{"id":32098,"date":"2024-09-18T16:21:45","date_gmt":"2024-09-18T14:21:45","guid":{"rendered":"https:\/\/carpem.fr\/?p=32098"},"modified":"2024-10-29T16:06:55","modified_gmt":"2024-10-29T15:06:55","slug":"prpc_emt_lung","status":"publish","type":"post","link":"https:\/\/carpem.fr\/en\/prpc_emt_lung\/","title":{"rendered":"PrPC controls Epithelial-to-Mesenchymal Transition in EGFR-mutated NSCLC: implications for TKI resistance and patient follow-up"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_single_image image=&#8221;32100&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Lung cancer is the deadliest cancer worldwide, with 1.8 million deaths in 2020, representing 18% of cancer-related deaths. The most common type of lung cancer, known as non-small cell lung carcinoma (NSCLC), often presents mutations in the <em>EGFR<\/em> gene, which can be treated with tyrosine kinase inhibitors (TKI). Unfortunately, systematic resistance to these TKIs is observed after 9 to 12 months of treatment. Several mechanisms may drive this resistance in cancers, including epithelial-to-mesenchymal transition (EMT). During EMT, cells acquire new characteristics that promote treatment resistance in the context of cancer. However, the signals and effectors orchestrating EMT in NSCLC are still poorly understood. Recent research from the laboratory has shown that the expression of the <em>PRNP<\/em> gene (coding for the cellular prion protein PrP<sup>C<\/sup>) is associated with the expression of EMT markers in the mesenchymal subtype of colon cancers. PrP<sup>C<\/sup>, whose pathological form PrP<sup>scrapie<\/sup> is known for its involvement in neurodegenerative diseases, has also emerged in recent years as playing a role in the occurrence of EMT in several cell types. Despite these advances, the interactions between PrP<sup>C<\/sup>, EMT, and TKI resistance remain poorly understood in lung cancers, which is why the research team undertook this study.<\/p>\n<p>By working on several public patient and cell databases, on cell lines, and on plasma samples from patients with <em>EGFR<\/em>-mutated NSCLC, the authors were able to highlight several interesting results:<\/p>\n<ul>\n<li>PrP<sup>C<\/sup> expression correlates with EMT in NSCLC<\/li>\n<li>PrP<sup>C<\/sup> controls EMT in cell lines<\/li>\n<li>Reciprocal and functional interactions exist between PrP<sup>C<\/sup> and EGFR in NSCLC<\/li>\n<li>Blockade of PrP<sup>C<\/sup> expression in NSCLC cell lines increases their sensitivity to TKI<\/li>\n<li>Patients with <em>EGFR<\/em>-mutated NSCLC express more PrP<sup>C<\/sup> compared to patients without <em>EGFR<\/em> alterations<\/li>\n<\/ul>\n<p>This study suggests a potential role of PrP<sup>C<\/sup> in TKI resistance in <em>EGFR<\/em>-mutated NSCLC, which needs to be validated on a larger scale. The research team has established proof of concept for the therapeutic targeting of PrP<sup>C<\/sup> <em>in vivo<\/em>. In this context, it will be interesting to verify whether its inhibition restores sensitivity to TKI. Finally, plasma PrP<sup>C<\/sup> could be useful as a marker of progression in patients with <em>EGFR<\/em>-mutated NSCLC; this possibility will need to be further evaluated.<\/p>\n<p><a href=\"https:\/\/www.nature.com\/articles\/s41388-024-03130-0\" target=\"_blank\" rel=\"noopener\">Read the article<\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_single_image image=&#8221;32100&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Lung cancer is the deadliest cancer&#8230;<\/p>\n","protected":false},"author":5,"featured_media":32100,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[317],"tags":[],"class_list":{"0":"post-32098","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-publications-en"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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