Department of Medical Research, Chang Gung Memorial Hospital, Chiayi, 61363, Taiwan.
Department of Neurosurgery, Chang Gung Memorial Hospital, Chiayi, 61363, Taiwan.
J Mol Neurosci. 2020 Oct;70(10):1461-1470. doi: 10.1007/s12031-020-01598-5. Epub 2020 May 29.
Glioblastoma multiforme (GBM) is the most common type of malignant brain tumor. The present standard treatment for GBM has not been effective; therefore, the prognosis remains dramatically poor and prolonged survival after treatment is still limited. The new therapeutic strategies are urgently needed to improve the treatment efficiency. Doxorubicin (Dox) has been widely used in the treatment of many cancers for decades. In recent years, with the advancement of delivery technology, more and more research indicates that Dox has the opportunity to be used in the treatment of GBM. Amphiregulin (AREG), a ligand of the epidermal growth factor receptor (EGFR), has been reported to have oncogenic effects in many cancer cell types and is implicated in drug resistance. However, the biological function and molecular mechanism of AREG in Dox treatment of GBM are still unclear. Here, we demonstrate that knockdown of AREG can boost Dox-induced endoplasmic reticulum (ER) stress to trigger activation in both autophagy and apoptosis in GBM cells, ultimately leading to cell death. To explore the importance of AREG in the clinic, we used available bioinformatics tools and found AREG is highly expressed in GBM tumor tissues that are associated with poor survival. In addition, we also used antibody array analysis to dissect pathways that are likely to be activated by AREG. Taken together, our results revealed AREG can serve as a potential therapeutic target and a promising biomarker in GBM.
多形性胶质母细胞瘤(GBM)是最常见的恶性脑肿瘤。目前 GBM 的标准治疗方法效果不佳;因此,预后仍然很差,治疗后的长期生存仍然有限。迫切需要新的治疗策略来提高治疗效果。阿霉素(Dox)几十年来已广泛用于治疗多种癌症。近年来,随着递药技术的进步,越来越多的研究表明 Dox 有机会用于 GBM 的治疗。表皮生长因子受体(EGFR)的配体 Amphiregulin(AREG)已在许多癌细胞类型中被报道具有致癌作用,并与耐药性有关。然而,AREG 在 Dox 治疗 GBM 中的生物学功能和分子机制尚不清楚。在这里,我们证明敲低 AREG 可以增强 Dox 诱导的内质网(ER)应激,从而在 GBM 细胞中触发自噬和细胞凋亡的激活,最终导致细胞死亡。为了探讨 AREG 在临床上的重要性,我们使用了现有的生物信息学工具,发现 AREG 在与预后不良相关的 GBM 肿瘤组织中高表达。此外,我们还使用抗体阵列分析来剖析可能被 AREG 激活的途径。总之,我们的结果表明 AREG 可以作为 GBM 的潜在治疗靶点和有前途的生物标志物。
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