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Updated: Jul 19, 2026

Isolation of Lung Retinoid-Containing Cells by Cell Sorting
Published on: April 11, 2025
Cyclic adenosine monophosphate-dependent cell type-specific modulation of mitogenic signaling by retinoids in normal
Hussein A N Al-Wadei1, Hildegard M Schuller
1Experimental Oncology Laboratory, Department of Pathobiology, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.
Background:
Lung cancer is the leading cause of cancer death worldwide. A diet rich in fruit and vegetables has been shown to reduce the lung cancer risk. However, clinical trials with beta-carotene and retinoids have disappointed, resulted in increased mortality from lung cancer and cardiovascular disease.
Methods:
We have investigated the effects of the two major retinol metabolites, 9-cis-retinoic acid (9-Cis-RA), and 13-cis-retinoic acid (13-Cis-RA), on cell proliferation (MTT assays), intracellular cAMP (cAMP immunoassays), PKA activation (non-radioactive PKA activation assays), and ERK1/2 phosphorylation (Western blots) in immortalized human small airway epithelial cells, HPL1D, a human lung adenocarcinoma cell line, NCI-H322, immortalized human bronchial epithelial cells, BEAS-2B, and in the human small cell lung carcinoma cell line, NCI-H69.
Results:
Both retinoids increased intracellular cAMP and PKA activation in all cell lines. In BEAS-2B and NCI-H69 cells, the stimulation of cAMP/PKA reduced the phosphorylation of ERK1/2 and inhibited cell proliferation whereas phosphorylation of ERK1/2 and cell proliferation were increased in HPL1D and NCI-H322 cells.
Conclusions:
Our data have identified a novel mechanism of action of 9-Cis-RA and 13-Cis-RA: activation of PKA in response to increased cAMP. The observed stimulation of cAMP/PKA may inhibit the development of small cell lung carcinoma and other tumors derived from large airway epithelia whereas it may selectively promote the development of lung tumors derived from small airway epithelial cells, such as adenocarcinoma.
Insights
Retinoids 9-cis-retinoic acid (9-Cis-RA) and 13-cis-retinoic acid (13-Cis-RA) activate cAMP and PKA. This may inhibit small cell lung cancer but promote adenocarcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Lung cancer is a leading cause of cancer death globally.
- Fruit and vegetable consumption may reduce lung cancer risk.
- Previous trials with beta-carotene and retinoids showed increased mortality.
Purpose of the Study:
- Investigate the effects of 9-cis-retinoic acid (9-Cis-RA) and 13-cis-retinoic acid (13-Cis-RA) on lung cancer cells.
- Examine the role of cAMP, PKA, and ERK1/2 pathways in retinoid-induced effects.
Main Methods:
- Utilized MTT assays for cell proliferation.
- Employed cAMP immunoassays and PKA activation assays.
- Analyzed ERK1/2 phosphorylation using Western blots in various human lung cell lines.
Main Results:
- Both 9-Cis-RA and 13-Cis-RA increased intracellular cAMP and PKA activation in all tested cell lines.
- In BEAS-2B and NCI-H69 cells, cAMP/PKA stimulation reduced ERK1/2 phosphorylation and inhibited cell proliferation.
- Conversely, in HPL1D and NCI-H322 cells, cAMP/PKA stimulation increased ERK1/2 phosphorylation and cell proliferation.
Conclusions:
- Identified a novel mechanism: 9-Cis-RA and 13-Cis-RA activate PKA via increased cAMP.
- cAMP/PKA stimulation may inhibit small cell lung carcinoma and large airway epithelial tumors.
- This pathway may selectively promote lung adenocarcinoma development from small airway epithelial cells.
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