Knockdown of Amphiregulin Triggers Doxorubicin-Induced Autophagic and Apoptotic Death by Regulating Endoplasmic
I-Neng Lee1, Jen-Tsung Yang2,3, Ming-Ju Hsieh4,5,6,7
1Department of Medical Research, Chang Gung Memorial Hospital, Chiayi, 61363, Taiwan.
Abstract:
Glioblastoma multiforme (GBM) is the most common type of malignant brain tumor. The present standard treatment for GBM has not been effective; therefore, the prognosis remains dramatically poor and prolonged survival after treatment is still limited. The new therapeutic strategies are urgently needed to improve the treatment efficiency. Doxorubicin (Dox) has been widely used in the treatment of many cancers for decades. In recent years, with the advancement of delivery technology, more and more research indicates that Dox has the opportunity to be used in the treatment of GBM. Amphiregulin (AREG), a ligand of the epidermal growth factor receptor (EGFR), has been reported to have oncogenic effects in many cancer cell types and is implicated in drug resistance. However, the biological function and molecular mechanism of AREG in Dox treatment of GBM are still unclear. Here, we demonstrate that knockdown of AREG can boost Dox-induced endoplasmic reticulum (ER) stress to trigger activation in both autophagy and apoptosis in GBM cells, ultimately leading to cell death. To explore the importance of AREG in the clinic, we used available bioinformatics tools and found AREG is highly expressed in GBM tumor tissues that are associated with poor survival. In addition, we also used antibody array analysis to dissect pathways that are likely to be activated by AREG. Taken together, our results revealed AREG can serve as a potential therapeutic target and a promising biomarker in GBM.
Insights
Targeting amphiregulin (AREG) enhances doxorubicin (Dox) treatment efficacy in glioblastoma multiforme (GBM) by increasing cell death. AREG is a potential therapeutic target and biomarker for improved GBM survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Glioblastoma multiforme (GBM) is an aggressive brain tumor with poor prognosis and limited treatment options.
- Doxorubicin (Dox) shows potential for GBM treatment, but efficacy is hindered by factors like drug resistance.
- Amphiregulin (AREG), an epidermal growth factor receptor (EGFR) ligand, is implicated in cancer progression and drug resistance.
Purpose of the Study:
- To investigate the role of AREG in Dox treatment of GBM.
- To elucidate the molecular mechanisms by which AREG influences Dox efficacy.
- To evaluate AREG as a potential therapeutic target and biomarker in GBM.
Main Methods:
- Knockdown of AREG in GBM cells.
- Assessment of Dox-induced endoplasmic reticulum (ER) stress, autophagy, and apoptosis.
- Bioinformatic analysis of AREG expression in GBM tissues.
- Antibody array analysis to identify AREG-activated pathways.
Main Results:
- Knockdown of AREG potentiated Dox-induced ER stress, autophagy, and apoptosis in GBM cells, leading to cell death.
- High AREG expression in GBM tissues correlated with poor patient survival.
- AREG is involved in pathways activated in GBM, suggesting its oncogenic role.
Conclusions:
- AREG plays a significant role in Dox treatment resistance in GBM.
- Reducing AREG levels can enhance the effectiveness of Dox therapy.
- AREG represents a promising therapeutic target and predictive biomarker for GBM treatment.
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