GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells

Epidermal growth factor receptor (EGFR) is a major oncogenic protein, and thus EGFR-targeting therapies are widely used in patients with various types of cancer, including lung cancer. However, resistance to EGFR inhibitors, such as erlotinib, presents a significant challenge in treating lung cancer...

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Main Authors: Fumiya Ito, Wakiko Iwata, Yoshihiro Adachi, Hiromi Sesaki, Miho Iijima
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cell and Developmental Biology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2024.1511190/full
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author Fumiya Ito
Wakiko Iwata
Yoshihiro Adachi
Hiromi Sesaki
Miho Iijima
author_facet Fumiya Ito
Wakiko Iwata
Yoshihiro Adachi
Hiromi Sesaki
Miho Iijima
author_sort Fumiya Ito
collection DOAJ
description Epidermal growth factor receptor (EGFR) is a major oncogenic protein, and thus EGFR-targeting therapies are widely used in patients with various types of cancer, including lung cancer. However, resistance to EGFR inhibitors, such as erlotinib, presents a significant challenge in treating lung cancer. In this study, we established an EGFR-independent, erlotinib-resistant (ER) phenotype in lung cancer A549 cells by exposing them to erlotinib for an extended period. The resulting ER cells exhibited a dramatic increase in erlotinib resistance, a decreased EGFR protein level, and enhanced tumor growth, suggesting a robust mechanism bypassing EGFR inhibition. RNA sequencing identified the transcription factor GRHL2 as a critical player in this resistance. GRHL2 was upregulated in ER cells, and its knockdown and knockout significantly reduced erlotinib resistance. Further analysis revealed that GRHL2 upregulates the receptor tyrosine kinase HER3, and that HER3 knockdown similarly decreases the IC50 for erlotinib. Additionally, ER cells showed increased cell-cell adhesion, linked to upregulated E-cadherin. E-cadherin was found to be vital for erlotinib resistance, largely independent of GRHL2, highlighting multiple parallel pathways sustaining resistance. These findings provide a novel mechanism of drug resistance and suggest that combination therapies targeting both GRHL2-HER3 and E-cadherin-mediated pathways may be necessary to overcome erlotinib resistance in lung cancer.
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spelling doaj-art-1c4f3f16927c4f7883fccbffcf7ac19b2025-01-17T06:51:14ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2025-01-011210.3389/fcell.2024.15111901511190GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cellsFumiya ItoWakiko IwataYoshihiro AdachiHiromi SesakiMiho IijimaEpidermal growth factor receptor (EGFR) is a major oncogenic protein, and thus EGFR-targeting therapies are widely used in patients with various types of cancer, including lung cancer. However, resistance to EGFR inhibitors, such as erlotinib, presents a significant challenge in treating lung cancer. In this study, we established an EGFR-independent, erlotinib-resistant (ER) phenotype in lung cancer A549 cells by exposing them to erlotinib for an extended period. The resulting ER cells exhibited a dramatic increase in erlotinib resistance, a decreased EGFR protein level, and enhanced tumor growth, suggesting a robust mechanism bypassing EGFR inhibition. RNA sequencing identified the transcription factor GRHL2 as a critical player in this resistance. GRHL2 was upregulated in ER cells, and its knockdown and knockout significantly reduced erlotinib resistance. Further analysis revealed that GRHL2 upregulates the receptor tyrosine kinase HER3, and that HER3 knockdown similarly decreases the IC50 for erlotinib. Additionally, ER cells showed increased cell-cell adhesion, linked to upregulated E-cadherin. E-cadherin was found to be vital for erlotinib resistance, largely independent of GRHL2, highlighting multiple parallel pathways sustaining resistance. These findings provide a novel mechanism of drug resistance and suggest that combination therapies targeting both GRHL2-HER3 and E-cadherin-mediated pathways may be necessary to overcome erlotinib resistance in lung cancer.https://www.frontiersin.org/articles/10.3389/fcell.2024.1511190/fullEGFRlung cancerdrug resistanceGRHL2HER3cadherin
spellingShingle Fumiya Ito
Wakiko Iwata
Yoshihiro Adachi
Hiromi Sesaki
Miho Iijima
GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
Frontiers in Cell and Developmental Biology
EGFR
lung cancer
drug resistance
GRHL2
HER3
cadherin
title GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
title_full GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
title_fullStr GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
title_full_unstemmed GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
title_short GRHL2-HER3 and E-cadherin mediate EGFR-bypass drug resistance in lung cancer cells
title_sort grhl2 her3 and e cadherin mediate egfr bypass drug resistance in lung cancer cells
topic EGFR
lung cancer
drug resistance
GRHL2
HER3
cadherin
url https://www.frontiersin.org/articles/10.3389/fcell.2024.1511190/full
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AT yoshihiroadachi grhl2her3andecadherinmediateegfrbypassdrugresistanceinlungcancercells
AT hiromisesaki grhl2her3andecadherinmediateegfrbypassdrugresistanceinlungcancercells
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