survive under stress and resist chemotherapy.
- Inhibition of EGFR signaling can restore autophagic cell death, offering a potential strategy to overcome drug resistance.
- The interplay between EGFR and autophagy is complex and crucial for cancer cell adaptation and survival.
Conclusions:
- EGFR signaling plays a critical role in regulating autophagy and cancer cell survival.
- Targeting the EGFR-autophagy axis presents a promising therapeutic avenue for overcoming drug resistance in various cancers.
- Further research into these pathways could lead to the development of more effective cancer treatments.
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