In glioblastoma (GBM), heterogeneous expression of amplified and mutated epidermal growth factor receptor (EGFR) presents a substantial challenge for the effective use of EGFR-directed therapeutics. Here we demonstrate that heterogeneous expression of the wild-type receptor and its constitutively active mutant form, EGFRvIII, limits sensitivity to these therapies through an interclonal communication mechanism mediated by interleukin-6 (IL-6) cytokine secreted from EGFRvIII-positive tumor cells. IL-6 activates a NF-κB signaling axis in a paracrine and autocrine manner, leading to bromodomain protein 4 (BRD4)-dependent expression of the prosurvival protein survivin (BIRC5) and attenuation of sensitivity to EGFR tyrosine kinase inhibitors (TKIs). NF-κB and survivin are coordinately up-regulated in GBM patient tumors, and functional inhibition of either protein or BRD4 in in vitro and in vivo models restores sensitivity to EGFR TKIs. These results provide a rationale for improving anti-EGFR therapeutic efficacy through pharmacological uncoupling of a convergence point of NF-κB-mediated survival that is leveraged by an interclonal circuitry mechanism established by intratumoral mutational heterogeneity.
Description
Glioblastoma cellular cross-talk converges on NF-κB to attenuate EGFR inhibitor sensitivity. - PubMed - NCBI
%0 Journal Article
%1 Zanca:2017:Genes-Dev:28724615
%A Zanca, C
%A Villa, G R
%A Benitez, J A
%A Thorne, A H
%A Koga, T
%A D'Antonio, M
%A Ikegami, S
%A Ma, J
%A Boyer, A D
%A Banisadr, A
%A Jameson, N M
%A Parisian, A D
%A Eliseeva, O V
%A Barnabe, G F
%A Liu, F
%A Wu, S
%A Yang, H
%A Wykosky, J
%A Frazer, K A
%A Verkhusha, V V
%A Isaguliants, M G
%A Weiss, W A
%A Gahman, T C
%A Shiau, A K
%A Chen, C C
%A Mischel, P S
%A Cavenee, W K
%A Furnari, F B
%D 2017
%J Genes Dev
%K PAYWALL SHOULDREAD cancer-research glioblastoma
%R 10.1101/gad.300079.117
%T Glioblastoma cellular cross-talk converges on NF-κB to attenuate EGFR inhibitor sensitivity
%U https://www.ncbi.nlm.nih.gov/pubmed/?term=Glioblastoma+cellular+cross-talk+converges+on+NF-%CE%BAB+to+attenuate+EGFR+inhibitor+sensitivity
%X In glioblastoma (GBM), heterogeneous expression of amplified and mutated epidermal growth factor receptor (EGFR) presents a substantial challenge for the effective use of EGFR-directed therapeutics. Here we demonstrate that heterogeneous expression of the wild-type receptor and its constitutively active mutant form, EGFRvIII, limits sensitivity to these therapies through an interclonal communication mechanism mediated by interleukin-6 (IL-6) cytokine secreted from EGFRvIII-positive tumor cells. IL-6 activates a NF-κB signaling axis in a paracrine and autocrine manner, leading to bromodomain protein 4 (BRD4)-dependent expression of the prosurvival protein survivin (BIRC5) and attenuation of sensitivity to EGFR tyrosine kinase inhibitors (TKIs). NF-κB and survivin are coordinately up-regulated in GBM patient tumors, and functional inhibition of either protein or BRD4 in in vitro and in vivo models restores sensitivity to EGFR TKIs. These results provide a rationale for improving anti-EGFR therapeutic efficacy through pharmacological uncoupling of a convergence point of NF-κB-mediated survival that is leveraged by an interclonal circuitry mechanism established by intratumoral mutational heterogeneity.
@article{Zanca:2017:Genes-Dev:28724615,
abstract = {In glioblastoma (GBM), heterogeneous expression of amplified and mutated epidermal growth factor receptor (EGFR) presents a substantial challenge for the effective use of EGFR-directed therapeutics. Here we demonstrate that heterogeneous expression of the wild-type receptor and its constitutively active mutant form, EGFRvIII, limits sensitivity to these therapies through an interclonal communication mechanism mediated by interleukin-6 (IL-6) cytokine secreted from EGFRvIII-positive tumor cells. IL-6 activates a NF-κB signaling axis in a paracrine and autocrine manner, leading to bromodomain protein 4 (BRD4)-dependent expression of the prosurvival protein survivin (BIRC5) and attenuation of sensitivity to EGFR tyrosine kinase inhibitors (TKIs). NF-κB and survivin are coordinately up-regulated in GBM patient tumors, and functional inhibition of either protein or BRD4 in in vitro and in vivo models restores sensitivity to EGFR TKIs. These results provide a rationale for improving anti-EGFR therapeutic efficacy through pharmacological uncoupling of a convergence point of NF-κB-mediated survival that is leveraged by an interclonal circuitry mechanism established by intratumoral mutational heterogeneity.},
added-at = {2017-09-10T22:52:13.000+0200},
author = {Zanca, C and Villa, G R and Benitez, J A and Thorne, A H and Koga, T and D'Antonio, M and Ikegami, S and Ma, J and Boyer, A D and Banisadr, A and Jameson, N M and Parisian, A D and Eliseeva, O V and Barnabe, G F and Liu, F and Wu, S and Yang, H and Wykosky, J and Frazer, K A and Verkhusha, V V and Isaguliants, M G and Weiss, W A and Gahman, T C and Shiau, A K and Chen, C C and Mischel, P S and Cavenee, W K and Furnari, F B},
biburl = {https://www.bibsonomy.org/bibtex/2c47aa9579f606d20f8b28854c9bbb558/marcsaric},
description = {Glioblastoma cellular cross-talk converges on NF-κB to attenuate EGFR inhibitor sensitivity. - PubMed - NCBI},
doi = {10.1101/gad.300079.117},
interhash = {61aabfe2ea1f6a938acf76859eb61dea},
intrahash = {c47aa9579f606d20f8b28854c9bbb558},
journal = {Genes Dev},
keywords = {PAYWALL SHOULDREAD cancer-research glioblastoma},
month = jul,
pmid = {28724615},
timestamp = {2017-09-10T22:52:13.000+0200},
title = {Glioblastoma cellular cross-talk converges on NF-κB to attenuate EGFR inhibitor sensitivity},
url = {https://www.ncbi.nlm.nih.gov/pubmed/?term=Glioblastoma+cellular+cross-talk+converges+on+NF-%CE%BAB+to+attenuate+EGFR+inhibitor+sensitivity},
year = 2017
}