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Updated: Jan 23, 2026

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
CNOT3 contributes to cisplatin resistance in lung cancer through inhibiting RIPK3 expression
Lin Jing1,2, Meng-En Zhai3, Jian Cui1,2
1National Translational Science Center for Molecular Medicine, Xi'an, 710032, China.
Abstract:
Chemotherapeutic resistance always results in poor clinical outcomes of cancer patients and its intricate mechanisms are large obstacles in overcoming drug resistance. CCR4-NOT transcription complex subunit 3 (CNOT3), a post-translational regulator, is suggested to be involved in cancer development and progression. However, its role in chemotherapeutic resistance is not well understood. In this study, after screening the CNOT3 mRNA in a cancer microarray database called Oncomine and examining the expression levels of CNOT3 mRNA in normal tissues and lung cancer tissues, we found that CNOT3 was up-regulated in lung cancer tissues. Besides, its high-expression was associated with poor prognosis of lung cancer patients. We also found higher expression level of CNOT3 and lower expression level of receptor-interacting protein kinase 3 (RIPK3) in cisplatin-resistant A549 (A549/DDP) cells, and knocking down CNOT3 expression could sensitize A549/DDP cells to cisplatin-induced apoptosis. We demonstrated that CNOT3 depletion up-regulated the expression level of RIPK3 and the enhanced apoptosis was mediated by the elevated RIPK3 to further trigger Caspase 8 activation. Taken together, our results reveal a role of CNOT3 in cisplatin resistance of lung cancer and provide a potential target for lung cancer therapy.
Insights
CCR4-NOT transcription complex subunit 3 (CNOT3) is upregulated in lung cancer and linked to poor prognosis. Reducing CNOT3 sensitizes cancer cells to chemotherapy by increasing RIPK3, offering a new therapeutic target.
Area of Science:
- Molecular oncology
- Cancer epigenetics
- Chemotherapy resistance mechanisms
Background:
- Chemotherapeutic resistance leads to poor patient outcomes.
- CNOT3's role in cancer progression is known, but its link to drug resistance is unclear.
- Understanding resistance mechanisms is crucial for effective cancer therapy.
Purpose of the Study:
- To investigate the role of CNOT3 in chemotherapeutic resistance in lung cancer.
- To explore CNOT3's impact on cisplatin resistance and patient prognosis.
- To identify CNOT3 as a potential therapeutic target for lung cancer.
Main Methods:
- Analysis of CNOT3 mRNA expression in lung cancer tissues using the Oncomine database.
- Examination of CNOT3 and RIPK3 expression in normal and lung cancer tissues, and in cisplatin-resistant A549 cells.
- Knockdown of CNOT3 in A549/DDP cells to assess chemosensitization and apoptosis induction.
- Investigation of RIPK3 and Caspase 8 activation following CNOT3 depletion.
Main Results:
- CNOT3 mRNA was upregulated in lung cancer tissues and associated with poor prognosis.
- Higher CNOT3 and lower RIPK3 expression were observed in cisplatin-resistant A549/DDP cells.
- CNOT3 knockdown sensitized A549/DDP cells to cisplatin, enhancing apoptosis.
- CNOT3 depletion increased RIPK3 expression, which mediated apoptosis via Caspase 8 activation.
Conclusions:
- CNOT3 plays a significant role in cisplatin resistance in lung cancer.
- Elevated CNOT3 expression contributes to poor prognosis in lung cancer patients.
- Targeting CNOT3 may represent a novel therapeutic strategy to overcome cisplatin resistance in lung cancer.
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