Integral membrane proteins contain a hydrophobic transmembrane domain and mainly locate in the plasma membrane lipid bilayer. The receptor tyrosine kinases (RTK) of the epidermal growth factor receptor (EGFR) superfamily, including ErbB-1, ErbB-2, ErbB-3, and ErbB-4, constitute an important group of such membrane proteins, which have a profound impact on cancer initiation, progression, and patient outcome. Although studies of their functions have conventionally focused on their membrane-associated forms, documented observations of the presence of these membrane receptors and their functioning partners in the nucleus have reshaped the intracellular geography and highlight the need to modify the central dogma. The ErbB proteins in the membrane can translocate to the nucleus through different mechanisms. Nuclear RTKs regulate a variety of cellular functions, such as cell proliferation, DNA damage repair, and signal transduction, both in normal tissues and in human cancer cell. In addition, they play important roles in determining cancer response to cancer therapy. Nuclear presence of these ErbB proteins is emerging as an important marker in human cancers. An integrated picture of the RTK-centered signaling transduction network extending from the membrane-cytoplasm boundary to the nuclear compartment is looming in the foreseeable horizon for clinical application. (Clin Cancer Res 2009;15(21):6484–9)

The epidermal growth factor receptor proteins

The epidermal growth factor receptor (EGFR) proteins, which are arguably the most studied receptor tyrosine kinases (RTK), include EGFR/ErbB-1/HER-1, ErbB-2/HER-2, ErbB-3/HER-3, and ErbB-4/HER-4. The prototype RTK in the membrane contains an extracellular domain, a transmembrane domain, and an intracellular region, Except for ErbB-3, the intracellular region harbors a tyrosine kinase activity, which is vital for the signaling functions of these membrane molecules. Upon growth factor stimulation, these membrane receptors form homodimers or heterodimers, for which ErbB-2 is the most favorable dimerization partner. Receptor dimerization triggers conformational change and subsequent kinase activation, followed by receptor internalization (1). Activated ErbB receptors then trigger the activation of multiple signaling cascades, such as the pathways mediated by mitogen-activated protein kinase (MAPK), phosphatidylinositol-3 kinase (PI-3K), phospholipase C (PLC), and signal transducer and activator of transcription (STAT). Thus, the activated receptors regulate multiple cellular activities, and the specific biological outcome caused by activated RTKs depends on the crosstalk of these signaling pathways.

Table 1.

Biological functions of nuclear ErbB receptors

Biological FunctionNuclear ErbB Receptor
Cell proliferation ErbB-1 (9, 22, 31, 43, 54) 
DNA replication ErbB-1 (43) 
DNA damage repair ErbB-1 (43, 64–66, 71) 
Transcription ErbB-1 (9, 30–32); ErbB-2 (10, 11); ErbB-4 (17, 37, 74) 
Cancer progression ErbB-1 (9, 30, 32, 42, 43, 45–47, 51, 63, 66); ErbB-2 (11, 18); ErbB-3 (72); ErbB-4 (75) 
Development ErbB-4 (74) 
Biological FunctionNuclear ErbB Receptor
Cell proliferation ErbB-1 (9, 22, 31, 43, 54) 
DNA replication ErbB-1 (43) 
DNA damage repair ErbB-1 (43, 64–66, 71) 
Transcription ErbB-1 (9, 30–32); ErbB-2 (10, 11); ErbB-4 (17, 37, 74) 
Cancer progression ErbB-1 (9, 30, 32, 42, 43, 45–47, 51, 63, 66); ErbB-2 (11, 18); ErbB-3 (72); ErbB-4 (75) 
Development ErbB-4 (74) 

Erbb proteins in the nucleus

Membrane receptors in the nucleus, or MRIN, a term we propose to refer to the unique biological process of membrane-to-nucleus translocation and the associated functions, has been documented by a substantial body of evidence accumulated in the past decades (26), which has called for a revisit to the central dogma that RTK resides and functions only in the lipid bilayer of the plasma membrane or extra-nuclear vesicles in the cytosol (7). Among the EGFR family members, EGFR (8, 9), ErbB-2 (10, 11), and ErbB-3 (12) can be detected in the nucleus as full-length receptors. Nuclear expression of these receptors has also been found in different normal tissues or primary cells (1316). The primary mechanism of ErbB-4 nuclear trafficking is through the sequential proteolytic processing to produce an intracellular domain (ICD), which then translocates to the nucleus and functions as a transcriptional factor (5, 17), whereas detection of full-length ErbB-4 in the nucleus of normal cells has also been described (13, 15). Fragments derived from ErbB-2 by N-terminal truncation or alternative translation have also been found in the nucleus of cancer cells (18, 19). Interestingly, some of these fragments generated by alternative translational initiation still retain the transmembrane domain and therefore are likely to associate with the membrane. Thus their nuclear translocation would need to overcome the same energy barrier as the full-length receptor.

The mechanisms proposed for nuclear transport of membrane proteins include the activity of transmembrane domain-binding chaperones, endosome-mediated nuclear translocation, and retro-translocation by endoplasmic reticulum (ER)-associated trafficking machinery (6). Among them, the latter two mechanisms have received the most experimental supports. Upon activation by ligand stimulation, the membrane receptors are internalized through the clathrin-coated endocytotic vehicle formed by the GTPase dynamin (20). In the endosome-mediated nuclear translocation, the internalized endosome is directed by the nuclear transporter importin proteins, which recognize the nuclear localization signal (NLS) of the ErbB proteins to the nucleus through the nuclear pore complex (2124). The retro-translocation model of nuclear translocation also involves the internalization of the surface receptor with the endosomal vehicle, which then merges with the ER through the Golgi. The ER-bound EGFR is retro-translocated into the cytosol with the aide of the Sec61 translocon, which forms a channel across the ER membrane for protein transport (25). The membrane protein in the cytosol is stabilized by the chaperone protein HSP70, and then directed by the importin proteins for nuclear entry (22). Another recent study described an alternative but related mechanism for nuclear transport of the integral membrane proteins located in the ER membrane (26, 27), in which the NLS motif presents in the cytoplasmic domain of these integral proteins mediated nuclear entry by the importin proteins through lateral diffusion. This is another example that the membrane-bound integral proteins can be recognized and directed to the nucleus through the NLS-mediated mechanism. It will be interesting to test whether and how this mechanism is involved in the nuclear translocation of plasma membrane proteins.

Nuclear expression of EGFR has been shown in normal tissues with active cell proliferation, such as the liver tissue during regeneration (8), the uterus of pregnant mouse, and the basal cells of normal mouth mucosa (9). These observations suggest a role of nuclear EGFR in normal biology. All four ErbB proteins have been identified in the nucleus of the mouse lung type II epithelial cell, with ErbB-1, -2, and -3 predominantly in the nucleus whereas ErbB-4 diffusively distributed in the cytoplasm and the nucleus (14). The subnuclear localization and dimerization partner changed in response to the stimulation of the growth factor neuregulin, suggesting that the nuclear ErbB proteins have a role in normal lung epithelium. Upon NRG 1β stimulation, which is a potent mitogenic factor in Schwann cells, ErbB-2 and ErbB-3 form heterodimer and promote proliferation and survival of Schwann cells (28, 29). This growth stimulation is associated with significant nuclear translocation of NRG 1β as well as the two receptors, suggesting an intranuclear signaling of the ligand and the receptors in promoting neuronal growth (16). Nuclear expression of ErbB-2, -3, and -4 can have a biological function in brain development of primates as their nuclear presence was detected in the front cortex of juvenile and adult monkeys (15). Similar nuclear localization and co-localization of the ErbB proteins was identified in primary human umbilical venous endothelial cells (HUVEC) and arterial endothelial cells (HUAEC) derived from early fetal gestation (13).

Two major functions of the nuclear ErbB proteins have been unraveled (Fig. 1 and Table 1).

Fig. 1.

A working model of RTK functions in the nucleus. EGFR and ErbB-2 can function in transcriptional regulation. EGFR transactivates cyclin D1, iNOS, and Aurora-A together with the transcriptional factor STAT3 and STAT5. EGFR and E2F1 can stimulate transcription of the B-MYB gene. The ATRS on the promoter is important for the EGFR-mediated transactivation. Nuclear ErbB-2 transactivate the COX-2 gene through HAS. The transcriptional factors involved remain to be identified. Nuclear EGFR can also function as a kinase to phosphorylate PCNA and increases its stability on the chromatin. Nuclear EGFR interacts with DNA-PK and conveys a resistance phenotype to ionizing irradiation. It remains to be determined whether EGFR phosphorylates DNA-PK. ErbB-2 has been shown to phosphorylate the cyclin-dependent kinase p34CDC2, which causes G2-M arrest in cancer cells and subsequently leads to resistance to taxol treatment.

Fig. 1.

A working model of RTK functions in the nucleus. EGFR and ErbB-2 can function in transcriptional regulation. EGFR transactivates cyclin D1, iNOS, and Aurora-A together with the transcriptional factor STAT3 and STAT5. EGFR and E2F1 can stimulate transcription of the B-MYB gene. The ATRS on the promoter is important for the EGFR-mediated transactivation. Nuclear ErbB-2 transactivate the COX-2 gene through HAS. The transcriptional factors involved remain to be identified. Nuclear EGFR can also function as a kinase to phosphorylate PCNA and increases its stability on the chromatin. Nuclear EGFR interacts with DNA-PK and conveys a resistance phenotype to ionizing irradiation. It remains to be determined whether EGFR phosphorylates DNA-PK. ErbB-2 has been shown to phosphorylate the cyclin-dependent kinase p34CDC2, which causes G2-M arrest in cancer cells and subsequently leads to resistance to taxol treatment.

Close modal

Transcriptional regulation

The C-terminal regions of EGFR/ErbB-1, ErbB-2/HER-2/neu, and ErbB-4 displayed intrinsic transactivation activity (911, 17). Multiple gene promoters have been identified as the targets of the nuclear ErbB receptors. The cyclin D1 promoter is the first identified genomic target of nuclear RTK (9). Upon EGF stimulation, EGFR translocates to the nucleus and binds to an A/T-rich sequence (ATRS) in the proximal region of the cyclin D1 promoter and stimulates its expression in cancer cells, providing a direct link between nuclear EGFR function and cell proliferation. The other ATRS-containing promoters targeted by the nuclear EGFR include the iNOS (inducible nitric oxide synthase) gene (30). Nuclear EGFR is recruited to the ATRS motif of the iNOS promoter through its interaction with the transcriptional factor STAT3. Like other members of the EGFR family, EGFR lacks a DNA-binding domain. Therefore association with other DNA-binding factors such as STAT3 is expected to be required for chromatin recruitment and gene activation activity for nuclear EGFR. Similarly, EGFR was associated with STAT5 on the ATRS motif to transactivate the Aurora-A promoter (31). Increased expression of the Aurora-A gene induced centrosome amplification and microtubule disorder. EGFR has also been found to cooperate with E2F1 to transactivate the B-MYB gene in a cell cycle-dependent manner (32). Thus, B-MYB joins cyclin D1 as the transcriptional targets of nuclear EGFR to promote cell proliferation. The genomic targets of nuclear ErbB-2 were discovered by chromatin immunoprecipitation and molecular cloning to identify the HER-2/ErbB-2-associated sequence (HAS; ref. 11). ErbB-2 transactivated the COX-2 (cyclooxygenase 2) gene promoter through a HAS motif in the promoter. COX-2 is important for cancer development as a promoting factor for cell survival, proliferation, metastasis, and angiogenesis and its expression is correlated with ErbB-2 in primary cancer tissues (3336). ErbB-4 conveys its transcriptional function through its ICD domain. Heregulin (also known as neuregulin) stimulated nuclear co-translocation and association of the ErbB-4 ICD and STAT5A, which in turn transactivated the β-casein gene promoter (37). Nuclear ErbB-4 ICD was also shown to be a co-activator of estrogen receptor α (ER-α) and enhanced sensitivity to tamoxifen in breast cancer cells (38). On the other hand, nuclear ErbB-4 ICD contributed the breast cancer etiology by blocking the gene repression activity of ETO-2, a transcriptional factor with suggested tumor suppressor function (39).

Protein kinase

A common feature for the nuclear ErbB-1, ErbB-2, and ErbB-4, including their intracellular fragments, is the presence of a tyrosine kinase domain. The cyclin-dependent kinase p34Cdc2, a protein located primarily in the nucleus, has been reported to be a direct substrate of ErbB-2 (40). Phosphorylation of p34Cdc2 at tyrosine 15 by ErbB-2 inhibited the kinase activity of p34Cdc2 and delayed M-phase entry, leading to taxol resistance in breast cancer. The ICD fragment of ErbB-4 is able to form homodimers in the nucleus and possesses constitutive kinase activity (41). ErbB-4 ICD phosphorylated and inhibited the nuclear protein HDM2, and consequently enhanced p53 and p21 expression (42). The full-length EGFR in the nucleus is a bona fide tyrosine kinase to phosphorylate the chromatin-associated DNA replication processive factor proliferative cell nuclear antigen (PCNA; ref. 43). Inhibition of the phosphorylation led to degradation of the chromatin-bound, but not the unbound, form of PCNA through a proteasome-dependent manner and consequently suppressed its function in DNA synthesis and DNA damage repair.

Expression of EGFR in the nucleus, but not in the non-nuclear compartment, was shown significantly correlated with overall survival in a cohort of breast carcinoma patients (44). Nuclear expression of EGFR was also detected by immunofluorescence staining in oropharyngeal squamous cell carcinoma using an automated image acquisition and quantitation system (45, 46). The presence of EGFR in the nucleus was correlated with significant increase in local recurrence and decrease in disease-free survival after radiotherapy alone or adjuvant radiotherapy. Interestingly, in a study on a small cohort of esophageal cancer patients, only the nucleus-located phosphorylated EGFR but not the total EGFR was correlated with higher tumor-node-metastasis (TNM) stage, nodal metastasis, and poor patient outcome (47). Nuclear staining of EGFR was also found in epithelial ovarian cancer tumor tissues (48, 49), whereas it remains to determine whether nuclear EGFR is involved in tumor progression of ovarian cancer. Thus, nuclear expression of EGFR seems to be associated with cancer development. Nuclear expression of the commonly identified EGFRvIII variant of EGFR, a mutant with deletion of the cytoplasmic domain of the receptor rendering the receptor constitutively activated (50), has been described in prostate cancer, invasive breast cancer, and brain tumor (5153). In hormone-refractory prostate cancer, nuclear expression of EGFRvIII was associated with decreased time to death from biochemical relapse and decreased overall survival (51). In glioblastoma, nuclear EGFRvIII was found forming a complex with STAT3 (53). The EGFRvIII-STAT3 oncogenic complex upregulated iNOS and further mediated the EGFRvIII-induced glial transformation (53).

There are multiple mechanisms underlying the EGFR-mediated tumor progression. In nasopharyngeal carcinoma (NPC) induced by Epstein-Barr virus (EBV; ref. 54), the EBV-encoded latent membrane protein 1 (LMP1) oncoprotein was identified to enhance nuclear entry of EGFR, which subsequently transactivated the cyclin D1 and cyclin E gene promoters to foster cell proliferation. On the other hand, EGFR nuclear trafficking can be inhibited by the growth inhibitor vitamin D (1,25(OH)2D3), which subsequently repressed the cyclin D1 gene and suppressed tumor growth (55). A number of studies showed that ionization irradiation activates EGFR kinase activity, which contributed to protecting cancer cells from the killing by radiotherapy (5659). Contrarily, several studies reported that EGF enhanced radiosensitivity of EGFR-expressing cancer cells, in particular for cells in G1 phase of the cell cycle (6062). These contradictory results might have been due to the cell proliferation stage or the different molecular makeup of these cells, for example, the nuclear EGFR status. A recent report showed that the gefitinib/erlotinib-sensitive EGFR mutants in a population of non-small cell lung cancers also conferred elevated sensitivity to ionizing irradiation. More importantly, these mutants were also defective in nuclear translocation (63). On the other hand, ionizing radiation enhanced nuclear translocation of wild-type EGFR, which in turn contributed to EGFR-mediated radioprotection. Ionizing irradiation has been shown to cause nuclear transport of EGFR through caveolin- and protein kinase C-dependent mechanisms (6466). It is therefore likely that nuclear sequestration of wild-type EGFR in cancer cells is a means to protect the cells from EGFR-targeting as well as other genotoxic stresses. In this regard, it has recently been shown that nuclear translocation of both EGFR and ErbB-2 is inhibited by the tyrosine kinase inhibitor lapatinib, which leads to the sensitization of cancer cells to fluoropyrimindine (67).

Radiation-induced nuclear transport of EGFR activated the DNA-dependent protein kinase (DNA-PK), which then mediated the repair of the double-strand DNA break induced by irradiation (64). Activation of DNA-PK function through interaction with EGFR has been documented previously (68, 69), whereas the molecular mechanism remains to be determined. Treatment with the anti-EGFR antibody C225 blocked nuclear transport of EGFR and consequently inhibited DNA-PK activity and resulted in increased radiosensitivity (70). It was reported recently that the cyclooxygenase-2 (COX-2) inhibitor celecoxib can also induce radiosensitization through blocking nuclear transport of EGFR, providing an example of COX-2-independent mechanism of celecoxib (71). Nuclear EGFR can also regulate cell sensitivity to genotoxic stress through PCNA (43). Inhibition of EGFR kinase activity rendered PCNA destabilized from the chromatin so that its DNA damage repair function was also impaired. Consistently, in primary breast tumor tissues, nuclear expression of EGFR and PCNA and phospho-PCNA was tightly correlated. More importantly, expression of the phospho-PCNA was a better tumor marker for overall survival in breast cancer patients. As the Y211-phosphorylated PCNA is the chromatin-bound, replicationally functional form of PCNA, this specific PCNA species is expected to be a better molecular marker to assess tumor malignancy. In addition to breast tumor tissues, this correlation was also found in oropharyngeal squamous cell carcinoma, in which PCNA expression was the only pathological factor tested being positively correlated with nuclear EGFR (46).

For ErbB-3, two recent studies showed that although nuclear expression of ErbB-3 was not frequently observed in normal or hyperplasia prostate tissues, its expression became much pronounced in prostate cancer, especially in the advanced hormone-refractory cases (72, 73). Tissue microarray analysis showed that positive nuclear staining of ErbB-3 was associated with higher Gleason grade and disease progression (72). In a prostate cancer xenograft model, although ErbB-3 predominantly located in the cytoplasm and plasma membrane in the tumors inoculated subcutaneously, significant nuclear expression of ErbB-3 was observed in the bone xenograft, suggesting a regulation by the microenvironment (73). Thus, nuclear expression of ErbB-3 can be a prognostic marker or a therapeutic target for advanced prostate cancer with bone metastasis and resistance to androgen ablation.

Nuclear transport of the ErbB proteins is increasingly recognized as a pathological feature in tumors. The clinical impact of this new field has been shown in the correlation of nuclear ErbB proteins with disease progression in multiple types of cancer. From the perspective of cancer biology, it is possible that the nuclear localization of the ErbB proteins serve as a mechanism for sustained signaling and transactivation functions of these proteins to promote cancer progression. The nuclear localization may also contribute to the resistance to therapeutic agents designed for targeting these proteins in the plasma membrane. A major challenge is to gain substantial knowledge of this process that will permit tackling this outside-in nuclear translocation of the ErbB receptors for cancer prognosis, targeting, and therapeutic sensitization.

No potential conflicts of interest were disclosed.

We would like to apologize to the authors of the works we could not cite because of space limitations.

1
Yarden
Y
,
Sliwkowski
MX
. 
Untangling the ErbB signalling network
.
Nat Rev Mol Cell Biol
2001
;
2
:
127
37
.
2
Lo
HW
,
Hung
MC
. 
Nuclear EGFR signalling network in cancers: linking EGFR pathway to cell cycle progression, nitric oxide pathway and patient survival
.
Br J Cancer
2006
;
94
:
184
8
.
3
Planque
N
. 
Nuclear trafficking of secreted factors and cell-surface receptors: new pathways to regulate cell proliferation and differentiation, and involvement in cancers
.
Cell Commun Signal
2006
;
4
:
7
.
4
Linggi
B
,
Carpenter
G
. 
ErbB receptors: new insights on mechanisms and biology
.
Trends Cell Biol
2006
;
16
:
649
56
.
5
Carpenter
G
. 
Nuclear localization and possible functions of receptor tyrosine kinases
.
Curr Opin Cell Biol
2003
;
15
:
143
8
.
6
Wells
A
,
Marti
U
. 
Signalling shortcuts: cell-surface receptors in the nucleus?
Nat Rev Mol Cell Biol
2002
;
3
:
697
702
.
7
Schlessinger
J
,
Lemmon
MA
. 
Nuclear signaling by receptor tyrosine kinases: the first robin of spring
.
Cell
2006
;
127
:
45
8
.
8
Marti
U
,
Burwen
SJ
,
Wells
A
, et al
. 
Localization of epidermal growth factor receptor in hepatocyte nuclei
.
Hepatology
1991
;
13
:
15
20
.
9
Lin
SY
,
Makino
K
,
Xia
W
, et al
. 
Nuclear localization of EGF receptor and its potential new role as a transcription factor
.
Nat Cell Biol
2001
;
3
:
802
8
.
10
Xie
Y
,
Hung
MC
. 
Nuclear localization of p185neu tyrosine kinase and its association with transcriptional transactivation
.
Biochem Biophys Res Commun
1994
;
203
:
1589
98
.
11
Wang
S-C
,
Lien
H-C
,
Xia
W
, et al
. 
Binding at and transactivation of the COX-2 promoter by nuclear tyrosine kinase receptor ErbB-2
.
Cancer Cell
2004
;
6
:
251
61
.
12
Offterdinger
M
,
Schofer
C
,
Weipoltshammer
K
,
Grunt
TW
. 
c-erbB-3: a nuclear protein in mammary epithelial cells
.
J Cell Biol
2002
;
157
:
929
40
.
13
Bueter
W
,
Dammann
O
,
Zscheppang
K
,
Korenbaum
E
,
Dammann
CE
. 
ErbB receptors in fetal endothelium-a potential linkage point for inflammation-associated neonatal disorders
.
Cytokine
2006
;
36
:
267
75
.
14
Zscheppang
K
,
Korenbaum
E
,
Bueter
W
,
Ramadurai
SM
,
Nielsen
HC
,
Dammann
CE
. 
ErbB receptor dimerization, localization, and co-localization in mouse lung type II epithelial cells
.
Pediatr Pulmonol
2006
;
41
:
1205
12
.
15
Thompson
M
,
Lauderdale
S
,
Webster
MJ
, et al
. 
Widespread expression of ErbB2, ErbB3 and ErbB4 in non-human primate brain
.
Brain Res
2007
;
1139
:
95
109
.
16
Raabe
TD
,
Deadwyler
G
,
Varga
JW
,
Devries
GH
. 
Localization of neuregulin isoforms and erbB receptors in myelinating glial cells
.
Glia
2004
;
45
:
197
207
.
17
Ni
C-Y
,
Murphy
MP
,
Golde
TE
,
Carpenter
G
. 
gamma -secretase cleavage and nuclear localization of erbb-4 receptor tyrosine kinase
.
Science
2001
;
294
:
2179
81
.
18
Anido
J
,
Scaltriti
M
,
Bech Serra
JJ
, et al
. 
Biosynthesis of tumorigenic HER2 C-terminal fragments by alternative initiation of translation
.
EMBO J
2006
;
25
:
3234
44
.
19
Scaltriti
M
,
Rojo
F
,
Ocana
A
, et al
. 
Expression of p95HER2, a truncated form of the HER2 receptor, and response to anti-HER2 therapies in breast cancer
.
J Natl Cancer Inst
2007
;
99
:
628
38
.
20
Conner
SD
,
Schmid
SL
. 
Regulated portals of entry into the cell
.
Nature
2003
;
422
:
37
44
.
21
Giri
DK
,
Ali-Seyed
M
,
Li
L-Y
, et al
. 
Endosomal transport of ErbB-2: mechanism for nuclear entry of the cell surface receptor
.
Mol Cell Biol
2005
;
25
:
11005
18
.
22
Liao
HJ
,
Carpenter
G
. 
Role of the sec61 translocon in EGF receptor trafficking to the nucleus and gene expression
.
Mol Biol Cell
2007
;
18
:
1064
72
.
23
Hsu
S-C
,
Hung
M-C
. 
Characterization of a novel tripartite nuclear localization sequence in the EGFR family
.
J Biol Chem
2007
;
282
:
10432
40
.
24
Lo
HW
,
Ali-Seyed
M
,
Wu
Y
,
Bartholomeusz
G
,
Hsu
SC
,
Hung
MC
. 
Nuclear-cytoplasmic transport of EGFR involves receptor endocytosis, importin beta1 and CRM1
.
J Cell Biochem
2006
;
98
:
1570
83
.
25
Wiertz
EJ
,
Tortorella
D
,
Bogyo
M
, et al
. 
Sec61-mediated transfer of a membrane protein from the endoplasmic reticulum to the proteasome for destruction
.
Nature
1996
;
384
:
432
8
.
26
King
MC
,
Lusk
C
,
Blobel
G
. 
Karyopherin-mediated import of integral inner nuclear membrane proteins
.
Nature
2006
;
442
:
1003
7
.
27
Kermorgant
S
,
Parker
PJ
. 
Receptor trafficking controls weak signal delivery: a strategy used by c-Met for STAT3 nuclear accumulation
.
J Cell Biol
2008
;
182
:
855
63
.
28
Levi
AD
,
Bunge
RP
,
Lofgren
JA
, et al
. 
The influence of heregulins on human Schwann cell proliferation
.
J Neurosci
1995
;
15
:
1329
40
.
29
Grinspan
JB
,
Marchionni
MA
,
Reeves
M
,
Coulaloglou
M
,
Scherer
SS
. 
Axonal interactions regulate Schwann cell apoptosis in developing peripheral nerve: neuregulin receptors and the role of neuregulins
.
J Neurosci
1996
;
16
:
6107
18
.
30
Lo
H-W
,
Hsu
S-C
,
Ali-Seyed
M
, et al
. 
Nuclear interaction of EGFR and STAT3 in the activation of the iNOS/NO pathway
.
Cancer Cell
2005
;
7
:
575
89
.
31
Hung
L-Y
,
Tseng
JT
,
Lee
Y-C
, et al
. 
Nuclear epidermal growth factor receptor (EGFR) interacts with signal transducer and activator of transcription 5 (STAT5) in activating Aurora-A gene expression
.
Nucleic Acids Res
2008
;
36
:
4337
51
.
32
Hanada
N
,
Lo
HW
,
Day
CP
,
Pan
Y
,
Nakajima
Y
,
Hung
MC
. 
Co-regulation of B-Myb expression by E2F1 and EGF receptor
.
Mol Carcinog
2006
;
45
:
10
7
.
33
Flower
RJ
. 
The development of COX-2 inhibitors
.
Nat Rev Drug Discov
2003
;
2
:
179
91
.
34
Soslow
RA
,
Dannenberg
AJ
,
Rush
D
, et al
. 
COX-2 is expressed in human pulmonary, colonic, and mammary tumors
.
Cancer
2000
;
89
:
2637
45
.
35
Subbaramaiah
K
,
Norton
L
,
Gerald
W
,
Dannenberg
AJ
. 
Cyclooxygenase-2 is overexpressed in HER-2/neu-positive breast cancer: evidence for involvement of AP-1 and PEA3
.
J Biol Chem
2002
;
277
:
18649
57
.
36
Ristimaki
A
,
Sivula
A
,
Lundin
J
, et al
. 
Prognostic significance of elevated cyclooxygenase-2 expression in breast cancer
.
Cancer Res
2002
;
62
:
632
5
.
37
Williams
CC
,
Allison
JG
,
Vidal
GA
, et al
. 
The ERBB4/HER4 receptor tyrosine kinase regulates gene expression by functioning as a STAT5A nuclear chaperone
.
J Cell Biol
2004
;
167
:
469
78
.
38
Naresh
A
,
Thor
AD
,
Edgerton
SM
,
Torkko
KC
,
Kumar
R
,
Jones
FE
. 
The HER4/4ICD estrogen receptor coactivator and BH3-only protein is an effector of tamoxifen-induced apoptosis
.
Cancer Res
2008
;
68
:
6387
95
.
39
Linggi
B
,
Carpenter
G
. 
ErbB-4 s80 intracellular domain abrogates ETO2-dependent transcriptional repression
.
J Biol Chem
2006
;
281
:
25373
80
.
40
Tan
M
,
Jing
T
,
Lan
K-H
, et al
. 
Phosphorylation on tyrosine-15 of p34cdc2 by erbb2 inhibits p34cdc2 activation and is involved in resistance to taxol-induced apoptosis
.
Mol Cell
2002
;
9
:
993
1004
.
41
Linggi
B
,
Cheng
QC
,
Rao
AR
,
Carpenter
G
. 
The ErbB-4 s80 intracellular domain is a constitutively active tyrosine kinase
.
Oncogene
2005
;
25
:
160
3
.
42
Arasada
RR
,
Carpenter
G
. 
Secretase-dependent tyrosine phosphorylation of Mdm2 by the ErbB-4 intracellular domain fragment
.
J Biol Chem
2005
;
280
:
30783
7
.
43
Wang
S-C
,
Nakajima
Y
,
Yu
Y-L
, et al
. 
Tyrosine phosphorylation controls PCNA function through protein stability
.
Nat Cell Biol
2006
;
8
:
1359
68
.
44
Lo
H-W
,
Xia
W
,
Wei
Y
,
Ali-Seyed
M
,
Huang
S-F
,
Hung
M-C
. 
Novel prognostic value of nuclear epidermal growth factor receptor in breast cancer
.
Cancer Res
2005
;
65
:
338
48
.
45
Psyrri
A
,
Yu
Z
,
Weinberger
PM
, et al
. 
Quantitative determination of nuclear and cytoplasmic epidermal growth factor receptor expression in oropharyngeal squamous cell cancer by using automated quantitative analysis
.
Clin Cancer Res
2005
;
11
:
5856
62
.
46
Psyrri
A
,
Egleston
B
,
Pectasides
E
, et al
. 
Correlates and determinants of nuclear epidermal growth factor receptor content in an oropharyngeal cancer tissue microarray
.
Cancer Epidemiol Biomarkers Prev
2008
;
17
:
1486
92
.
47
Hoshino
M
,
Fukui
H
,
Ono
Y
, et al
. 
Nuclear expression of phosphorylated EGFR is associated with poor prognosis of patients with esophageal squamous cell carcinoma
.
Pathobiology
2007
;
74
:
15
21
.
48
Psyrri
A
,
Kassar
M
,
Yu
Z
, et al
. 
Effect of epidermal growth factor receptor expression level on survival in patients with epithelial ovarian cancer
.
Clin Cancer Res
2005
;
11
:
8637
43
.
49
Xia
W
,
Wei
Y
,
Du
Y
, et al
. 
Nuclear expression of epidermal growth factor receptor is a novel prognostic value in patients with ovarian cancer
.
Mol Carcinog
2009
;
48
:
610
7
.
50
Hynes
NE
,
Lane
HA
. 
ERBB receptors and cancer: the complexity of targeted inhibitors
.
Nat Rev Cancer
2005
;
5
:
341
54
.
51
Edwards
J
,
Traynor
P
,
Munro
AF
,
Pirret
CF
,
Dunne
B
,
Bartlett
JMS
. 
The role of HER1–4 and EGFRvIII in hormone-refractory prostate cancer
.
Clin Cancer Res
2006
;
12
:
123
30
.
52
Ge
H
,
Gong
X
,
Tang
CK
. 
Evidence of high incidence of EGFRvIII expression and coexpression with EGFR in human invasive breast cancer by laser capture microdissection and immunohistochemical analysis
.
Int J Cancer
2002
;
98
:
357
61
.
53
de la Iglesia
N
,
Konopka
G
,
Puram
SV
, et al
. 
Identification of a PTEN-regulated STAT3 brain tumor suppressor pathway
.
Genes Dev
2008
;
22
:
449
62
.
54
Tao
Y
,
Song
X
,
Deng
X
, et al
. 
Nuclear accumulation of epidermal growth factor receptor and acceleration of G1/S stage by Epstein-Barr-encoded oncoprotein latent membrane protein 1
.
Exp Cell Res
2005
;
303
:
240
51
.
55
Cordero
JB
,
Cozzolino
M
,
Lu
Y
, et al
. 
1,25-Dihydroxyvitamin D down-regulates cell membrane growth- and nuclear growth-promoting signals by the epidermal growth factor receptor
.
J Biol Chem
2002
;
277
:
38965
71
.
56
Schmidt-Ullrich
RK
,
Mikkelsen
RB
,
Dent
P
, et al
. 
Radiation-induced proliferation of the human A431 squamous carcinoma cells is dependent on EGFR tyrosine phosphorylation
.
Oncogene
1997
;
15
:
1191
7
.
57
Goldkorn
T
,
Balaban
N
,
Shannon
M
,
Matsukuma
K
. 
EGF receptor phosphorylation is affected by ionizing radiation
.
Biochim Biophys Acta
1997
;
1358
:
289
99
.
58
Herbst
RS
. 
Review of epidermal growth factor receptor biology
.
Int J Radiat Oncol Biol Phys
2004
;
59
:
21
6
.
59
Rodemann
HP
,
Dittmann
K
,
Toulany
M
. 
Radiation-induced EGFR-signaling and control of DNA-damage repair
.
Int J Radiat Biol
2007
;
83
:
781
91
.
60
Kwok
TT
,
Sutherland
RM
. 
Differences in EGF related radiosensitisation of human squamous carcinoma cells with high and low numbers of EGF receptors
.
Br J Cancer
1991
;
64
:
251
4
.
61
Kwok
TT
,
Sutherland
RM
. 
Cell cycle dependence of epidermal growth factor induced radiosensitization
.
Int J Radiat Oncol Biol Phys
1992
;
22
:
525
7
.
62
Bonner
JA
,
Maihle
NJ
,
Folven
BR
,
Christianson
TJ
,
Spain
K
. 
The interaction of epidermal growth factor and radiation in human head and neck squamous cell carcinoma cell lines with vastly different radiosensitivities
.
Int J Radiat Oncol Biol Phys
1994
;
29
:
243
7
.
63
Das
AK
,
Chen
BP
,
Story
MD
, et al
. 
Somatic mutations in the tyrosine kinase domain of epidermal growth factor receptor (EGFR) abrogate EGFR-mediated radioprotection in non-small cell lung carcinoma
.
Cancer Res
2007
;
67
:
5267
74
.
64
Dittmann
K
,
Mayer
C
,
Fehrenbacher
B
, et al
. 
Radiation-induced epidermal growth factor receptor nuclear import is linked to activation of DNA-dependent protein kinase
.
J Biol Chem
2005
;
280
:
31182
9
.
65
Dittmann
K
,
Mayer
C
,
Kehlbach
R
,
Rodemann
HP
. 
Radiation-induced caveolin-1 associated EGFR internalization is linked with nuclear EGFR transport and activation of DNA-PK
.
Mol Cancer
2008
;
7
:
69
.
66
Wanner
G
,
Mayer
C
,
Kehlbach
R
,
Rodemann
HP
,
Dittmann
K
. 
Activation of protein kinase C-epsilon stimulates DNA-repair via epidermal growth factor receptor nuclear accumulation
.
Radiother Oncol
2008
;
86
:
383
90
.
67
Kim
HP
,
Yoon
YK
,
Kim
JW
, et al
. 
Lapatinib, a dual EGFR and HER2 tyrosine kinase inhibitor, downregulates thymidylate synthase by inhibiting the nuclear translocation of EGFR and HER2
.
PLoS One
2009
;
4
:
e5933
.
68
Bandyopadhyay
D
,
Mandal
M
,
Adam
L
,
Mendelsohn
J
,
Kumar
R
. 
Physical Interaction between epidermal growth factor receptor and DNA-dependent protein kinase in mammalian cells
.
J Biol Chem
1998
;
273
:
1568
73
.
69
Huang
S-M
,
Harari
PM
. 
Modulation of radiation response after epidermal growth factor receptor blockade in squamous cell carcinomas: inhibition of damage repair, cell cycle kinetics, and tumor angiogenesis
.
Clin Cancer Res
2000
;
6
:
2166
74
.
70
Dittmann
K
,
Mayer
C
,
Rodemann
H-P
. 
Inhibition of radiation-induced EGFR nuclear import by C225 (Cetuximab) suppresses DNA-PK activity
.
Radiother Oncol
2005
;
76
:
157
61
.
71
Dittmann
KH
,
Mayer
C
,
Ohneseit
PA
, et al
. 
Celecoxib induced tumor cell radiosensitization by inhibiting radiation induced nuclear EGFR transport and DNA-repair: a COX-2 independent mechanism
.
Int J Radiat Oncol Biol Phys
2008
;
70
:
203
12
.
72
Koumakpayi
IH
,
Diallo
JS
,
Le Page
C
, et al
. 
Expression and nuclear localization of ErbB3 in prostate cancer
.
Clin Cancer Res
2006
;
12
:
2730
7
.
73
Cheng
C-J
,
Ye
X-c
,
Vakar-Lopez
F
, et al
. 
Bone microenvironment and androgen status modulate subcellular localization of erbb3 in prostate cancer cells
.
Mol Cancer Res
2007
;
5
:
675
84
.
74
Sardi
SP
,
Murtie
J
,
Koirala
S
,
Patten
BA
,
Corfas
G
. 
Presenilin-dependent erbb4 nuclear signaling regulates the timing of astrogenesis in the developing brain
.
Cell
2006
;
127
:
185
97
.
75
Srinivasan
R
,
Gillett
CE
,
Barnes
DM
,
Gullick
WJ
. 
Nuclear Expression of the c-erbB-4/HER-4 growth factor receptor in invasive breast cancers
.
Cancer Res
2000
;
60
:
1483
7
.