A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance

Abstract Background The epidermal growth factor receptor (EGFR) plays a significant role in vasculogenic mimicry (VM), a process by which aggressive cancer cells within hypoxic solid tumors form blood vessel-like structures independent of endothelial cells. Mostly attributed to cancer stem cells (CS...

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Main Authors: Marie-Eve Roy, Alain Zgheib, Nicoletta Eliopoulos, Borhane Annabi
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Cancer
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Online Access:https://doi.org/10.1186/s12885-025-14789-3
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author Marie-Eve Roy
Alain Zgheib
Nicoletta Eliopoulos
Borhane Annabi
author_facet Marie-Eve Roy
Alain Zgheib
Nicoletta Eliopoulos
Borhane Annabi
author_sort Marie-Eve Roy
collection DOAJ
description Abstract Background The epidermal growth factor receptor (EGFR) plays a significant role in vasculogenic mimicry (VM), a process by which aggressive cancer cells within hypoxic solid tumors form blood vessel-like structures independent of endothelial cells. Mostly attributed to cancer stem cells (CSC), VM is strongly associated with chemoresistance and poor prognosis in glioblastomas (GBMs). The trafficking of EGFR from the plasma membrane is in part regulated by Sortilin (SORT1), a type I membrane glycoprotein with receptor sorting functions. Notably, EGFR and SORT1 have been reported to also localize within exosomes. This study questions whether the EGFR/SORT1 interplay impacts in vitro VM in human GBM-derived cell models. Methods In silico analysis was used to compare GBM to healthy brain tissue transcripts levels. cDNA arrays and RT-qPCR were performed to assess transcript levels in U87, U118, U138, and U251 GBM cells. Immunoblotting was used to assess protein expression levels. In vitro 3D VM was performed on Cultrex, while real-time chemotaxis was measured using the xCELLigence system. Transient gene silencing was achieved using sequence-specific siRNA. Results Increased levels of EGFR, along with tetraspanins exosomal markers CD9, CD63, and CD81 were observed in GBM. Interaction predictions further identified EGFR as a central hub linking SORT1 to exosomal biomarkers. Elevated SORT1 protein and gene expression were found in human stage IV GBM-derived U87, U118 and U251 cell lines. This was consistent with cDNA array analyses from clinically annotated GBM demonstrating higher SORT1 levels in stage III-IV compared to stage I-II tumors. Pharmacological inhibition of SORT1 function by AF38469 or siRNA-mediated transient silencing of SORT1 abrogated chemotactic cell migration and reduced in vitro VM in U87 and U251 GBM cells. SORT1 silencing prevented EGFR gene and protein expression upon in vitro VM, as well as reduced chemoresistance (ABCB1, ABCB5) and CSC (PROM1/CD133, SOX2) molecular signature. Conclusions These findings underscore the complex interplay of the EGFR/SORT1 axis in regulating VM and in driving to the transcriptional regulation of chemoresistance and CSC molecular signatures of GBM associated with VM. These insights could inspire novel therapeutic strategies targeting the EGFR/SORT1 complex in GBM.
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spelling doaj-art-9d4d7320c54b477ca9d32e41a90259b12025-08-24T11:34:41ZengBMCBMC Cancer1471-24072025-08-0125111710.1186/s12885-025-14789-3A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistanceMarie-Eve Roy0Alain Zgheib1Nicoletta Eliopoulos2Borhane Annabi3Laboratoire d’Oncologie Moléculaire, Département de Chimie, Université du Québec à MontréalLaboratoire d’Oncologie Moléculaire, Département de Chimie, Université du Québec à MontréalDepartment of Surgery, Lady Davis Institute for Medical Research, SMBD-Jewish General Hospital, McGill UniversityLaboratoire d’Oncologie Moléculaire, Département de Chimie, Université du Québec à MontréalAbstract Background The epidermal growth factor receptor (EGFR) plays a significant role in vasculogenic mimicry (VM), a process by which aggressive cancer cells within hypoxic solid tumors form blood vessel-like structures independent of endothelial cells. Mostly attributed to cancer stem cells (CSC), VM is strongly associated with chemoresistance and poor prognosis in glioblastomas (GBMs). The trafficking of EGFR from the plasma membrane is in part regulated by Sortilin (SORT1), a type I membrane glycoprotein with receptor sorting functions. Notably, EGFR and SORT1 have been reported to also localize within exosomes. This study questions whether the EGFR/SORT1 interplay impacts in vitro VM in human GBM-derived cell models. Methods In silico analysis was used to compare GBM to healthy brain tissue transcripts levels. cDNA arrays and RT-qPCR were performed to assess transcript levels in U87, U118, U138, and U251 GBM cells. Immunoblotting was used to assess protein expression levels. In vitro 3D VM was performed on Cultrex, while real-time chemotaxis was measured using the xCELLigence system. Transient gene silencing was achieved using sequence-specific siRNA. Results Increased levels of EGFR, along with tetraspanins exosomal markers CD9, CD63, and CD81 were observed in GBM. Interaction predictions further identified EGFR as a central hub linking SORT1 to exosomal biomarkers. Elevated SORT1 protein and gene expression were found in human stage IV GBM-derived U87, U118 and U251 cell lines. This was consistent with cDNA array analyses from clinically annotated GBM demonstrating higher SORT1 levels in stage III-IV compared to stage I-II tumors. Pharmacological inhibition of SORT1 function by AF38469 or siRNA-mediated transient silencing of SORT1 abrogated chemotactic cell migration and reduced in vitro VM in U87 and U251 GBM cells. SORT1 silencing prevented EGFR gene and protein expression upon in vitro VM, as well as reduced chemoresistance (ABCB1, ABCB5) and CSC (PROM1/CD133, SOX2) molecular signature. Conclusions These findings underscore the complex interplay of the EGFR/SORT1 axis in regulating VM and in driving to the transcriptional regulation of chemoresistance and CSC molecular signatures of GBM associated with VM. These insights could inspire novel therapeutic strategies targeting the EGFR/SORT1 complex in GBM.https://doi.org/10.1186/s12885-025-14789-3Cancer stem cellsChemoresistanceGlioblastomaEGFR/SORT1 complexVasculogenic mimicry
spellingShingle Marie-Eve Roy
Alain Zgheib
Nicoletta Eliopoulos
Borhane Annabi
A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
BMC Cancer
Cancer stem cells
Chemoresistance
Glioblastoma
EGFR/SORT1 complex
Vasculogenic mimicry
title A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
title_full A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
title_fullStr A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
title_full_unstemmed A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
title_short A SORT1/EGFR molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry: implications in the transcriptional regulation of cancer stemness and drug resistance
title_sort sort1 egfr molecular interplay as a prognostic biomarker in glioblastoma vasculogenic mimicry implications in the transcriptional regulation of cancer stemness and drug resistance
topic Cancer stem cells
Chemoresistance
Glioblastoma
EGFR/SORT1 complex
Vasculogenic mimicry
url https://doi.org/10.1186/s12885-025-14789-3
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