Tu Chih-Yen, Chen Chia-Hung, Hsia Te-Chun, Hsu Min-Hsiang, Wei Ya-Ling, Yu Meng-Chieh, Chen Wen-Shu, Hsu Ke-Wei, Yeh Ming-Hsin, Liu Liang-Chih, Chen Yun-Ju, Huang Wei-Chien
Division of Pulmonary and Critical Care Medicine, China Medical University and Hospital, Taichung 404, Taiwan ; Department of Internal Medicine, China Medical University and Hospital, Taichung 404, Taiwan ; School of Medicine, China Medical University, Taichung 404, Taiwan ; Department of Life Science, National Chung-Hsing University, Taichung 402, Taiwan.
Division of Pulmonary and Critical Care Medicine, China Medical University and Hospital, Taichung 404, Taiwan ; Department of Internal Medicine, China Medical University and Hospital, Taichung 404, Taiwan ; Department of Respiratory Therapy, China Medical University, Taichung 404, Taiwan ; Graduate Institute of Clinical Medical Science, China Medical University, Taichung 404, Taiwan.
Biomed Res Int. 2014;2014:168949. doi: 10.1155/2014/168949. Epub 2014 Feb 23.
Lapatinib, a dual EGFR/HER2 tyrosine kinase inhibitor, has been shown to improve the survival rate of patients with advanced HER2-positive breast cancers. However, the off-target activity of lapatinib in inducing EGFR expression without tyrosine kinase activity was demonstrated to render HER2-negative breast cancer cells more metastatic, suggesting a limitation to the therapeutic effectiveness of this dual inhibitor in HER2-heterogeneous tumors. Therefore, targeting EGFR expression may be a feasible approach to improve the anticancer efficiency of lapatinib-based therapy. Inhibition of HDAC has been previously reported to epigenetically suppress EGFR protein expression. In this study, however, our data indicated that treatment with HDAC inhibitors trichostatin A (TSA), but not suberoylanilide hydroxamic acid (SAHA) or HDAC siRNA, can attenuate both protein and mRNA expressions of EGFR in lapatinib-treated triple-negative breast cancer cells, suggesting that TSA may suppress EGFR expression independently of HDAC inhibition. Nevertheless, TSA reduced EGFR 3'UTR activity and induced the gene expression of microRNA-7, a known EGFR-targeting microRNA. Furthermore, treatment with microRNA-7 inhibitor attenuated TSA-mediated EGFR suppression. These results suggest that TSA induced microRNA-7 expression to downregulate EGFR expression in an HDAC-independent manner.
拉帕替尼是一种双靶点表皮生长因子受体/人表皮生长因子受体2(EGFR/HER2)酪氨酸激酶抑制剂,已被证明可提高晚期HER2阳性乳腺癌患者的生存率。然而,拉帕替尼在诱导无酪氨酸激酶活性的EGFR表达方面的脱靶活性被证明会使HER2阴性乳腺癌细胞更具转移性,这表明这种双靶点抑制剂在HER2异质性肿瘤中的治疗效果存在局限性。因此,靶向EGFR表达可能是提高基于拉帕替尼治疗的抗癌效率的一种可行方法。此前有报道称,抑制组蛋白去乙酰化酶(HDAC)可通过表观遗传方式抑制EGFR蛋白表达。然而,在本研究中,我们的数据表明,用HDAC抑制剂曲古抑菌素A(TSA)处理可减弱拉帕替尼处理的三阴性乳腺癌细胞中EGFR的蛋白和mRNA表达,但使用辛二酰苯胺异羟肟酸(SAHA)或HDAC小干扰RNA(siRNA)处理则无此效果,这表明TSA可能独立于HDAC抑制作用来抑制EGFR表达。尽管如此,TSA降低了EGFR 3'非翻译区(3'UTR)的活性,并诱导了已知靶向EGFR的微小RNA-7(miRNA-7)的基因表达。此外,用miRNA-7抑制剂处理可减弱TSA介导的EGFR抑制作用。这些结果表明,TSA以HDAC非依赖的方式诱导miRNA-7表达,从而下调EGFR表达。