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NRG1/ERBB3 Pathway Activation Induces Acquired Resistance to XPO1 Inhibitors
Takahito M Miyake1, Sunila Pradeep2, Emine Bayraktar1
1Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract:
XPO1 inhibitors have shown promise in cancer treatment, but mechanisms of resistance to these drugs are not well understood. In this study, we established selective inhibitors of nuclear export (SINE)-resistant ovarian cancer cell lines from in vivo mouse tumors and determined the mechanisms of adaptive XPO1 inhibitor resistance using protein and genomic arrays. Pathway analyses revealed upregulation of the NRG1/ERBB3 pathway in SINE-resistant cells. Depletion of ERBB3 using siRNAs restored the antitumor effect of SINE in vitro and in vivo Furthermore, exogenous NRG1 decreased the antitumor effect of SINE in ovarian cancer cell lines with high ERBB3 expression, but not in those with low expression. These results suggest that NRG1 and ERBB3 expression is a potential biomarker of response to SINE treatment. The antitumor effect of SINE was reduced by exogenous NRG1 in an ERBB3-dependent manner. These findings suggest that NRG1 and ERBB3 are effective biomarkers that should be evaluated in future clinical trials and are relevant therapeutic targets for the treatment of SINE-resistant cancers.
Insights
Selective inhibitors of nuclear export (SINE) resistance in ovarian cancer is linked to the NRG1/ERBB3 pathway. Targeting ERBB3 may overcome SINE resistance, suggesting NRG1 and ERBB3 as biomarkers for SINE therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Mechanisms of resistance to XPO1 inhibitors (SINE) in cancer are not fully understood.
- Ovarian cancer cell lines resistant to SINE were developed to study adaptive resistance.
Purpose of the Study:
- To investigate the mechanisms of adaptive resistance to SINE in ovarian cancer.
- To identify potential biomarkers and therapeutic targets for overcoming SINE resistance.
Main Methods:
- Established SINE-resistant ovarian cancer cell lines from in vivo mouse tumors.
- Utilized protein and genomic arrays for pathway analysis.
- Employed siRNA to deplete ERBB3 and assessed the impact of exogenous NRG1.
Main Results:
- Upregulation of the Neuregulin 1 (NRG1)/Erb-B2 Receptor Tyrosine Kinase 3 (ERBB3) pathway was identified in SINE-resistant cells.
- ERBB3 depletion restored SINE's antitumor effects in vitro and in vivo.
- Exogenous NRG1 reduced SINE's efficacy in an ERBB3-dependent manner.
Conclusions:
- NRG1 and ERBB3 expression may serve as predictive biomarkers for SINE treatment response.
- The NRG1/ERBB3 pathway is a relevant therapeutic target for overcoming SINE resistance in ovarian cancer.
- Further clinical trials are warranted to evaluate NRG1 and ERBB3 as biomarkers and therapeutic targets.
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