2019
DOI: 10.1038/s41598-019-39547-x
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Activation of the PERK-ATF4 pathway promotes chemo-resistance in colon cancer cells

Abstract: Colon cancer is a major health problem worldwide. While chemotherapy remains a main approach for treating late-stage colon cancer patients, most, if not all, of them will develop drug resistance and die of uncontrollable disease progression eventually. Therefore, identification of mechanism of drug resistance and development of overcoming strategy hold great significance in management of colon cancer. In this study, we discovered that activation of the PERK branch of the unfolded protein response (UPR) pathway… Show more

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Cited by 47 publications
(39 citation statements)
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“…ATF4 has been observed to serve important roles in ER stress-induced apoptosis (30) and radiotherapy (31) or chemotherapy sensitivity (32). In CRC cells, the activation of the PERK/ATF4 signaling pathway promoted resistance to 5-fluorouracil (33) and increased expression levels of ATF4 were associated with glucose deprivation-induced chemoresistance (34). In prostate cancer, ATF4 protein expression levels were increased in the cancer tissue compared with benign prostate tissue (35) and similarly, in breast cancer, ATF4 expression levels were increased in HER2 + breast cancer, which promoted cell migration through the activation of zinc finger E-box binding homeobox 1 (ZEB1) and the downregulation of E-cadherin (36).…”
Section: Discussionmentioning
confidence: 99%
“…ATF4 has been observed to serve important roles in ER stress-induced apoptosis (30) and radiotherapy (31) or chemotherapy sensitivity (32). In CRC cells, the activation of the PERK/ATF4 signaling pathway promoted resistance to 5-fluorouracil (33) and increased expression levels of ATF4 were associated with glucose deprivation-induced chemoresistance (34). In prostate cancer, ATF4 protein expression levels were increased in the cancer tissue compared with benign prostate tissue (35) and similarly, in breast cancer, ATF4 expression levels were increased in HER2 + breast cancer, which promoted cell migration through the activation of zinc finger E-box binding homeobox 1 (ZEB1) and the downregulation of E-cadherin (36).…”
Section: Discussionmentioning
confidence: 99%
“…ER stress triggers the UPR in carcinogenesis (Mcgrath et al, 2018;Liu J. et al, 2019;Siwecka et al, 2019). On one hand, ER stress promotes cell survival and induces drug resistance (Rzymski et al, 2009;Pandey et al, 2019;Shi et al, 2019), and on the other hand, long-term ER stress can become pro-apoptotic (Han et al, 2013;Liu Y. S. et al, 2019). UPR consists of three major signaling pathways mediated by inositol-requiring enzyme 1 (IRE-1), ATF6, and PERK.…”
Section: Discussionmentioning
confidence: 99%
“…UPR may act as a key driver in resistance to chemotherapy [36,37]. A new encouraging research nds that activation of the PERK branch with UPR is required for colon cancer cells surviving from treatment of 5-uorouracil, the usage of PERK inhibitor synergizes with 5-FU could suppress the growth of colon cancer cells in vivo [38].…”
Section: Discussionmentioning
confidence: 99%