A leak pathway for luminal protons in endosomes drives oncogenic signalling in glioblastoma

Kalyan C. Kondapalli, Jose P. Llongueras, Vivian Capilla-González, Hari Prasad, Anniesha Hack, Christopher Smith, Hugo Guerrero-Cázares, Alfredo Quiñones-Hinojosa () and Rajini Rao ()
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Kalyan C. Kondapalli: The Johns Hopkins University School of Medicine
Jose P. Llongueras: The Johns Hopkins University School of Medicine
Vivian Capilla-González: The Johns Hopkins University School of Medicine
Hari Prasad: The Johns Hopkins University School of Medicine
Anniesha Hack: The Johns Hopkins University School of Medicine
Christopher Smith: The Johns Hopkins University School of Medicine
Hugo Guerrero-Cázares: The Johns Hopkins University School of Medicine
Alfredo Quiñones-Hinojosa: The Johns Hopkins University School of Medicine
Rajini Rao: The Johns Hopkins University School of Medicine

Nature Communications, 2015, vol. 6, issue 1, 1-15

Abstract: Abstract Epidermal growth factor receptor (EGFR) signalling is a potent driver of glioblastoma, a malignant and lethal form of brain cancer. Disappointingly, inhibitors targeting receptor tyrosine kinase activity are not clinically effective and EGFR persists on the plasma membrane to maintain tumour growth and invasiveness. Here we show that endolysosomal pH is critical for receptor sorting and turnover. By functioning as a leak pathway for protons, the Na+/H+ exchanger NHE9 limits luminal acidification to circumvent EGFR turnover and prolong downstream signalling pathways that drive tumour growth and migration. In glioblastoma, NHE9 expression is associated with stem/progenitor characteristics, radiochemoresistance, poor prognosis and invasive growth in vitro and in vivo. Silencing or inhibition of NHE9 in brain tumour-initiating cells attenuates tumoursphere formation and improves efficacy of EGFR inhibitor. Thus, NHE9 mediates inside–out control of oncogenic signalling and is a highly druggable target for pan-specific receptor clearance in cancer therapy.

Date: 2015
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DOI: 10.1038/ncomms7289

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