表皮生长因子受体(EGFR)抑制剂通过抑制上皮-间质转化来阻止食管鳞状细胞癌中癌症干细胞样细胞的诱导。
EGFR inhibitors prevent induction of cancer stem-like cells in esophageal squamous cell carcinoma by suppressing epithelial-mesenchymal transition.
作者信息
Sato Fumiyuki, Kubota Yoshimasa, Natsuizaka Mitsuteru, Maehara Osamu, Hatanaka Yutaka, Marukawa Katsuji, Terashita Katsumi, Suda Goki, Ohnishi Shunsuke, Shimizu Yuichi, Komatsu Yoshito, Ohashi Shinya, Kagawa Shingo, Kinugasa Hideaki, Whelan Kelly A, Nakagawa Hiroshi, Sakamoto Naoya
机构信息
a Department of Gastroenterology and Hepatology ; Hokkaido University Graduate School of Medicine ; Sapporo , Japan.
出版信息
Cancer Biol Ther. 2015;16(6):933-40. doi: 10.1080/15384047.2015.1040959. Epub 2015 Apr 21.
There exists a highly tumorigenic subset of esophageal squamous cell carcinoma (ESCC) cells defined by high expression of CD44. A novel therapy targeting these cancer stem-like cells (CSCs) is needed to improve prognosis of ESCC. CSCs of ESCC have a mesenchymal phenotype and epithelial-mesenchymal transition (EMT) is critical to enrich and maintain CSCs. EGFR, frequently overexpressed in ESCC, has pivotal roles in EMT induced by TGF-β in invasive fronts. Thus, EMT in invasive fronts of ESCC might be important for CSCs and EGFR could be a target of a novel therapy eliminating CSCs. However, effects of EGFR inhibitors on CSCs in ESCC have not been fully examined. EGFR inhibitors, erlotinib and cetuximab, significantly suppressed enrichment of CSCs via TGF-β1-mediated EMT. Importantly, EGFR inhibitors sharply suppressed ZEB1 that is essential for EMT in ESCC. Further, EGFR inhibitors activated Notch1 and Notch3, leading to squamous cell differentiation. EGFR inhibition may suppress expression of ZEB1 and induce differentiation, thereby blocking EMT-mediated enrichment of CSCs. In organotypic 3D culture, a form of human tissue engineering, tumor cells in invasive nests showed high expression of CD44. Erlotinib significantly blocked invasion into the matrix and CD44 high expressing CSCs were markedly suppressed by erlotinib in organotypic 3D culture. In conclusion, EMT is a critical process for generation of CSCs and the invasive front of ESCC, where EMT occurs, might form a CSC niche in ESCC. EGFR inhibitors could suppress EMT in invasive fronts and be one therapeutic option targeting against generation of CSCs in ESCC.
存在一个由CD44高表达定义的具有高度致瘤性的食管鳞状细胞癌(ESCC)细胞亚群。需要一种针对这些癌症干细胞样细胞(CSCs)的新型疗法来改善ESCC的预后。ESCC的CSCs具有间充质表型,上皮-间质转化(EMT)对于富集和维持CSCs至关重要。EGFR在ESCC中经常过表达,在TGF-β诱导的侵袭前沿的EMT中起关键作用。因此,ESCC侵袭前沿的EMT可能对CSCs很重要,并且EGFR可能是消除CSCs的新型疗法的靶点。然而,EGFR抑制剂对ESCC中CSCs的作用尚未得到充分研究。EGFR抑制剂厄洛替尼和西妥昔单抗通过TGF-β1介导的EMT显著抑制了CSCs的富集。重要的是,EGFR抑制剂显著抑制了ESCC中EMT所必需的ZEB1。此外,EGFR抑制剂激活了Notch1和Notch3,导致鳞状细胞分化。EGFR抑制可能抑制ZEB1的表达并诱导分化,从而阻断EMT介导的CSCs富集。在器官型3D培养(一种人体组织工程形式)中,侵袭巢中的肿瘤细胞显示出CD44的高表达。厄洛替尼在器官型3D培养中显著阻断了向基质的侵袭,并且高表达CD44的CSCs被厄洛替尼显著抑制。总之,EMT是CSCs产生的关键过程,ESCC的侵袭前沿(EMT发生的部位)可能在ESCC中形成一个CSC生态位。EGFR抑制剂可以抑制侵袭前沿的EMT,并且是针对ESCC中CSCs产生的一种治疗选择。
相似文献
J Exp Clin Cancer Res. 2017-8-1
Acta Biochim Biophys Sin (Shanghai). 2018-2-1
引用本文的文献
Carcinogenesis. 2024-2-12
World J Stem Cells. 2022-4-26
World J Gastrointest Oncol. 2021-11-15
Cancer Biol Ther. 2021-6-3
本文引用的文献
Lancet. 2013-2-2
Cell Stem Cell. 2012-6-14