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ANXA1 Binds and Stabilizes EGFR to Promote Nasopharyngeal Carcinoma Radioresistance
Ting Zeng1,2,3,4, Ding Xiao2,3,4, Wei Zhu1,2,3,4
1Department of Pathology, Xiangya Hospital, Central South University, Changsha, China.
Abstract:
Radioresistance is a serious obstacle to successful nasopharyngeal carcinoma (NPC) treatment. Annexin A1 (ANXA1) is associated with EGFR and is involved in EGFR-promoting tumors, but the mechanisms of ANXA1-stabilizing EGFR and its effect on NPC radioresistance are unclear. In this study, we report that ANXA1 competes with the E3 ubiquitin ligase Cbl for binding to EGFR and increases its stability by inhibiting Cbl-mediated EGFR ubiquitination degradation in NPC cells. ANXA1 increases in vitro and in vivo NPC cell radioresistance by stabilizing EGFR. Expression levels of ANXA1 and EGFR are positively correlated in NPC tissues and are significantly higher in the radioresistant NPC tissues than in the radiosensitive NPC tissues. Patients with NPC with high expression of both proteins have poorer overall survival and disease-free survival relative to patients with high expression of one protein alone, and a combination of ANXA1 and EGFR predicts NPC radiosensitivity superior to that of the individual proteins. Based on the amino acid residues of ANXA1 responsible for binding to EGFR, we developed a nine amino acid-long ANXA1-derived peptide (HDMNKVLDL), which disrupts the connection of ANXA1 with EGFR, successfully downregulates EGFR expression, and dramatically increases NPC cell radiosensitivity in vitro and in mice. Our findings suggest that ANXA1 promotes NPC radioresistance by binding to and stabilizing EGFR, and we present a strategy for targeting EGFR degradation and NPC radiosensitization with a peptide.
Insights
Annexin A1 (ANXA1) stabilizes EGFR, promoting radioresistance in nasopharyngeal carcinoma (NPC). A novel peptide targeting this interaction enhances radiosensitivity, offering a new therapeutic strategy for NPC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Nasopharyngeal carcinoma (NPC) treatment is hindered by radioresistance.
- The role of Annexin A1 (ANXA1) in EGFR stabilization and its impact on NPC radioresistance remain unclear.
Purpose of the Study:
- To elucidate the mechanism by which ANXA1 stabilizes EGFR and influences NPC radioresistance.
- To investigate the potential of targeting the ANXA1-EGFR interaction for improving NPC radiosensitivity.
Main Methods:
- Investigated ANXA1's interaction with EGFR and its effect on EGFR ubiquitination and degradation using NPC cells.
- Assessed the impact of ANXA1 on NPC radioresistance in vitro and in vivo.
- Correlated ANXA1 and EGFR expression levels with NPC radiosensitivity and patient survival.
- Developed and tested an ANXA1-derived peptide to disrupt the ANXA1-EGFR interaction and enhance radiosensitivity.
Main Results:
- ANXA1 inhibits Cbl-mediated EGFR ubiquitination, thereby stabilizing EGFR and increasing NPC radioresistance.
- ANXA1 and EGFR expression levels are positively correlated in NPC tissues and are higher in radioresistant tissues.
- High co-expression of ANXA1 and EGFR predicts poorer patient survival.
- An ANXA1-derived peptide effectively downregulates EGFR and enhances NPC radiosensitivity in vitro and in vivo.
Conclusions:
- ANXA1 promotes NPC radioresistance by stabilizing EGFR.
- Combined ANXA1 and EGFR expression is a significant predictor of NPC radiosensitivity and patient prognosis.
- Targeting the ANXA1-EGFR interaction with a peptide represents a promising strategy for overcoming NPC radioresistance.
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