Abstract

High expression or aberrant activation of epidermal growth factor receptor (EGFR) is related to tumor progression and therapy resistance across cancer types, including non-small cell lung cancer (NSCLC). EGFR tyrosine kinase inhibitors (TKIs) are first-line therapy for NSCLC. However, patients eventually deteriorate after inevitable acquisition of EGFR TKI-resistant mutations, highlighting the need for therapeutics with alternative mechanisms of action. Here, we report that the elevated tribbles pseudokinase 3 (TRIB3) is positively associated with EGFR stability and NSCLC progression. TRIB3 interacts with EGFR and recruits PKCα to induce a Thr654 phosphorylation and WWP1-induced Lys689 ubiquitination in the EGFR juxtamembrane region, which enhances EGFR recycling, stability, downstream activity, and NSCLC stemness. Disturbing the TRIB3-EGFR interaction with a stapled peptide attenuates NSCLC progression by accelerating EGFR degradation and sensitizes NSCLC cells to chemotherapeutic agents. These findings indicate that targeting EGFR degradation is a previously unappreciated therapeutic option in EGFR-related NSCLC.

Highlights

  • 1, Feng-wei Tan[3], Junjian Wang[4], Ke Li5, 1, Shan-shan Liu[1], Jin-mei Yu 1, Feng Wang[1], High expression or aberrant activation of epidermal growth factor receptor (EGFR) is related to tumor progression and therapy resistance across cancer types, including non-small cell lung cancer (NSCLC)

  • As tribbles pseudokinase 3 (TRIB3) was reported to connect with NSCLC progression or response to therapeutic agents with some controversial opinions[41,42,43,44,45], we evaluated the genetic depletion of TRIB3 on NSCLC progression

  • Targeted EGFR therapeutics such as tyrosine kinase inhibitors (TKIs) are largely effective in the treatment of NSCLC with mutated EGFR, the development of resistance is a challenging issue for using TKI therapies in these patients[3]

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Summary

Introduction

1, Feng-wei Tan[3], Junjian Wang[4], Ke Li5, 1, Shan-shan Liu[1], Jin-mei Yu 1, Feng Wang[1], High expression or aberrant activation of epidermal growth factor receptor (EGFR) is related to tumor progression and therapy resistance across cancer types, including non-small cell lung cancer (NSCLC). Disturbing the TRIB3-EGFR interaction with a stapled peptide attenuates NSCLC progression by accelerating EGFR degradation and sensitizes NSCLC cells to chemotherapeutic agents These findings indicate that targeting EGFR degradation is a previously unappreciated therapeutic option in EGFR-related NSCLC. Three generations of EGFR TKIs have been developed to reversibly (the first generation) or irreversibly (the second- and the third generation) inhibit EGFR tyrosine kinase activity and are widely used in NSCLC treatment. Elevated WT-EGFR expression correlates with acquired resistance to third-generation EGFR

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