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ErbB4/KITENIN-Mediated Signaling is Activated in Cetuximab-Resistant Colorectal Cancer Cells
So-Yeon Park1, Yi Yang1, Rui Zhou1
1College of Pharmacy, Sunchon National University, Sunchon, Jeonnam, 57922, Korea.
Abstract:
ErbB4/KITENIN signaling plays a role in epidermal growth factor receptor (EGFR)-independent EGF pathways mediating the invasiveness and tumorigenesis of colorectal cancer cells. However, whether alterations in ErbB4/KITENIN signaling play a role in the resistance to anti-EGFR therapy remains unclear. Here, we established cetuximab-resistant DLD1 and HT29 cells, and analyzed changes in ErbB4/KITENIN signaling. c-Jun, a final effector in ErbB4/KITENIN-mediated signaling, was upregulated, whereas KITENIN levels remained constant in both cetuximab-resistant cell lines. The phosphorylation of EGFR and ErbB4 was increased in cetuximab-resistant cells, suggesting that ErbB4/KITENIN signaling contributed to the acquisition of cetuximab resistance in the cells. Silencing of KITENIN and/or ErbB4 increased cetuximab sensitivity in cetuximab-resistant cells. This study is the first to report the activation of ErbB4/KITENIN-mediated signaling in cetuximab-resistant colorectal cancer cells and the potential clinical application of ErbB4/KITENIN-targeting therapy for overcoming anti-EGFR resistance.
Insights
ErbB4/KITENIN signaling activation drives resistance to anti-EGFR therapy in colorectal cancer. Targeting ErbB4/KITENIN may overcome this resistance, improving treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Epidermal growth factor receptor (EGFR) signaling is crucial in colorectal cancer (CRC) progression.
- EGFR-independent pathways, like ErbB4/KITENIN, also contribute to CRC invasiveness and tumorigenesis.
- The role of ErbB4/KITENIN signaling in resistance to anti-EGFR therapy is not well understood.
Purpose of the Study:
- To investigate the involvement of ErbB4/KITENIN signaling in cetuximab resistance in colorectal cancer cells.
- To determine if targeting ErbB4/KITENIN signaling can overcome cetuximab resistance.
Main Methods:
- Establishment of cetuximab-resistant DLD1 and HT29 colorectal cancer cell lines.
- Analysis of ErbB4/KITENIN signaling pathway components (c-Jun, KITENIN, phosphorylated EGFR, phosphorylated ErbB4).
- Assessment of cetuximab sensitivity following KITENIN and/or ErbB4 gene silencing.
Main Results:
- Cetuximab-resistant cells showed upregulated c-Jun and increased phosphorylation of EGFR and ErbB4.
- KITENIN protein levels remained constant in resistant cells.
- Silencing KITENIN and/or ErbB4 restored sensitivity to cetuximab in resistant cells.
Conclusions:
- ErbB4/KITENIN signaling is activated in cetuximab-resistant colorectal cancer cells.
- This activated signaling pathway contributes to the development of resistance to anti-EGFR therapy.
- Targeting ErbB4/KITENIN represents a potential therapeutic strategy to overcome anti-EGFR resistance in CRC.
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