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Updated: Feb 4, 2026

Subcellular Fractionation for ERK Activation Upon Mitochondrial-derived Peptide Treatment
Published on: September 25, 2017
MAPK/ERK pathway inhibition is a promising treatment target for adrenocortical tumors
Sofia S Pereira1,2,3, Mariana P Monteiro3, Madalena M Costa3
1Cancer Signalling & Metabolism, Instituto de Investigação e Inovação em Saúde (I3S), Universidade do Porto, Portugal.
Abstract:
Unraveling molecular mechanisms that regulate tumor development and proliferation is of the utmost importance in the quest to decrease the high mortality rate of adrenocortical carcinomas (ACC). Our aim was to evaluate the role of two of the mitogen-activated protein kinase (MAPK) signaling pathways (extracellular signal-regulated protein kinases [ERKs 1/2] and p38) in the adrenocortical tumorigenesis, as well as the therapeutic potential of MAPK/ERK inhibition. ERKs 1/2 and p38 activation were evaluated in incidentalomas (INC; n = 10), benign Cushing's syndrome (BCS; n = 12), malignant Cushing's syndrome (MCS; n = 6) and normal adrenal glands (NAG; 8). ACC cell line (H295R) was used to evaluate the ability of PD184352 (0.1, 1, and 10 µM), a specific MEK-MAPK-ERK pathway inhibitor, to modulate cell proliferation, viability, metabolism, and steroidogenesis. ERKs 1/2 activation was significantly higher in MCS (2.83 ± 0.17) compared with NAG (1.00 ± 0.19 "arbitrary units"), INC (1.20 ± 0.13) and BCS (2.09 ± 0.09). Phospho-p38 expression was absent in all the MCS analyzed. MAPK/ERK kinase (MEK) inhibition with PD184352 significantly decreased proliferation as well as steroidogenesis and also increased the redox state of the H295R cells. This data suggests that MEK-MAPK-ERK signaling has a role in adrenocortical tumorigenesis that could be potentially used as a diagnostic marker for malignancy and targeted treatment in ACC.
Insights
Mitogen-activated protein kinase (MAPK) signaling, specifically extracellular signal-regulated protein kinases (ERKs 1/2), is elevated in malignant adrenocortical tumors. Inhibiting this pathway may offer a targeted treatment for adrenocortical carcinoma (ACC).
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Adrenocortical carcinomas (ACC) have high mortality rates, necessitating research into their molecular mechanisms.
- Mitogen-activated protein kinase (MAPK) signaling pathways, including extracellular signal-regulated protein kinases (ERKs 1/2) and p38, are implicated in cellular processes relevant to tumorigenesis.
Purpose of the Study:
- To investigate the role of ERK1/2 and p38 MAPK pathways in adrenocortical tumorigenesis.
- To evaluate the therapeutic potential of inhibiting the MAPK/ERK pathway in ACC.
Main Methods:
- Assessed ERK1/2 and p38 activation in normal adrenal glands (NAG), incidentalomas (INC), benign Cushing's syndrome (BCS), and malignant Cushing's syndrome (MCS).
- Utilized the ACC cell line (H295R) to test the effects of PD184352, a MEK-MAPK-ERK inhibitor, on proliferation, viability, metabolism, and steroidogenesis.
Main Results:
- ERK1/2 activation was significantly higher in MCS compared to NAG, INC, and BCS.
- Phospho-p38 expression was not detected in any of the analyzed MCS samples.
- MEK inhibition with PD184352 reduced H295R cell proliferation and steroidogenesis, while increasing cellular redox state.
Conclusions:
- The MEK-MAPK-ERK signaling pathway plays a role in adrenocortical tumorigenesis.
- Elevated ERK1/2 activation may serve as a diagnostic marker for ACC malignancy.
- Targeting the MEK-MAPK-ERK pathway presents a potential therapeutic strategy for ACC.
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