Cited by 179Autophagy in Disease and TherapyCancer, Hypoxia, and MetabolismCell death mechanisms and regulation

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The Epidermal Growth Factor Receptor Antibody Cetuximab Induces Autophagy in Cancer Cells by Downregulating HIF-1α and Bcl-2 and Activating the Beclin 1/hVps34 Complex

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Li, Xinqun, Fan, Zhen·2010·Cancer Research

Abstract

Autophagy is a regulated catabolic process triggered in cells deprived of nutrients or growth factors that govern nutrient uptake. Here, we report that autophagy is induced by cetuximab, a therapeutic antibody that blocks epidermal growth factor receptor function. Cancer cell treatment with cetuximab triggered autophagosome formation, conversion of microtubule-associated protein 1 light chain 3 from its cytoplasmic to membrane-associated form, and increased acidic vesicular organelle formation. Autophagy occurred when cetuximab inhibited the class I phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin pathway, but not when it inhibited only the mitogen-activated protein/extracellular signal-regulated kinase kinase/Erk pathway, and it was accompanied by decreased levels of hypoxia inducible factor-1 α (HIF-1α) and Bcl-2. Stable overexpression of a HIF-1α mutant prevented cetuximab-induced autophagy and decrease in Bcl-2 levels. Knockdown of autophagy regulator beclin 1 or cell treatment with autophagy inhibitor 3-methyladenine, a class III PI3K (hVps34) inhibitor, also inhibited cetuximab-induced autophagy. Furthermore, knockdown of beclin 1 or Atg7 or treatment with the lysosome inhibitor chloroquine sensitized cancer cells to cetuximab-induced apoptosis. Mechanistic analysis argued that cetuximab acted by promoting an association between beclin 1 and hVps34, which was inhibited by overexpression of Bcl-2. Our findings suggest that the autophagy protects cancer cells from the proapoptotic effects of cetuximab. Cancer Res; 70(14); 5942–52. ©2010 AACR.

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  1. Liu, 2000, Induction of apoptosis and activation of the caspase cascade by anti-EGF receptor monoclonal antibodies in DiFi human colon cancer cells do not involve the c-jun N-terminal kinase activity, Br J Cancer, 82, 1991

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Metadata

Authors
Li, X., & Fan, Z.
Affiliations
The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Fan, Zhen
Venue
Cancer Research
Published
2010-07-14
Volume
70
Issue
14
Pages
5942-5952
ISSN
  • 0008-5472 (ISSN-L)
  • 1538-7445
OpenAlex
W2159809160
Cited by
179
References
51
Citations by year
2026: 5 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 11 · 2019: 8 · 2018: 16 · 2017: 16 · 2016: 18 · 2015: 14 · 2014: 13 · 2013: 18 · 2012: 16
FWCI
11.63
Type
journal article
Language
en
Open access
Locations
  • Cancer Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Defense
  • National Institutes of Health
  • Office of Defense Programs
  • National Cancer Institute (CA 016672, R01CA129036, P30CA016672)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Autophagy in Disease and Therapy
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
Keywords
cetuximab, autophagy, epidermal growth factor receptor, HIF-1α, Bcl-2, Beclin-1, PI3K/AKT/mTOR pathway, autophagy-related genes, apoptosis, cancer cells, 3-methyladenine, chloroquine, ATG7
MeSH terms
Cetuximab, Beclin-1, Phosphoinositide-3 Kinase Inhibitors, Adenocarcinoma, Antibodies, Monoclonal, Autophagy, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Female, Humans, Lung Neoplasms, Membrane Proteins, Neoplasms, Vulvar Neoplasms, Colorectal Neoplasms, Down-Regulation, Protein Serine-Threonine Kinases, Proto-Oncogene Proteins c-bcl-2, Phosphatidylinositol 3-Kinases, MAP Kinase Kinase Kinases, Vesicular Transport Proteins, Intracellular Signaling Peptides and Proteins, Apoptosis Regulatory Proteins, Proto-Oncogene Proteins c-akt, Hypoxia-Inducible Factor 1, alpha Subunit, TOR Serine-Threonine Kinases, Antibodies, Monoclonal, Humanized, ErbB Receptors

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