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Therapeutic targeting ERRγ suppresses metastasis via extracellular matrix remodeling in small cell lung cancer
Hong Wang1, Huizi Sun1, Jie Huang2
1School of Pharmaceutical Sciences, Sun Yat-sen University, 510006, Guangzhou, Guangdong, China.
Abstract:
Small-cell lung cancer (SCLC) is the most aggressive and lethal type of lung cancer, characterized by limited treatment options, early and frequent metastasis. However, the determinants of metastasis in SCLC are poorly defined. Here, we show that estrogen-related receptor gamma (ERRγ) is overexpressed in metastatic SCLC tumors, and is positively associated with SCLC progression. ERRγ functions as an essential activator of extracellular matrix (ECM) remodeling and cell adhesion, two critical steps in metastasis, by directly regulating the expression of major genes involved in these processes. Genetic and pharmacological inhibition of ERRγ markedly reduces collagen production, cell-matrix adhesion, microfilament production, and eventually blocks SCLC cell invasion and tumor metastasis. Notably, ERRγ antagonists significantly suppressed tumor growth and metastasis and restored SCLC vulnerability to chemotherapy in multiple cell-derived and patient-derived xenograft models. Taken together, these findings establish ERRγ as an attractive target for metastatic SCLC and provide a potential pharmacological strategy for treating this lethal disease.
Insights
Estrogen-related receptor gamma (ERRγ) drives metastasis in aggressive small-cell lung cancer (SCLC) by remodeling the extracellular matrix. Inhibiting ERRγ blocks SCLC progression and enhances chemotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metastasis Research
Background:
- Small-cell lung cancer (SCLC) is highly aggressive with poor treatment options and frequent metastasis.
- The molecular mechanisms driving SCLC metastasis remain poorly understood.
- Estrogen-related receptor gamma (ERRγ) has emerged as a potential factor in cancer progression.
Purpose of the Study:
- To investigate the role of ERRγ in the metastasis of SCLC.
- To determine if ERRγ is a viable therapeutic target for metastatic SCLC.
Main Methods:
- Analysis of ERRγ expression in metastatic SCLC tumors.
- Investigating ERRγ's function in extracellular matrix (ECM) remodeling and cell adhesion.
- Utilizing genetic and pharmacological inhibition of ERRγ in SCLC models (cell-derived and patient-derived xenografts).
- Assessing the impact of ERRγ inhibition on tumor growth, metastasis, and chemotherapy response.
Main Results:
- ERRγ is overexpressed in metastatic SCLC and correlates with disease progression.
- ERRγ directly regulates key genes involved in ECM remodeling and cell adhesion, crucial for metastasis.
- Inhibition of ERRγ significantly reduced collagen production, cell-matrix adhesion, and microfilament production.
- ERRγ inhibition blocked SCLC cell invasion and metastasis, suppressed tumor growth, and restored chemotherapy sensitivity.
Conclusions:
- ERRγ is a critical driver of metastasis in small-cell lung cancer.
- Targeting ERRγ represents a promising therapeutic strategy for metastatic SCLC.
- ERRγ antagonists may offer a novel approach to treat this lethal malignancy and overcome treatment resistance.
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