RT Journal Article T1 PHD3 Controls Lung Cancer Metastasis and Resistance to EGFR Inhibitors through TGFα A1 Dopeso, Higinio A1 Jiao, Hui-Ke A1 Cuesta Martínez, Ángel A1 Henze, Anne-Theres A1 Jurida, Liane A1 Kracht, Michael A1 Acker-Palmer, Amparo A1 Boyan K. Garvalov, A1 Acker, Till AB Lung cancer is the leading cause of cancer-related death worldwide, in large part due to its high propensity to metastasize and to develop therapy resistance. Adaptive responses to hypoxia and epithelial–mesenchymal transition (EMT) are linked to tumor metastasis and drug resistance, but little is known about how oxygen sensing and EMT intersect to control these hallmarks of cancer. Here, we show that the oxygen sensor PHD3 links hypoxic signaling and EMT regulation in the lung tumor microenvironment. PHD3 was repressed by signals that induce EMT and acted as a negative regulator of EMT, metastasis, and therapeutic resistance. PHD3 depletion in tumors, which can be caused by the EMT inducer TGFβ or by promoter methylation, enhanced EMT and spontaneous metastasis via HIF-dependent upregulation of the EGFR ligand TGFα. In turn, TGFα stimulated EGFR, which potentiated SMAD signaling, reinforcing EMT and metastasis. In clinical specimens of lung cancer, reduced PHD3 expression was linked to poor prognosis and to therapeutic resistance against EGFR inhibitors such as erlotinib. Reexpression of PHD3 in lung cancer cells suppressed EMT and metastasis and restored sensitivity to erlotinib. Taken together, our results establish a key function for PHD3 in metastasis and drug resistance and suggest opportunities to improve patient treatment by interfering with the feedforward signaling mechanisms activated by PHD3 silencing.Significance: This study links the oxygen sensor PHD3 to metastasis and drug resistance in cancer, with implications for therapeutic improvement by targeting this system. PB AACR SN 0008-5472 YR 2018 FD 2018-04-01 LK https://hdl.handle.net/20.500.14352/100347 UL https://hdl.handle.net/20.500.14352/100347 LA eng NO Dopeso H, Jiao HK, Cuesta AM, et al. PHD3 Controls Lung Cancer Metastasis and Resistance to EGFR Inhibitors through TGFα. Cancer Res. 2018;78(7):1805-1819. doi:10.1158/0008-5472.CAN-17-1346 NO Deutsche Krebshilfe (ECCPS; EXC 147) at the (to T. Acker and A. Acker-Palmer) and Macromolecular Complexes (CEF; EXC 115) at the (to A. Acker-Palmer), and an EMBO Long-Term Fellowship EMBO ALTF 1181-2011 (to H. Dopeso) NO Behring-Rontgen Foundation NO Gutenberg Research College NO Johannes Gutenberg University Mainz NO Clusters of Excellence Cardio-Pulmonary System NO Universities of Giessen and Frankfurt NO University Frankfurt NO Organización Europea de Biología Molecular DS Docta Complutense RD 9 abr 2025