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Updated: Mar 31, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Epidermal growth factor receptor status and Notch inhibition in non-small cell lung cancer cells
Efstathia Giannopoulou1, Achilleas Nikolakopoulos1, Dimitra Kotsirilou1,2
1Clinical Oncology Laboratory, Division of Oncology, Department of Medicine, University of Patras, Patras Medical School, Rio, 26504, Greece.
Background:
Notch may behave as an oncogene or a tumor suppressor gene in lung cancer cells. Notch receptor undergoes cleavage by enzymes, including γ-secretase, generating the active Notch intracellular domain (NICD). The aim of the present study was to investigate the effect of DAPT, a γ-secretase inhibitor, in non-small cell lung cancer (NSCLC) cells, as well as the impact of epidermal growth factor (EGF) that is over-expressed by NSCLC cells, on Notch signaling. H23, A549, H661 and HCC827 human NSCLC cell lines were used, expressing various NICD and EGF receptor (EGFR) protein levels.
Results:
DAPT decreased the number of H661 cells in a concentration-dependent manner, while it had a small effect on H23 and A549 cells and no effect on HCC827 cells that carry mutated EGFR. Notch inhibition did not affect the stimulatory effect of EGF on cell proliferation, while EGF prevented DAPT-induced NICD decrease in H23 and H661 cells. The type of cell death induced by DAPT seems to depend on the cell type.
Conclusions:
Our data indicate that inhibition of Notch cleavage may not affect cell number in the presence of EGFR mutations and that EGFR may affect Notch signalling suggesting that a dual inhibition of these pathways might be promising in NSCLC.
Insights
Gamma-secretase inhibitor DAPT affects non-small cell lung cancer (NSCLC) cell number, but epidermal growth factor (EGF) impacts Notch signaling. Dual inhibition may be promising for NSCLC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Notch signaling's dual role (oncogene/tumor suppressor) in lung cancer.
- Notch receptor cleavage by gamma-secretase yields active Notch intracellular domain (NICD).
- Epidermal growth factor (EGF) is over-expressed in non-small cell lung cancer (NSCLC).
Purpose of the Study:
- Investigate DAPT's effect (gamma-secretase inhibitor) on NSCLC cells.
- Determine EGF's impact on Notch signaling in NSCLC.
- Analyze the interplay between EGF and Notch pathways.
Main Methods:
- Utilized NSCLC cell lines (H23, A549, H661, HCC827) with varying NICD and EGFR levels.
- Administered DAPT and assessed its concentration-dependent effects on cell proliferation and death.
- Evaluated EGF's influence on DAPT-treated cells and NICD levels.
Main Results:
- DAPT reduced H661 cell numbers dose-dependently; minimal effect on H23/A549; no effect on HCC827 (mutated EGFR).
- EGF stimulation did not alter DAPT's effect on cell proliferation.
- EGF prevented DAPT-induced NICD decrease in H23 and H661 cells, suggesting pathway interaction.
Conclusions:
- Notch cleavage inhibition may not impact cell number in EGFR-mutated NSCLC.
- EGFR signaling influences Notch signaling, indicating potential for dual inhibition.
- Combined inhibition of Notch and EGFR pathways shows promise for NSCLC therapy.
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