Oh You-Take, Chen Zhen, Wang Dongsheng, Ramalingam Suresh S, Sun Shi-Yong
Department of Hematology and Medical Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, GA, USA.
Oncogene. 2025 Apr 17. doi: 10.1038/s41388-025-03381-5.
The third-generation mutation-selective EGFR tyrosine kinase inhibitor (EGFR-TKI) osimertinib (or AZD9291) effectively induces apoptosis in EGFR mutant (EGFRm) non-small cell lung cancer (NCSLC) cells. However, the underlying mechanisms have not been fully elucidated. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL or TNFSF10) is known as a death ligand that initiates apoptosis via binding to its cell surface death receptors such as DR5. In this study, we found that osimertinib and other EGFR-TKIs increased the expression of TRAIL primarily in EGFRm NSCLC cell lines. This effect was accompanied with increased IL6 expression and STAT3 activation. Inhibition of STAT3 with either protein degradation or gene knockout abrogated the ability of osimertinib or recombinant human IL6 to elevate TRAIL levels. Moreover, osimertinib increased STAT3-dependent transcription of TRAIL via two STAT3 novel binding sites present in the TRAIL 5'flanking region. Hence, osimertinib induces IL6/STAT3-mediated TRAIL expression in EGFRm NSCLC cells. While osimertinib lost the ability to induce TRAIL expression in osimertinib-resistant EGFRm NSCLC, knockdown or knockout of TRAIL in sensitive EGFRm NSCLC cells rendered them less sensitive to osimertinib both in vitro and in vivo. Thus, TRAIL elevation contributes to the induction of apoptosis by osimertinib in EGFRm NSCLC cells. Furthermore, osimertinib increased membrane-bound TRAIL and DR5 membrane clustering and DR5 knockdown significantly compromised the cell-killing effect of osimertinib, together suggesting a DR5-dependent effect. Collectively, this study has revealed a previously undiscovered connection between TRAIL induction and osimertinib-induced apoptosis in EGFRm NSCLC cells, increasing our understanding of mechanisms accounting for apoptosis induced by osimertinib.
第三代突变选择性表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)奥希替尼(或AZD9291)可有效诱导表皮生长因子受体突变(EGFRm)的非小细胞肺癌(NSCLC)细胞凋亡。然而,其潜在机制尚未完全阐明。肿瘤坏死因子相关凋亡诱导配体(TRAIL或TNFSF10)是一种死亡配体,通过与其细胞表面死亡受体(如DR5)结合引发凋亡。在本研究中,我们发现奥希替尼和其他EGFR-TKIs主要在EGFRm NSCLC细胞系中增加TRAIL的表达。这种效应伴随着IL6表达增加和STAT3激活。用蛋白质降解或基因敲除抑制STAT3可消除奥希替尼或重组人IL6提高TRAIL水平的能力。此外,奥希替尼通过TRAIL 5'侧翼区域存在的两个STAT3新结合位点增加STAT3依赖的TRAIL转录。因此,奥希替尼在EGFRm NSCLC细胞中诱导IL6/STAT3介导的TRAIL表达。虽然奥希替尼在奥希替尼耐药的EGFRm NSCLC中失去了诱导TRAIL表达的能力,但在敏感的EGFRm NSCLC细胞中敲低或敲除TRAIL使它们在体外和体内对奥希替尼的敏感性降低。因此,TRAIL升高有助于奥希替尼在EGFRm NSCLC细胞中诱导凋亡。此外,奥希替尼增加膜结合TRAIL和DR5膜聚集,DR5敲低显著损害奥希替尼的细胞杀伤作用,共同表明存在依赖DR5的效应。总的来说,本研究揭示了EGFRm NSCLC细胞中TRAIL诱导与奥希替尼诱导凋亡之间以前未被发现的联系,加深了我们对奥希替尼诱导凋亡机制的理解。