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Updated: May 15, 2026

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Vandetanib is effective in EGFR-mutant lung cancer cells with PTEN deficiency
Hiromasa Takeda1, Nagio Takigawa, Kadoaki Ohashi
1Department of Hematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Abstract:
The effectiveness of vandetanib, an agent that targets RET, VEGFR and EGFR signaling, against EGFR-mutant lung cancer cells with PTEN loss was investigated. Two EGFR mutant non-small cell lung cancer (NSCLC) cell lines, PC-9 (PTEN wild type) and NCI-H1650 (PTEN null), were used. We transfected an intact PTEN gene into H1650 cells and knocked down PTEN expression in PC-9 cells using shRNA. The effectiveness of gefitinib and vandetanib was assessed using a xenograft model. While PC-9 cells were more resistant to vandetanib than gefitinib, H1650 cells were more sensitive to vandetanib than gefitinib. Both gefitinib and vandetanib suppressed the activation of EGFR and MAPK in H1650 cells, although phosphorylated AKT levels were not affected. In an H1650 cell xenograft model, vandetanib was also more effective than gefitinib. Although PTEN-transfected H1650 cells did not show restoration of sensitivity to gefitinib in vitro, the xenograft tumors responded to gefitinib and vandetanib. Knockdown of PTEN in PC-9 cells caused resistance to gefitinib. In conclusion, vandetanib might be effective in NSCLC with EGFR mutations that lack PTEN expression. The contribution of PTEN absence to vandetanib activity in NSCLC cells harboring EGFR mutations should be further examined.
Insights
Vandetanib shows effectiveness against EGFR-mutant non-small cell lung cancer (NSCLC) cells lacking PTEN. This study investigated vandetanib
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Non-small cell lung cancer (NSCLC) with EGFR mutations is a significant challenge.
- PTEN loss is implicated in resistance to targeted therapies.
- Vandetanib targets RET, VEGFR, and EGFR signaling pathways.
Purpose of the Study:
- To investigate the efficacy of vandetanib in EGFR-mutant NSCLC cells with PTEN loss.
- To compare vandetanib with gefitinib in PTEN-altered NSCLC models.
- To elucidate the role of PTEN status in response to EGFR inhibitors.
Main Methods:
- Utilized two EGFR-mutant NSCLC cell lines: PC-9 (PTEN wild type) and NCI-H1650 (PTEN null).
- Manipulated PTEN expression via gene transfection and shRNA-mediated knockdown.
- Assessed drug effectiveness using in vitro assays and a xenograft mouse model.
Main Results:
- NCI-H1650 (PTEN null) cells were more sensitive to vandetanib than gefitinib.
- Vandetanib and gefitinib suppressed EGFR and MAPK activation in PTEN-null cells.
- PTEN knockdown in PC-9 cells induced gefitinib resistance, while PTEN restoration in NCI-H1650 cells showed varied responses in vitro and in vivo.
Conclusions:
- Vandetanib demonstrates potential efficacy in EGFR-mutant NSCLC with PTEN loss.
- PTEN absence may contribute to vandetanib's activity in this context.
- Further research is warranted to explore PTEN's role in vandetanib response in NSCLC.
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