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Updated: Jan 27, 2026

Radiosensitivity of Cancer Stem Cells in Lung Cancer Cell Lines
Published on: August 21, 2019
Comprehensive analysis of circular RNA profiling in AZD9291-resistant non-small cell lung cancer cell lines
Tianxiang Chen1,2, Jizhuang Luo3, Yu Gu4
1Shanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Background:
Osimertinib (AZD9291), a third-generation EGFR-tyrosine kinase inhibitor, can effectively prolong survival in non-small cell lung cancer (NSCLC) patients with EGFR mutations, particularly T790M mutations; however, acquired resistance to AZD9291 is inevitable, thus exploration of the targets of resistance is urgent.
Methods:
Considering the important role of circular RNAs (circRNAs) in cancers, we established AZD9291-resistant NSCLC cell lines (H1975/AZDR and HCC827/AZDR) and used microarray analysis to determine the circRNA expression profiles of the cells. The H1975/AZDR and HCC827/AZDR cell lines were induced by gradually increasing the drug concentration. CircRNA microarray expression profiles were obtained from H1975, HCC827, H1975/AZDR, and HCC827/AZDR cells and validated by quantitative reverse transcription PCR. Expression data were analyzed bioinformatically.
Results:
The H1975/AZDR and HCC827/AZDR cell lines were successfully established. The half-maximal inhibitory concentration and the invasion ability of H1975/AZDR and HCC827/AZDR cells were significantly enhanced. The proliferation rates of H1975/AZDR and HCC827/AZDR were much lower than H1975 and HCC827. Microarray analysis identified 15 504 circRNAs differentially expressed in H1975, HCC827, H1975/AZDR, and HCC827/AZDR cells. Among them, 7966 were upregulated and 7538 were downregulated more than two-fold. We predicted the possible miRNAs of the top dysregulated circRNAs. Furthermore, Kyoto Encyclopedia of Genes and Genomes pathway analysis showed that the most modulated circRNAs regulate several cancers and cancer-related pathways.
Conclusion:
Our results reveal that circRNAs may play a role in NSCLC AZD9291 resistance and might be a promising molecular target candidate for gene therapy.
Insights
Acquired resistance to Osimertinib (AZD9291) in non-small cell lung cancer is inevitable. This study identifies circular RNAs (circRNAs) as potential targets for overcoming AZD9291 resistance in NSCLC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Osimertinib (AZD9291) is a third-generation EGFR-tyrosine kinase inhibitor used for non-small cell lung cancer (NSCLC) with EGFR mutations.
- Acquired resistance to AZD9291 is a significant clinical challenge, necessitating research into resistance mechanisms.
- Circular RNAs (circRNAs) are increasingly recognized for their roles in cancer development and progression.
Purpose of the Study:
- To investigate the role of circRNAs in acquired resistance to AZD9291 in NSCLC.
- To identify differentially expressed circRNAs in AZD9291-resistant NSCLC cell lines.
- To explore circRNAs as potential therapeutic targets for overcoming AZD9291 resistance.
Main Methods:
- Established AZD9291-resistant NSCLC cell lines (H1975/AZDR and HCC827/AZDR) by gradually increasing drug concentration.
- Utilized circRNA microarray analysis to compare circRNA expression profiles between sensitive and resistant cell lines.
- Validated differentially expressed circRNAs using quantitative reverse transcription PCR and performed bioinformatic analysis.
Main Results:
- Successfully established AZD9291-resistant NSCLC cell lines with significantly enhanced invasion ability and resistance to Osimertinib.
- Microarray analysis identified a large number of differentially expressed circRNAs (15,504), with 7966 upregulated and 7538 downregulated.
- Bioinformatic analysis predicted miRNA interactions and indicated that dysregulated circRNAs are involved in cancer-related pathways.
Conclusions:
- Circular RNAs play a crucial role in the development of AZD9291 resistance in non-small cell lung cancer.
- Dysregulated circRNAs represent promising molecular targets for developing novel gene therapies to overcome Osimertinib resistance.
- Further research into circRNA-mediated mechanisms is warranted for effective NSCLC treatment strategies.
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