Selected Publication:
Xiao, z.
The EGF receptor is involved in the development of multidrug resistance in experimental hepatocellular carcinoma
[ Dissertation ] Universitaet Heidelberg; 2010.
- Authors Med Uni Graz:
- Advisor:
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Schemmer Peter
- Altmetrics:
- Abstract:
- Tyrosine kinases and ABC transport proteins are over expressed in hepatocellular
cancer and correlate with reduced survival. Recently, an involvement of the EGF
activated tyrosine-kinase pathway in the development of ABC transport protein
mediated multidrug resistance has been discussed. The aim of this study was to
systematically analyze the effects of tyrosine-kinase pathway activation on the
multidrug resistance phenotype in hepatocellular cancer cells.
Multidrug resistance was analyzed in HepG2 and HuH7 cells. Expression and function
of ABC transport proteins were evaluated by western blot, RT-PCR and rhodamine
uptake assay. siRNA was used to inhibit the EGFR expression.
Chemotherapy significantly induced multidrug resistance genes expression in a dose
dependent manner and increased ABC transport protein PGP and MRP2 expression in
both HCC cell lines. Interestingly, cytostatic treatment significantly increased the
mRNA expression of tyrosine kinases. The enhanced expression of the tyrosine kinase
pathway by EGF up-regulated the ABC transport mRNA expression and increased the
survival of resistant HCC cells. In contrast, inhibition of the EGFR by siRNA lead to
significantly decreased drug resistance protein mRNA expression and reduced cellular
survival in HepG2 cells. Combinative treatment with the specific EGFR inhibitor
gefitinib restored the chemosensitivity of resistant HepG2 cells.
The EGF activated tyrosine kinase pathway is involved in the development and
regulation of multidrug resistance in hepatocellular carcinoma. Inhibition of EGFR and
restoration of chemosensitivity may improve the design of personalized targeted
therapies in patients with highly resistant tumors.