Cited by 452Cancer, Lipids, and MetabolismGlioma Diagnosis and TreatmentCholesterol and Lipid Metabolism

The DOI matches its Crossref record; 65 of the 67 references it cites were found in a registry or an index; 35 of the 50 sources its claims cite were checked for support.

An LXR Agonist Promotes Glioblastoma Cell Death through Inhibition of an EGFR/AKT/SREBP-1/LDLR–Dependent Pathway

Open access

Published version of a preprint

Abstract

Glioblastoma (GBM) is the most common malignant primary brain tumor of adults and one of the most lethal of all cancers. Epidermal growth factor receptor (EGFR) mutations (EGFRvIII) and phosphoinositide 3-kinase (PI3K) hyperactivation are common in GBM, promoting tumor growth and survival, including through sterol regulatory element-binding protein 1 (SREBP-1)–dependent lipogenesis. The role of cholesterol metabolism in GBM pathogenesis, its association with EGFR/PI3K signaling, and its potential therapeutic targetability are unknown. In our investigation, studies of GBM cell lines, xenograft models, and GBM clinical samples, including those from patients treated with the EGFR tyrosine kinase inhibitor lapatinib, uncovered an EGFRvIII-activated, PI3K/SREBP-1–dependent tumor survival pathway through the low-density lipoprotein receptor (LDLR). Targeting LDLR with the liver X receptor (LXR) agonist GW3965 caused inducible degrader of LDLR (IDOL)–mediated LDLR degradation and increased expression of the ABCA1 cholesterol efflux transporter, potently promoting tumor cell death in an in vivo GBM model. These results show that EGFRvIII can promote tumor survival through PI3K/SREBP-1–dependent upregulation of LDLR and suggest a role for LXR agonists in the treatment of GBM patients. Significance: This study reveals that GBM cells have devised a mechanism to subvert the normal pathways for feedback inhibition of cholesterol homeostasis via EGFRvIII and PI3K-dependent activation of SREBP-1. We show that an LXR agonist causes IDOL-mediated LDLR degradation and increases expression of the ABCA1 cholesterol efflux transporter, potently promoting GBM cell death in vivo. These results suggest a role for LXR agonists in the treatment of GBM patients. Cancer Discovery; 1(5): 442–56. ©2011 AACR. Read the Commentary on this article by Moschetta, p. 381 This article is highlighted in the In This Issue feature, p. 367

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In GBM models and patient samples, EGFRvIII/PI3K signaling drives SREBP-1-dependent LDLR expression, creating dependence on exogenous cholesterol. The LXR agonist GW3965 degrades LDLR via IDOL and induces ABCA1-mediated efflux, promoting GBM cell death and inhibiting tumor growth in vivo.

Key findings

  • EGFRvIII expression increased LDLR in U87MG and GBM39 xenografts; erlotinib suppressed LDLR, and EGFR/PI3K/Akt inhibition or SREBP-1 knockdown reduced LDLR expression.
  • In 140 GBM patient samples, LDLR was detected in 85.7% of tumors, was enriched in p-EGFR-positive tumors (97%), and correlated with p-Akt and nuclear SREBP-1 (p<0.001); lapatinib treatment decreased LDLR in two patients.
  • LDL depletion inhibited growth by 60% in EGFRvIII-expressing GBM cells versus half as much in parental U87 cells; GW3965 caused greater cell death in EGFRvIII cells, rescued by LDL.
  • In vivo, GW3965 (40 mg/kg daily oral gavage for 12 days) inhibited U87/EGFRvIII tumor growth by 59% and increased apoptosis 25-fold; IDOL-mediated LDLR degradation was necessary but not sufficient for GW3965-induced death.

Methods

  • Cell lines (U87, U87-EGFRvIII, U87-EGFR, LN229, U251, GBM39 xenografts, others) were used with immunoblot, real-time PCR, proliferation/death assays, shRNA/siRNA knockdown, and adenoviral IDOL expression.
  • Xenograft studies implanted U87, U87-EGFRvIII, or GBM39 cells subcutaneously in SCID/Beige mice; GW3965 efficacy was assessed by tumor growth and TUNEL apoptosis.
  • Clinical analysis used tissue microarrays from 140 GBM patients and paired pre/post-lapatinib tumor tissue from two patients; statistics included Fisher’s exact test, two-tailed t test, and ANOVA with p<0.05.

Limitations

  • Stated: correlation analysis cannot prove causality; the authors cannot formally exclude that non-cholesterol LDL components contribute; no antibodies detect endogenous IDOL; future studies are needed to test other PI3K-driven cancers and mTOR regulation.
  • Evident: in vivo efficacy was shown in a subcutaneous U87/EGFRvIII xenograft rather than an orthotopic GBM model, and the lapatinib clinical validation included only two patients.

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Integrity signals

Registry

Crossref · 10.1158/2159-8290.cd-11-0102

Cites

65 of 65 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

Verification

Claims the paper makes

46 Own result · 27 Own interpretation · 16 Partly supported · 4 Supported · 4 No basis given · 2 No full text of the sources · 2 Own method · 1 Supported so far · accuracy not yet measured

Show all 59 claims

  • Probably not a substantial claim. 19
  • It may state two separate claims as one. 28
43 of 43
  • The paper relies on this without support.

    The role of cholesterol metabolism in GBM pathogenesis and its association with EGFR/PI3K signaling are unknown.

    “The role of cholesterol metabolism in GBM pathogenesis, its association with EGFR/PI3K signaling, and its potential therapeutic targetability are unknown.”
  • The paper relies on this without support.

    The potential therapeutic targetability of cholesterol metabolism in GBM is unknown.

    “Currently, the role of cholesterol metabolism in EGFR/PI3K-activated tumors, and its potential therapeutic targetability are unknown.”
  • The paper relies on this without support.

    The relevance of the LXR pathway for cancer cell biology remains to be determined.

    “However, the potential relevance of this pathway for cancer cell biology remains to be determined.”
  • The paper relies on this without support.

    The molecular mechanisms by which GBM cells obtain sufficient cholesterol and the potential therapeutic targetability of this process are not well understood.

    “However, the molecular mechanisms by which GBM cells obtain sufficient cholesterol and the potential therapeutic targetability of this process are not well understood.”
  • The paper relies on this without support.

    The cell line and mouse xenograft models used recapitulate the biology of human GBM sufficiently for conclusions about GBM biology and therapy to hold.

    “Isogenic human malignant glioma cells (U87, U87-EGFRvIII) and human primary GBM model GBM39 (31, 32) were implanted into immunodeficient SCID/Beige mice for subcutaneous (s.c.) xenograft studies.”
5 of 5

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Citations

Cites

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Research works printed but not linked: 1

  1. Wong, Targeting the PI3K signaling pathway in cancer, Curr Opin Genet Dev, 20, 87, 10.1016/j.gde.2009.11.002 · DOI · Paper page

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Metadata

Authors
Guo, D., Reinitz, F., Youssef, M., Hong, C., Nathanson, D., Akhavan, D., Kuga, D., Amzajerdi, A. N., Soto, H., Zhu, S., Babic, I., Tanaka, K., Dang, J., Iwanami, A., Gini, B., DeJesus, J., Lisiero, D. D., Huang, T. T., Prins, R. M., Wen, P. Y., Robins, H. I., Prados, M. D., DeAngelis, L. M., Mellinghoff, I. K., Mehta, M. P., James, C. D., Chakravarti, A., Cloughesy, T. F., Tontonoz, P., & Mischel, P. S.
Affiliations
  • Northwestern University (US)
  • Authors' Affiliations: 1Department of Radiation Oncology, Arthur G. James Comprehensive Cancer Center, The Ohio State University Medical School, Columbus, Ohio; Departments of 2Pathology and Laboratory Medicine, 3Neurosurgery, and 4Neurology, and 5Henry Singleton Brain Tumor Program and Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at the University of California, Los Angeles; 6Howard Hughes Medical Institute, University of California, Los Angeles; 7Department of Neurological Surgery, University of California, San Francisco, California; 8Dana-Farber Cancer Institute, Boston, Massachusetts; 9Department of Medicine, University of Wisconsin–Madison, Madison, Wisconsin; 10Memorial Sloan-Kettering Cancer Center, New York, New York; 11Department of Radiation Oncology, Northwestern University, Chicago, Illinois
Venue
Cancer Discovery
Published
2011-10-01
Volume
1
Issue
5
Pages
442-456
ISSN
  • 2159-8274 (ISSN-L)
  • 2159-8290
OpenAlex
W2104450983
Cited by
452
References
67
Citations by year
2026: 22 · 2025: 32 · 2024: 31 · 2023: 53 · 2022: 39 · 2021: 52 · 2020: 47 · 2019: 26 · 2018: 23 · 2017: 19 · 2016: 26 · 2015: 22 · 2014: 25 · 2013: 17 · 2012: 14
FWCI
5.78
Type
journal article
Language
en
Open access
Locations
  • Cancer Discovery (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • National Institutes of Health (5u54ca119347-03)
  • National Cancer Institute (U54-CA119347, CA 119347)
  • National Institute of Neurological Disorders and Stroke (NS072838, R01NS073831, R21 NS072838)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
  • Health Sciences › Medicine › Oncology › Glioma Diagnosis and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
Keywords
glioblastoma, liver X receptor agonist, GW3965, EGFRvIII, PI3K/Akt signaling, SREBP1, LDL receptor, LDLR degradation, idols, ABCA1, cholesterol efflux, cholesterol metabolism, lipogenesis, cancer cell death, lapatinib, therapeutic target
MeSH terms
Liver X Receptors, Lapatinib, Animals, Brain Neoplasms, Cholesterol, Glioblastoma, HeLa Cells, Humans, Quinazolines, Receptors, LDL, Signal Transduction, Up-Regulation, Mice, SCID, Cell Death, ATP-Binding Cassette Transporters, Phosphatidylinositol 3-Kinases, Proto-Oncogene Proteins c-akt, Mice, Sterol Regulatory Element Binding Protein 1, Orphan Nuclear Receptors, ATP Binding Cassette Transporter 1, ErbB Receptors

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