Liu Junjun, Chen Xiaosong, Ward Toby, Mao Yan, Bockhorn Jessica, Liu Xiaofei, Wang Gen, Pegram Mark, Shen Kunwei
Comprehensive Breast Health Center, Ruijin Hospital, Shanghai Jiaotong Univerisity School of Medicine, Shanghai, China; Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, USA.
Int J Biochem Cell Biol. 2016 Feb;71:12-23. doi: 10.1016/j.biocel.2015.11.014. Epub 2015 Nov 28.
Acquired resistance to lapatinib, a human epidermal growth factor receptor 2 kinase inhibitor, remains a clinical problem for women with human epidermal growth factor receptor 2-positive advanced breast cancer, as metastasis is commonly observed in these patients. Niclosamide, an anti-helminthic agent, has recently been shown to exhibit cytotoxicity to tumor cells with stem-like characteristics. This study was designed to identify the mechanisms underlying lapatinib resistance and to determine whether niclosamide inhibits lapatinib resistance by reversing epithelial-mesenchymal transition. Here, two human epidermal growth factor receptor 2-positive breast cancer cell lines, SKBR3 and BT474, were exposed to increasing concentrations of lapatinib to establish lapatinib-resistant cultures. Lapatinib-resistant SKBR3 and BT474 cells exhibited up-regulation of the phenotypic epithelial-mesenchymal transition markers Snail, vimentin and α-smooth muscle actin, accompanied by activation of nuclear factor-кB and Src and a concomitant increase in stem cell marker expression (CD44(high)/CD24(low)), compared to naive lapatinib-sensitive SKBR3 and BT474 cells, respectively. Interestingly, niclosamide reversed epithelial-mesenchymal transition, induced apoptosis and inhibited cell growth by perturbing aberrant signaling pathway activation in lapatinib-resistant human epidermal growth factor receptor 2-positive cells. The ability of niclosamide to alleviate stem-like phenotype development and invasion was confirmed. Collectively, our results demonstrate that lapatinib resistance correlates with epithelial-mesenchymal transition and that niclosamide inhibits lapatinib-resistant cell viability and epithelial-mesenchymal transition. These findings suggest a role of niclosamide or derivatives optimized for more favorable bioavailability not only in reversing lapatinib resistance but also in reducing metastatic potential during the treatment of human epidermal growth factor receptor 2-positive breast cancer.
对拉帕替尼(一种人表皮生长因子受体2激酶抑制剂)产生获得性耐药,仍然是表皮生长因子受体2阳性晚期乳腺癌女性患者面临的一个临床问题,因为这些患者中常见转移情况。氯硝柳胺,一种抗蠕虫药,最近已显示出对具有干细胞样特征的肿瘤细胞具有细胞毒性。本研究旨在确定拉帕替尼耐药的潜在机制,并确定氯硝柳胺是否通过逆转上皮-间质转化来抑制拉帕替尼耐药。在此,将两种人表皮生长因子受体2阳性乳腺癌细胞系SKBR3和BT474暴露于浓度递增的拉帕替尼中,以建立拉帕替尼耐药培养物。与未经处理的对拉帕替尼敏感的SKBR3和BT474细胞相比,拉帕替尼耐药的SKBR3和BT474细胞表现出表型上皮-间质转化标志物Snail、波形蛋白和α-平滑肌肌动蛋白的上调,同时伴有核因子-κB和Src的激活以及干细胞标志物表达(CD44(高)/CD24(低))的相应增加。有趣的是,氯硝柳胺通过扰乱拉帕替尼耐药的人表皮生长因子受体2阳性细胞中的异常信号通路激活,逆转了上皮-间质转化,诱导了细胞凋亡并抑制了细胞生长。氯硝柳胺减轻干细胞样表型发展和侵袭的能力得到了证实。总体而言,我们的结果表明拉帕替尼耐药与上皮-间质转化相关,并且氯硝柳胺抑制拉帕替尼耐药细胞的活力和上皮-间质转化。这些发现表明,氯硝柳胺或为更有利的生物利用度而优化的衍生物不仅在逆转拉帕替尼耐药方面发挥作用,而且在治疗人表皮生长因子受体2阳性乳腺癌期间降低转移潜能方面也发挥作用。
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