AHR-AREG驱动的EGFR-ERK1/2-CyclinD1轴在肝癌获得性乐伐替尼耐药中的分子剖析

Molecular Dissection of the AHR-AREG driven EGFR-ERK1/2-CyclinD1 axis in acquired lenvatinib resistance of Hepatocellular carcinoma.

作者信息

Hu Yuelei, Wang Ruilin, Diao Jinmei, An Lin, Liu Juan, Sun Dawei

机构信息

Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, Jilin, China.

Department of Cadre's Wards Ultrasound Diagnostics. Ultrasound Diagnostic Center, The First Hospital of Jilin University, Jilin University, Changchun, China.

出版信息

Biochem Pharmacol. 2025 Sep;239:117032. doi: 10.1016/j.bcp.2025.117032. Epub 2025 Jun 6.

Abstract

Lenvatinib serves as a first-line systemic therapy for advanced hepatocellular carcinoma (HCC), yet the development of resistance poses a major clinical challenge. The purpose of this study is to investigate the mechanisms underlying lenvatinib resistance in HCC and identify potential interventions. We established lenvatinib-resistant HuH7 and Hep3B cell lines and conducted in vitro, bioinformatics, and biochemical assays to explore and validate the mechanisms underlying acquired resistance to lenvatinib in HCC. Additionally, cellular xenograft models of lenvatinib-resistant HCC were utilized to assess tumor responses to a novel drug treatment regimen. Our findings revealed a shift from suppression to activation in the expression of p-ERK1/2 and Cyclin D1 in HCC cells as they transitioned from sensitivity to resistance to lenvatinib. Furthermore, we demonstrated that targeting ERK1/2 with ravoxertinib (an ERK1/2 inhibitor) could significantly enhance the sensitivity of resistant HCC cells to lenvatinib therapy. Through transcriptome data analysis and experimental validation, we identified amphiregulin (AREG), induced autocrinely by lenvatinib, as a critical mediator that activates the EGFR-ERK1/2 signaling pathway, leading to increased Cyclin D1 expression in HCC cells. Mechanistically, lenvatinib promotes aryl hydrocarbon receptor (AHR) nuclear translocation, directly activating AREG transcription. Using in vivo models, we further confirmed that inhibiting ERK1/2 with ravoxertinib or AHR with CH-223191 (an AHR inhibitor) could overcome lenvatinib resistance in HCC. Overall, lenvatinib-induced AHR activation promotes AREG expression, which subsequently facilitates the acquisition of drug resistance in HCC via the EGFR-ERK1/2-CyclinD1 signaling axis. Targeting ERK1/2 and AHR effectively improved the response to lenvatinib treatment in resistant HCC.

摘要

乐伐替尼是晚期肝细胞癌(HCC)的一线全身治疗药物,但耐药性的出现构成了一项重大临床挑战。本研究的目的是探究HCC中乐伐替尼耐药的潜在机制,并确定可能的干预措施。我们建立了乐伐替尼耐药的HuH7和Hep3B细胞系,并进行了体外、生物信息学和生化分析,以探索和验证HCC对乐伐替尼获得性耐药的潜在机制。此外,利用乐伐替尼耐药HCC的细胞异种移植模型评估肿瘤对一种新型药物治疗方案的反应。我们的研究结果显示,HCC细胞从对乐伐替尼敏感转变为耐药时,p-ERK1/2和细胞周期蛋白D1的表达从抑制转变为激活。此外,我们证明用瑞伏替尼(一种ERK1/2抑制剂)靶向ERK1/2可显著增强耐药HCC细胞对乐伐替尼治疗的敏感性。通过转录组数据分析和实验验证,我们确定乐伐替尼自分泌诱导的双调蛋白(AREG)是激活EGFR-ERK1/2信号通路的关键介质,导致HCC细胞中细胞周期蛋白D1表达增加。机制上,乐伐替尼促进芳烃受体(AHR)核易位,直接激活AREG转录。利用体内模型,我们进一步证实用瑞伏替尼抑制ERK1/2或用CH-223191(一种AHR抑制剂)抑制AHR可克服HCC中的乐伐替尼耐药。总体而言,乐伐替尼诱导的AHR激活促进AREG表达,随后通过EGFR-ERK1/2-细胞周期蛋白D1信号轴促进HCC获得耐药性。靶向ERK1/2和AHR可有效改善耐药HCC对乐伐替尼治疗的反应。

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