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.

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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