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Updated: Jul 17, 2026

Multidimensional Coculture System to Model Lung Squamous Carcinoma Progression
Published on: March 17, 2020
Clarithromycin suppresses invasiveness of human lung adenocarcinoma cells
Toshihiro Wada1, Makoto Sata, Jun Sato
1Division of Cardiology, Pulmonology, and Nephrology, Department of Internal Medicine and Therapeutics, Yamagata University School of Medicine, Yamagata, Japan.
Background:
It has been speculated that clarithromycin (CAM), a 14-membered ring macrolide, possesses antitumor effects besides antimicrobial and anti-inflammatory effects.
Method:
We evaluated the effects of CAM on the growth and invasiveness of A549 lung adenocarcinoma cells.
Results:
Although CAM did not affect the growth of A549 cells, the Matrigel invasion assay showed that the potential of invasion was diminished by CAM treatment. When analyzed by flow cytometry, CAM suppressed alpha(2)- and beta(1)-integrin expression. Furthermore, thymidine phosphorylase (TP) expression was diminished by CAM treatment in a dose-dependent manner. A specific TP inhibitor also suppressed beta(1)-integrin expression in flow cytometric analysis.
Conclusions:
These results suggest that CAM may suppress invasive activity of A549 cells in part by diminishing the expression of TP, alpha(2)- and beta(1)-integrin, which may be a downstream signal of the TP pathway, and that CAM could be useful in the treatment of lung adenocarcinoma.