Pathological post-transcriptional control of the
proteome composition is a central feature of
malignancy. Two steps in this pathway, eIF4F-driven cap-dependent mRNA translation and the
ubiquitin-
proteasome system (UPS), are deregulated in most if not all
cancers. We tested a hypothesis that
eIF4F is aberrantly activated in human esophageal
adenocarcinoma (EAC) and requires elevated rates of
protein turnover and proteolysis and thereby activated UPS for its pro-neoplastic function. Here, we show that 80% of
tumors and cell lines featuring amplified ERBB2 display an aberrantly activated
eIF4F. Direct genetic targeting of the
eIF4F in ERBB2-amplified EAC cells with a constitutively active form of the
eIF4F repressor 4E-BP1 decreased colony formation and proliferation and triggered apoptosis. In contrast, suppression of m-
TOR-kinase activity towards 4E-BP1with
rapamycin only modestly inhibited eIF4F-driven cap-dependent translation and EAC malignant phenotype; and promoted feedback activation of other
cancer pathways. Our data show that co-treatment with 2 FDA-approved agents, the m-TOR inhibitor
rapamycin and the
proteasome inhibitor bortezomib, leads to strong synergistic growth-inhibitory effects. Moreover, direct targeting of
eIF4F with constitutively active 4E-BP1 is significantly more potent in collaboration with
bortezomib than
rapamycin. These data support the hypothesis that a finely tuned balance between eIF4F-driven
protein synthesis and
proteasome-mediated protein degradation is required for the maintenance of ERBB2-mediated EAC malignant phenotype. Altogether, our study supports the development of
pharmaceuticals to directly target
eIF4F as most efficient strategy; and provides a clear rationale for the clinical evaluation of combination
therapy with m-TOR inhibitors and
bortezomib for EAC treatment.