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Ginsenoside Rg3 attenuates cisplatin resistance in lung cancer by downregulating PD-L1 and resuming immune

Zhansheng Jiang1, Yanfang Yang2, Yinli Yang1

  • 1Department of Integrative Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China.

Insights

Ginsenoside Rg3 combats cisplatin resistance in non-small cell lung cancer (NSCLC) by reducing PD-L1 expression. This natural compound restores T cell activity against cancer cells, offering a new therapeutic strategy.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Programmed death ligand 1 (PD-L1) is a key immune checkpoint implicated in chemotherapy resistance in non-small cell lung cancer (NSCLC).
  • Ginsenoside Rg3, derived from Panax ginseng, exhibits anti-cancer properties and immune-boosting effects relevant to NSCLC treatment.

Purpose of the Study:

  • To investigate if Ginsenoside Rg3 can reduce PD-L1 expression in cisplatin-resistant NSCLC.
  • To elucidate the underlying mechanisms by which Rg3 affects PD-L1 expression and chemoresistance.

Main Methods:

  • Utilized human lung cancer cell lines (A549 and cisplatin-resistant A549/DDP).
  • Assessed cell viability (MTT assay), protein expression (Western blot for PD-L1, Akt, NF-κB p65), and T cell cytotoxicity (crystal violet staining).

Main Results:

  • Ginsenoside Rg3 inhibited A549/DDP cell growth and reduced cisplatin resistance.
  • PD-L1 was overexpressed in resistant cells; Rg3 decreased this expression and restored T cell-mediated cytotoxicity.
  • Rg3 suppressed the Akt and NF-κB p65 pathways involved in PD-L1 overexpression.

Conclusions:

  • Ginsenoside Rg3 demonstrates potential as a novel therapeutic agent targeting PD-L1 in chemotherapy-refractory NSCLC.
  • Rg3 may overcome chemoresistance by modulating the PD-L1 immune checkpoint via the Akt and NF-κB pathways.

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