FAT4 activation inhibits epithelial-mesenchymal transition (EMT) by promoting autophagy in H2228/Cer cells
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Updated: Aug 15, 2025

Author Spotlight: A Selective Luciferase-Based Assay for Monitoring ATG4B 27 Activity in Cells
Published on: June 30, 2023
Yuying Yang1, Yang Li1, Qian Yang1
1Department of Pharmacology, Shenyang Pharmaceutical University, Shenhe District, 103 Wenhua Road, Shenyang, 110016, China.
Abstract:
As a tumor suppressor in lung cancer, FAT atypical cadherin 4 (FAT4) has a critical role in epithelial-mesenchymal transition (EMT). However, the role of FAT4 in ceritinib-resistant anaplastic lymphoma kinase (ALK) positive non-small cell lung cancer (NSCLC) EMT has not been reported. It is necessary to discuss the role of FAT4 in this process and its potential mechanism of interaction. We found that the expression level of FAT4 was downregulated markedly in ceritinib-resistant NCI-H2228 (H2228/Cer) cells. Jujuboside A, a FAT4 activator, diminished EMT and metastasis of H2228/Cer cells. Importantly, autophagy inhibition inverted the inhibitory effect of FAT4 activation on EMT. Furthermore, we found the regulatory action of FAT4 on autophagy was related to proteasome 26S subunit ubiquitin receptor and non-ATPase 4 (PSMD4) and proteasome 20S subunit beta 4 (PSMB4), and the inhibitory effect of autophagy on EMT might be related to ROS/NF-κB/IκB-α and Wnt/β-catenin pathways. In conclusion, FAT4 activation can inhibit the process of EMT in H2228/Cer cells by promoting autophagy, which provides a potential target for ceritinib-resistant ALK positive NSCLC therapy.
Insights
FAT4 activation inhibits epithelial-mesenchymal transition (EMT) in ceritinib-resistant lung cancer by promoting autophagy. This finding offers a new therapeutic target for anaplastic lymphoma kinase (ALK) positive non-small cell lung cancer (NSCLC).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- FAT atypical cadherin 4 (FAT4) acts as a tumor suppressor in lung cancer, influencing epithelial-mesenchymal transition (EMT).
- The role of FAT4 in ceritinib-resistant anaplastic lymphoma kinase (ALK) positive non-small cell lung cancer (NSCLC) EMT remains unexplored.
Purpose of the Study:
- To investigate the role of FAT4 in the EMT of ceritinib-resistant ALK-positive NSCLC.
- To elucidate the potential mechanisms underlying FAT4's interaction in this process.
Main Methods:
- Assessed FAT4 expression in ceritinib-resistant NCI-H2228 (H2228/Cer) cells.
- Utilized Jujuboside A, a FAT4 activator, to evaluate its effects on EMT and metastasis.
- Investigated the interplay between FAT4, autophagy, and EMT pathways.
Main Results:
- FAT4 expression was significantly downregulated in H2228/Cer cells.
- Jujuboside A treatment reduced EMT and metastasis in H2228/Cer cells.
- Autophagy inhibition reversed the anti-EMT effects of FAT4 activation, implicating FAT4 in autophagy regulation via PSMD4 and PSMB4.
Conclusions:
- FAT4 activation inhibits EMT in ceritinib-resistant ALK-positive NSCLC by promoting autophagy.
- This mechanism involves pathways such as ROS/NF-κB/IκB-α and Wnt/β-catenin.
- FAT4 represents a potential therapeutic target for overcoming ceritinib resistance in ALK-positive NSCLC.
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