CD44 has been postulated as a cell surface coreceptor for augmenting receptor tyrosine kinase (RTK) signaling. However, how exactly CD44 triggers RTK-dependent signaling remained largely unclear.Here we report an unexpected mechanism by which the CD44s splice isoform is internalized into endosomes to attenuate EGFR degradation. We identify a CD44s-interacting small GTPase, Rab7A, and show that CD44s inhibits Rab7A-mediated EGFR trafficking to lysosomes and subsequent degradation. Importantly, CD44s levels correlate with EGFR signature and predict poor prognosis in glioblastomas. Because Rab7A facilitates trafficking of many RTKs to lysosomes, our findings identify CD44s as a Rab7A regulator to attenuate RTK degradation.bnormal activation of receptor tyrosine kinase (RTK) and its downstream PI3K/Akt signaling is a common mechanism that drives cancer progression. The cell surface molecule CD44 has been regarded as a cancer stem cell marker in many types of cancers (1-5), and increasing evidence has suggested a role for CD44 in promoting cancer progression (6-12). CD44 was reported to act as a coreceptor for RTKs, including EGFR, and stimulates signaling downstream of RTKs (13-15). However, the mechanism by which CD44 triggers RTK-dependent signaling has remained unclear. Adding another layer of complexity, CD44 undergoes extensive alternative splicing, producing two families of isoforms, termed CD44v and CD44s. The CD44v splice isoforms contain at least one of its nine variable exons, whereas the CD44s isoform is devoid of all variable exons. The contribution of specific isoforms of CD44 in RTK signaling has been elusive.The majority of glioblastoma (GBM) displays hyperactivation of RTKs with greater than 45% of specimens harboring EGFR amplification or mutation (16). A challenge for treating GBM patients with RTK inhibitors (RTKIs) is the acquired drug resistance, due in part to the cross-activation of RTKs converging on PI3K-Akt (17, 18). Thus, proteins that promote the signaling of not only EGFR but also many other RTKs could be ideal targets for GBM.Here, we report an unexpected finding that the CD44s splice isoform attenuates endocytosis-mediated EGFR degradation, thus sustaining downstream Akt signaling. We identify the small GTPase, Rab7A, as a major downstream target for CD44s in mediating EGFR degradation. Because Rab7A promotes the trafficking of many RTKs to the lysosomal pathway, CD44s may serve as a potential therapeutic target not only by impairing the EGFR-signaling cascade but also possibly through elimination of cross-activated RTK signaling in response to therapeutic resistance in GBM.
Results
CD44s Inhibits Lysosome-Mediated EGFR Degradation and SustainsAKT Signaling. The CD44 gene produces CD44s and CD44v family of splice isoforms. To examine the effect of CD44 on EGFR signaling, we used the HT1080 and U87MG cancer cells that predominately express CD44s and the experimentally immortalized mammary epithelial HMLE cells, which express CD44v as the major isoform (SI Appendix, Fig. S1A). Silencing ...