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Updated: Feb 25, 2026

Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
Inhibiting ERK/Mnk/eIF4E broadly sensitizes ovarian cancer response to chemotherapy
1Department of Ultrasound, The People's Hospital of Three Gorges University, The First People's Hospital of Yichang, Yichang, 443000, China. latte201217@163.com.
Purpose:
To investigate whether ERK/MNK/eIF4E contributes chemoresistance in ovarian cancer.
Methods:
The phosphorylated levels of Erk, Mnk, and eIF4E were systematically analyzed in ovarian cancer patients before and after chemotherapy, and ovarian cancer cells exposed to short- and long-term chemo-agent treatment. The roles of Erk/Mnk/eIF4E were investigated using pharmacological and genetic approaches.
Results:
Increased phosphorylation levels of ERK, Mnk1, and eIF4E were observed in ovarian cancer cell exposed to chemotherapeutic agents, and paclitaxel-resistant SK-OV-3-r cells, and is a common response of ovarian cancer patients undergoing chemotherapy. MEK inhibitor U0126 inhibits basal and chemodrug-induced phosphorylation of ERK as well as Mnk1 and eIF4E, suggesting that Mnk1/eIF4E are the downstream signaling of ERK pathway and chemotherapy agents activate ERK/MNK/eIF4E in a MEK-dependent manner. eIF4E overexpression promotes ovarian cancer cell growth without affecting migration. In addition, ovarian cancer cells with eIF4E overexpression are more resistant to chemotherapeutic agents in aspect of growth inhibition and apoptosis induction compared to control cells. In contrast, eIF4E depletion augments chemotherapeutic agents' effect in ovarian cancer cells. These demonstrate that eIF4E play roles in growth and chemoresistance in ovarian cancer. MEK inhibitor U0126 also significantly enhances chemotherapeutic agents' inhibitory effects.
Conclusions:
Our work shows that ERK/Mnk/eIF4E activation is critically involved in ovarian cancer chemoresistance and inhibiting ERK/Mnk/eIF4E broadly sensitizes ovarian cancer response to chemotherapy.
Insights
The ERK/MNK/eIF4E pathway is crucial for ovarian cancer chemoresistance. Inhibiting this pathway can enhance chemotherapy effectiveness, offering a new strategy for treating ovarian cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Ovarian cancer remains a leading cause of cancer-related deaths globally.
- Chemotherapy resistance is a major challenge in treating ovarian cancer, leading to poor patient outcomes.
- Understanding the molecular mechanisms underlying chemoresistance is vital for developing effective therapeutic strategies.
Purpose of the Study:
- To investigate the role of the Extracellular signal-Regulated Kinase (ERK)/MAPK Interacting Kinase (MNK)/eukaryotic initiation factor 4E (eIF4E) pathway in the development of chemoresistance in ovarian cancer.
- To determine if targeting the ERK/MNK/eIF4E pathway can sensitize ovarian cancer cells to chemotherapy.
Main Methods:
- Systematic analysis of phosphorylated ERK, MNK, and eIF4E levels in ovarian cancer patients and cell lines before and after chemotherapy.
- Utilizing pharmacological inhibitors (e.g., MEK inhibitor U0126) and genetic approaches to investigate the function of the ERK/MNK/eIF4E pathway.
- Assessing the impact of eIF4E overexpression and depletion on ovarian cancer cell growth, migration, and response to chemotherapeutic agents.
Main Results:
- Increased phosphorylation of ERK, MNK1, and eIF4E was observed in ovarian cancer cells and patients undergoing chemotherapy, indicating pathway activation.
- MEK inhibition (U0126) reduced phosphorylation of ERK, MNK1, and eIF4E, confirming Mnk1/eIF4E as downstream effectors of the ERK pathway activated by chemotherapy.
- Overexpression of eIF4E enhanced ovarian cancer cell growth and conferred resistance to chemotherapy, while eIF4E depletion sensitized cells to chemotherapeutic agents.
Conclusions:
- Activation of the ERK/MNK/eIF4E signaling pathway is a critical mechanism contributing to chemoresistance in ovarian cancer.
- Inhibiting the ERK/MNK/eIF4E pathway broadly sensitizes ovarian cancer cells to chemotherapy, suggesting its potential as a therapeutic target.
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