Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib

HER2 is amplified in approximately 20% of gastric cancers, and these patients exhibit a favorable response to trastuzumab treatment. Lapatinib, as a HER2-targeted drug, demonstrates potent inhibitory effects on HER2-addicted N87 gastric cancer cells. However, lapatinib has not shown significant adva...

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Main Authors: Xiaochen Ni, Kaiyuan Zhang, Xueru Huang, Mingsi Zhang, Jianing Guo, Wei Fan, Chuhang Wang, Zhongyan Du, Tao Jiang, Guangji Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1530492/full
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author Xiaochen Ni
Kaiyuan Zhang
Xueru Huang
Mingsi Zhang
Mingsi Zhang
Jianing Guo
Wei Fan
Chuhang Wang
Zhongyan Du
Zhongyan Du
Tao Jiang
Tao Jiang
Tao Jiang
Guangji Zhang
Guangji Zhang
Guangji Zhang
author_facet Xiaochen Ni
Kaiyuan Zhang
Xueru Huang
Mingsi Zhang
Mingsi Zhang
Jianing Guo
Wei Fan
Chuhang Wang
Zhongyan Du
Zhongyan Du
Tao Jiang
Tao Jiang
Tao Jiang
Guangji Zhang
Guangji Zhang
Guangji Zhang
author_sort Xiaochen Ni
collection DOAJ
description HER2 is amplified in approximately 20% of gastric cancers, and these patients exhibit a favorable response to trastuzumab treatment. Lapatinib, as a HER2-targeted drug, demonstrates potent inhibitory effects on HER2-addicted N87 gastric cancer cells. However, lapatinib has not shown significant advantages in clinical trials. Our study revealed that the expression of the key glycolysis gene PGK1 negatively correlates with the sensitivity of tumor cells to lapatinib. Both genetic regulation of PGK1 and pharmacological inhibition of lactate secretion can enhance the inhibitory effect of lapatinib on N87 cells, whereas overexpression of PGK1 attenuates the efficacy of lapatinib. Modulating PGK1 expression in N87 cells exposed to lapatinib affects the activation level of AKT, a downstream effector of HER2, and consequently influences the viability of N87 cells. This study indicates that regulating the expression levels of PGK1 impacts the sensitivity of HER2-positive gastric cancer to lapatinib, and potentially serving as a therapeutic strategy for HER2-positive gastric cancer patients who do not respond to lapatinib.
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issn 1663-9812
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj-art-ba696e28ff6340a9b242a669f32f3a6d2025-08-20T03:13:41ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-07-011610.3389/fphar.2025.15304921530492Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinibXiaochen Ni0Kaiyuan Zhang1Xueru Huang2Mingsi Zhang3Mingsi Zhang4Jianing Guo5Wei Fan6Chuhang Wang7Zhongyan Du8Zhongyan Du9Tao Jiang10Tao Jiang11Tao Jiang12Guangji Zhang13Guangji Zhang14Guangji Zhang15School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Sport, Loughborough University, Loughborough, Leicestershire, United KingdomSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaZhejiang Key Laboratory of Blood-Stasis-Toxin Syndrome, Zhejiang Chinese Medical University, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaZhejiang Key Laboratory of Blood-Stasis-Toxin Syndrome, Zhejiang Chinese Medical University, Zhejiang, ChinaTraditional Chinese Medicine “Preventing Disease”Wisdom Health Project Research Center of Zhejiang, Zhejiang, ChinaSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaZhejiang Key Laboratory of Blood-Stasis-Toxin Syndrome, Zhejiang Chinese Medical University, Zhejiang, ChinaTraditional Chinese Medicine “Preventing Disease”Wisdom Health Project Research Center of Zhejiang, Zhejiang, ChinaHER2 is amplified in approximately 20% of gastric cancers, and these patients exhibit a favorable response to trastuzumab treatment. Lapatinib, as a HER2-targeted drug, demonstrates potent inhibitory effects on HER2-addicted N87 gastric cancer cells. However, lapatinib has not shown significant advantages in clinical trials. Our study revealed that the expression of the key glycolysis gene PGK1 negatively correlates with the sensitivity of tumor cells to lapatinib. Both genetic regulation of PGK1 and pharmacological inhibition of lactate secretion can enhance the inhibitory effect of lapatinib on N87 cells, whereas overexpression of PGK1 attenuates the efficacy of lapatinib. Modulating PGK1 expression in N87 cells exposed to lapatinib affects the activation level of AKT, a downstream effector of HER2, and consequently influences the viability of N87 cells. This study indicates that regulating the expression levels of PGK1 impacts the sensitivity of HER2-positive gastric cancer to lapatinib, and potentially serving as a therapeutic strategy for HER2-positive gastric cancer patients who do not respond to lapatinib.https://www.frontiersin.org/articles/10.3389/fphar.2025.1530492/fullglycolysisPGK1lapatinibHER2 gastric cancerlactate
spellingShingle Xiaochen Ni
Kaiyuan Zhang
Xueru Huang
Mingsi Zhang
Mingsi Zhang
Jianing Guo
Wei Fan
Chuhang Wang
Zhongyan Du
Zhongyan Du
Tao Jiang
Tao Jiang
Tao Jiang
Guangji Zhang
Guangji Zhang
Guangji Zhang
Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
Frontiers in Pharmacology
glycolysis
PGK1
lapatinib
HER2 gastric cancer
lactate
title Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
title_full Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
title_fullStr Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
title_full_unstemmed Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
title_short Targeting PGK1 as a Novel strategy to regulate the sensitivity of HER2 positive gastric cancer to lapatinib
title_sort targeting pgk1 as a novel strategy to regulate the sensitivity of her2 positive gastric cancer to lapatinib
topic glycolysis
PGK1
lapatinib
HER2 gastric cancer
lactate
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1530492/full
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