Cited by 17Cancer Cells and MetastasisEstrogen and related hormone effectsHER2/EGFR in Cancer Research

EGFR inhibition reverses epithelial‑mesenchymal transition, and decreases tamoxifen resistance via Snail and Twist downregulation in breast cancer cells

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Takeda, Tomoya, Tsubaki, Masanobu, Matsuda, Takuya, Kimura, Akihiro, Jinushi, Minami, Obana, Teruki, Takegami, Manabu, Nishida, Shozo·2022·Oncology Reports

Abstract

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
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
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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