Center for Molecular Medicine, China Medical University Hospital, Taichung 404, Taiwan.
J Biol Chem. 2011 Jun 10;286(23):20558-68. doi: 10.1074/jbc.M111.240796. Epub 2011 Apr 12.
Epidermal growth factor receptor (EGFR), an aberrantly overexpressed or activated receptor-tyrosine kinase in many cancers, plays a pivotal role in cancer progression and has been an attractive target for cancer therapy. Gefitinib and erlotinib, two EGFR-tyrosine kinase inhibitors, have been approved for non-small cell lung cancer. However, durable clinical efficacy of these EGFR inhibitors is severely limited by the emergence of acquired resistance. For example, the expression of breast cancer-resistant protein (BCRP/ABCG2) has been shown to confer acquired resistance of wild-type EGFR (wtEGFR)-expressing cancer cells to gefitinib. However, the underlying molecular mechanisms still remain unclear. Here, we show that wtEGFR expression is elevated in the nucleus of acquired gefitinib-resistant cancer cells. Moreover, nuclear translocation of EGFR requires phosphorylation at Ser-229 by Akt. In the nucleus, EGFR then targets the proximal promoter of BCRP/ABCG2 and thereby enhances its gene transcription. The nuclear EGFR-mediated BCRP/ABCG2 expression may contribute at least in part to the acquired resistance of wtEGFR-expressing cancer cells to gefitinib. Our findings shed light on the role of nuclear EGFR in the sensitivity of wtEGFR-expressing cancer cells to EGFR tyrosine kinase inhibitors and also deciphered a putative molecular mechanism contributing to gefitinib resistance through BCRP/ABCG2 expression.
表皮生长因子受体(EGFR)在许多癌症中是一种异常过表达或激活的受体酪氨酸激酶,在癌症进展中起着关键作用,已成为癌症治疗的一个有吸引力的靶点。吉非替尼和厄洛替尼是两种 EGFR 酪氨酸激酶抑制剂,已被批准用于治疗非小细胞肺癌。然而,这些 EGFR 抑制剂的持久临床疗效受到获得性耐药的严重限制。例如,乳腺癌耐药蛋白(BCRP/ABCG2)的表达已被证明赋予野生型 EGFR(wtEGFR)表达的癌细胞对吉非替尼的获得性耐药。然而,其潜在的分子机制仍不清楚。在这里,我们显示获得性吉非替尼耐药癌细胞的核中 EGFR 的表达升高。此外,EGFR 的核易位需要 Akt 磷酸化 Ser-229。在核中,EGFR 然后靶向 BCRP/ABCG2 的近端启动子,从而增强其基因转录。核 EGFR 介导的 BCRP/ABCG2 表达可能至少部分导致 wtEGFR 表达的癌细胞对吉非替尼的获得性耐药。我们的研究结果揭示了核 EGFR 在 wtEGFR 表达的癌细胞对 EGFR 酪氨酸激酶抑制剂敏感性中的作用,并阐明了通过 BCRP/ABCG2 表达导致吉非替尼耐药的潜在分子机制。