EGFR inhibition reverses epithelial‑mesenchymal transition, and decreases tamoxifen resistance via Snail and Twist downregulation in breast cancer cells
Open accessAbstract
Tamoxifen resistance remains a major obstacle in the treatment of estrogen receptor (ER)‑positive breast cancer. In recent years, the crucial role of the epithelial‑mesenchymal transition (EMT) process in the development of drug resistance in breast cancer has been underlined. However, the central molecules inducing the EMT process during the development of tamoxifen resistance remain to be elucidated. In the present study, it was demonstrated that tamoxifen‑resistant breast cancer cells underwent EMT and exhibited an enhanced cell motility and invasive behavior. The inhibition of snail family transcriptional repressor 1 (Snail) and twist family BHLH transcription factor 1 (Twist) reversed the EMT phenotype and decreased the tamoxifen resistance, migration and invasion of tamoxifen‑resistant breast cancer cells. In addition, it was observed that the inhibition of epidermal growth factor receptor (EGFR) reversed the EMT phenotype in tamoxifen‑resistant MCF7 (MCF‑7/TR) cells via the downregulation of Snail and Twist. Notably, the EGFR inhibitor, gefitinib, decreased tamoxifen resistance, migration and invasion through the inhibition of Snail and Twist. On the whole, the results of the present study suggest that EGFR may be a promising therapeutic target for tamoxifen‑resistant breast cancer. Moreover, it was suggested that gefitinib may serve as a potent novel therapeutic strategy for breast cancer patients, who have developed tamoxifen resistance.
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Overexpression of epidermal growth factor receptor contributes to the development of tamoxifen-resistant breast cancer.
“Overexpression of epidermal growth factor receptor (EGFR), variations in TAM metabolism, and increased expression of drug-resistant proteins (P-glycoprotein, P-gp) all contribute to the development of TAM-resistant breast cancer.”
From Multifunctional and dual-targeting polymeric prodrug nanomicelles against tamoxifen-resistant breast cancer (2026) · cites this paper as [11]
The section on EGFR inhibition reports higher EGFR expression in tamoxifen-resistant MCF-7/TR cells than in MCF-7 cells, and the Discussion reports that an EGFR inhibitor decreased tamoxifen resistance. These findings support a role for EGFR, but the paper does not establish that EGFR overexpression causes the development of resistance. (LLM, conf=0.83)
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References 67 · Cited by 17
- Authors
- Takeda, T., Tsubaki, M., Matsuda, T., Kimura, A., Jinushi, M., Obana, T., Takegami, M., & Nishida, S.
- Affiliations
- Kindai University (JP)
- Kindai University Hospital (JP)
- Venue
- Oncology Reports
- Publisher
- Spandidos Publications
- Published
- 2022-04-21
- Volume
- 47
- Issue
- 6
- ISSN
- 1021-335X (ISSN-L)
- 1791-2431
- OpenAlex
- W4224232800
- Cited by
- 17
- References
- 67
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 9 · 2023: 5
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Oncology Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (20K16343)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Keywords
- EGFR inhibition, epithelial-mesenchymal transition, tamoxifen resistance, snails, Twist, estrogen receptor-positive breast cancer, gefitinib, cell migration, cell invasion, MCF-7 cells, therapeutic target
- MeSH terms
- Gefitinib, Breast Neoplasms, Female, Humans, Tamoxifen, Down-Regulation, Drug Resistance, Neoplasm, Cell Line, Tumor, Epithelial-Mesenchymal Transition, ErbB Receptors
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