Integrin subunit beta 8 contributes to lenvatinib resistance in HCC
Wei Hou1,2, Bryan Bridgeman1,2, Greg Malnassy1,2
1Department of Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, USA.
Abstract:
Lenvatinib is a multikinase inhibitor approved as a first-line therapy for advanced hepatocellular carcinoma (HCC). However, the development of drug resistance is common, and the underlying mechanisms governing this resistance are largely unknown. In this study, we established two lenvatinib-resistant (LR) HCC cell lines and identified integrin subunit beta 8 (ITGB8) as a critical contributor to lenvatinib resistance in HCC. The elevated expression of ITGB8 was observed in LR HCC cells. Furthermore, silencing of ITGB8 reversed lenvatinib resistance in vitro and in vivo, whereas ectopic expression of ITGB8 in lenvatinib-sensitive parental HCC cells exhibited increased resistance to lenvatinib. Mechanistically, ITGB8 regulated lenvatinib resistance through an HSP90-mediated stabilization of AKT and enhanced AKT signaling. In support of this model, either an AKT inhibitor MK-2206 or an HSP90 inhibitor 17-AAG resensitized LR HCC cells to lenvatinib treatment. Conclusion: Collectively, our results establish a crucial role of ITGB8 in lenvatinib resistance, and suggest that targeting the ITGB8/HSP90/AKT axis is a promising therapeutic strategy in patients with HCC exhibiting lenvatinib resistance.
Insights
Integrin subunit beta 8 (ITGB8) drives lenvatinib resistance in liver cancer. Targeting the ITGB8/HSP90/AKT pathway can overcome this resistance, offering a new therapeutic strategy for hepatocellular carcinoma (HCC) patients.
Area of Science:
- Oncology
- Molecular Biology
- Drug Resistance Mechanisms
Background:
- Lenvatinib is a key treatment for advanced hepatocellular carcinoma (HCC).
- Drug resistance frequently limits lenvatinib efficacy in HCC.
- Mechanisms underlying lenvatinib resistance remain largely undefined.
Purpose of the Study:
- To identify novel molecular drivers of lenvatinib resistance in HCC.
- To elucidate the functional role of identified targets in mediating resistance.
- To explore potential therapeutic strategies to overcome lenvatinib resistance.
Main Methods:
- Established two lenvatinib-resistant (LR) HCC cell lines.
- Assessed the expression and function of integrin subunit beta 8 (ITGB8) in LR and sensitive HCC cells.
- Investigated the role of ITGB8 in lenvatinib resistance in vitro and in vivo.
- Explored the downstream signaling pathways involving HSP90 and AKT.
- Evaluated the efficacy of targeting the ITGB8/HSP90/AKT axis with specific inhibitors.
Main Results:
- Elevated ITGB8 expression was identified in LR HCC cells.
- Silencing ITGB8 reversed lenvatinib resistance, while its ectopic expression conferred resistance.
- ITGB8 mediated resistance via HSP90-dependent stabilization of AKT and enhanced AKT signaling.
- AKT inhibitor MK-2206 and HSP90 inhibitor 17-AAG resensitized LR HCC cells to lenvatinib.
Conclusions:
- ITGB8 is a critical mediator of lenvatinib resistance in HCC.
- The ITGB8/HSP90/AKT signaling axis plays a pivotal role in this resistance.
- Targeting the ITGB8/HSP90/AKT pathway represents a promising therapeutic approach for lenvatinib-resistant HCC.
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