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Updated: Oct 15, 2025

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Hsa_circ_0005576 promotes osimertinib resistance through the miR-512-5p/IGF1R axis in lung adenocarcinoma cells
Suo Liu1, Zhibin Jiang1, Peng Xiao1
1Department of Cardiothoracic Surgery, The Third Xiangya Hospital of Central South University, Changsha, China.
Abstract:
Osimertinib is a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) for lung adenocarcinoma (LUAD) harboring activating mutations, but patients ultimately develop acquired resistance. Circular RNAs are involved in EGFR-TKI resistance, while the role of hsa_circ_0005576 in the osimertinib resistance of LUAD remains unknown. In this study, we demonstrated that hsa_circ_0005576 could facilitate osimertinib-resistant LUAD cells. Briefly, knockdown of hsa_circ_0005576 not only suppressed the proliferation and promoted the apoptosis of resistant LUAD cells, but also increased their sensitivity to osimertinib. Mechanistically, hsa_circ_0005576, serving as an miRNA sponge, could directly interact with miR-512-5p and subsequently upregulate the miR-512-5p-targeted insulin-like growth factor 1 receptor. Rescue assays indicated that miR-512-5p inhibition could reverse the effects of hsa_circ_0005576 knockdown in LUAD cells resistant to osimertinib. Overall, our study revealed that hsa_circ_0005576 regulates proliferation and apoptosis through miR-512-5p/IGF1R signaling, which contributes further to the resistance of LUAD cells to osimertinib. In addition, this study provides a novel insight into the mechanisms underlying osimertinib resistance of LUAD.
Insights
Circular RNA hsa_circ_0005576 promotes osimertinib resistance in lung adenocarcinoma by sponging miR-512-5p and upregulating IGF1R. Knockdown enhances sensitivity, offering new therapeutic insights.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Osimertinib, a third-generation EGFR-TKI, treats EGFR-mutant lung adenocarcinoma (LUAD).
- Acquired resistance to osimertinib is a significant clinical challenge.
- Circular RNAs (circRNAs) are implicated in drug resistance, but hsa_circ_0005576's role in LUAD osimertinib resistance is unexplored.
Purpose of the Study:
- To investigate the role of hsa_circ_0005576 in osimertinib resistance in LUAD.
- To elucidate the underlying molecular mechanism of hsa_circ_0005576-mediated resistance.
Main Methods:
- knockdown of hsa_circ_0005576 in resistant LUAD cells.
- Investigated proliferation, apoptosis, and sensitivity to osimertinib.
- Conducted mechanistic studies involving miRNA sponging and target gene analysis (miR-512-5p/IGF1R).
- Performed rescue assays to validate findings.
Main Results:
- hsa_circ_0005576 knockdown suppressed proliferation and promoted apoptosis in osimertinib-resistant LUAD cells.
- Knockdown of hsa_circ_0005576 increased LUAD cell sensitivity to osimertinib.
- hsa_circ_0005576 acts as a sponge for miR-512-5p, upregulating its target, IGF1R.
- Inhibition of miR-512-5p reversed the effects of hsa_circ_0005576 knockdown.
Conclusions:
- hsa_circ_0005576 facilitates osimertinib resistance in LUAD by regulating proliferation and apoptosis via the miR-512-5p/IGF1R pathway.
- hsa_circ_0005576 represents a potential therapeutic target for overcoming osimertinib resistance in LUAD.
- This study provides novel insights into the molecular mechanisms of osimertinib resistance in LUAD.
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