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Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Dysregulated Redox Regulation Contributes to Nuclear EGFR Localization and Pathogenicity in Lung Cancer
Andrew C Little1,2, Milena Hristova1, Loes van Lith1
1Department of Pathology and Laboratory Medicine, Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, VT, 05405, USA.
Abstract:
Lung cancers are frequently characterized by inappropriate activation of epidermal growth factor receptor (EGFR)-dependent signaling and epigenetic silencing of the NADPH oxidase (NOX) enzyme DUOX1, both potentially contributing to worse prognosis. Based on previous findings linking DUOX1 with redox-dependent EGFR activation, the present studies were designed to evaluate whether DUOX1 silencing in lung cancers may be responsible for altered EGFR regulation. In contrast to normal epithelial cells, EGF stimulation of lung cancer cell lines that lack DUOX1 promotes EGF-induced EGFR internalization and nuclear localization, associated with induction of EGFR-regulated genes and related tumorigenic outcomes. Each of these outcomes could be reversed by overexpression of DUOX1 or enhanced by shRNA-dependent DUOX1 silencing. EGF-induced nuclear EGFR localization in DUOX1-deficient lung cancer cells was associated with altered dynamics of cysteine oxidation of EGFR, and an overall reduction of EGFR cysteines. These various outcomes could also be attenuated by silencing of glutathione S-transferase P1 (GSTP1), a mediator of metabolic alterations and drug resistance in various cancers, and a regulator of cysteine oxidation. Collectively, our findings indicate DUOX1 deficiency in lung cancers promotes dysregulated EGFR signaling and enhanced GSTP1-mediated turnover of EGFR cysteine oxidation, which result in enhanced nuclear EGFR localization and tumorigenic properties.
Insights
DUOX1 deficiency in lung cancer promotes epidermal growth factor receptor (EGFR) signaling, leading to nuclear localization and increased tumorigenic properties. Restoring DUOX1 or inhibiting GSTP1 can reverse these effects, offering potential therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Lung cancers often exhibit aberrant epidermal growth factor receptor (EGFR) signaling and reduced expression of the NADPH oxidase (NOX) enzyme DUOX1.
- DUOX1 is implicated in redox-dependent EGFR regulation, suggesting a link between DUOX1 silencing and altered EGFR activity in cancer.
Purpose of the Study:
- To investigate whether DUOX1 silencing contributes to the dysregulated EGFR signaling observed in lung cancers.
- To explore the mechanisms by which DUOX1 deficiency impacts EGFR regulation and promotes tumorigenic outcomes.
Main Methods:
- Utilized lung cancer cell lines with varying DUOX1 expression levels (silenced or overexpressed).
- Stimulated cells with epidermal growth factor (EGF) and assessed EGFR internalization, nuclear localization, and gene expression.
- Analyzed EGFR cysteine oxidation dynamics and the role of glutathione S-transferase P1 (GSTP1).
Main Results:
- EGF stimulation in DUOX1-deficient lung cancer cells led to increased EGFR internalization and nuclear localization, unlike in normal cells.
- These changes were associated with the induction of EGFR-regulated genes and enhanced tumorigenic properties.
- DUOX1 overexpression reversed these effects, while DUOX1 silencing exacerbated them.
- EGFR nuclear localization was linked to altered cysteine oxidation of EGFR, which was modulated by GSTP1.
Conclusions:
- DUOX1 deficiency in lung cancer promotes dysregulated EGFR signaling, characterized by enhanced nuclear EGFR localization.
- This process involves altered EGFR cysteine oxidation, partly mediated by GSTP1.
- Restoring DUOX1 or inhibiting GSTP1 may represent therapeutic avenues for lung cancer by normalizing EGFR signaling.
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