Related Experiment Video
Updated: Sep 14, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
The Transcription Axes ERK-Elk1, JNK-cJun, and JAK-STAT Promote Autophagy Activation and Proteasome Inhibitor
Georgios Kalampounias1, Kalliopi Zafeiropoulou1,2, Theodosia Androutsopoulou1
1Laboratory of Cell Biology, Division of Genetics, Cell and Developmental Biology, Department of Biology, School of Natural Sciences, University of Patras, 26504 Patras, Greece.
Abstract:
The rapid emergence of resistance limits the application of proteasome inhibitors against solid tumors, despite their effectiveness in the treatment of hematological malignancies. Resistant phenotypes are complex and multifaceted, and, thus, the mechanisms involved have not been adequately described. In this study, a Bortezomib-resistant prostate cancer cell line is created by using the PC-3 cell as a prostate carcinoma model of high metastatic potential. The main biochemical differences and adaptations exhibited by the resistant cells revolve around apoptosis evasion, autophagy induction (functioning as a ubiquitin-proteasome system substitute), expression of epithelial-to-mesenchymal transition markers, and increased aggressiveness. Broad-spectrum signaling pathway analyses also reveal an upregulation and activation of Nf-κB, STAT3, cJun, and Elk1 transcription factors in the resistant cells. Additionally, intracellular reactive oxygen species assays reveal a downregulation in resistant cells, which is theorized to be a consequence of metabolic changes, increased autophagic flux, and antioxidative enzyme action. These findings expand our understanding of proteasome inhibitor resistance and highlight key kinases and transcription factors as novel potential therapeutic targets. Effective inhibition of resistance-specific pathways could re-sensitize the cells to proteasome inhibitors, thus surpassing current therapeutic limitations.
Insights
This study developed a Bortezomib-resistant prostate cancer model. Resistant cells evade apoptosis, increase autophagy, and activate key transcription factors, offering new therapeutic targets for overcoming proteasome inhibitor resistance.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Proteasome inhibitors are effective against hematological cancers but face resistance in solid tumors.
- Mechanisms of resistance to proteasome inhibitors in solid tumors are complex and not fully understood.
- Prostate cancer, particularly with high metastatic potential, serves as a relevant model for studying resistance.
Purpose of the Study:
- To create and characterize a Bortezomib-resistant prostate cancer cell line (PC-3).
- To investigate the biochemical and signaling pathway alterations associated with acquired resistance.
- To identify potential therapeutic targets for overcoming proteasome inhibitor resistance in solid tumors.
Main Methods:
- Development of a Bortezomib-resistant prostate cancer cell line (PC-3).
- Analysis of apoptosis evasion, autophagy induction, and epithelial-to-mesenchymal transition markers.
- Broad-spectrum signaling pathway analysis, including transcription factor activation (Nf-κB, STAT3, cJun, Elk1).
- Measurement of intracellular reactive oxygen species (ROS) levels.
Main Results:
- Resistant cells exhibited apoptosis evasion, increased autophagy (compensating for proteasome inhibition), and enhanced aggressiveness.
- Upregulation and activation of transcription factors Nf-κB, STAT3, cJun, and Elk1 were observed in resistant cells.
- Resistant cells showed downregulated intracellular ROS, potentially due to metabolic shifts and increased autophagy.
Conclusions:
- Acquired resistance to proteasome inhibitors involves complex adaptations including apoptosis evasion and autophagy.
- Specific transcription factors (Nf-κB, STAT3, cJun, Elk1) are key players in mediating resistance.
- Targeting resistance-specific pathways presents a promising strategy to re-sensitize solid tumors to proteasome inhibitors.
Related Concept Videos
The JAK-STAT Signaling Pathway
MAPK Signaling Cascades
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
cAMP-dependent Protein Kinase Pathways

