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Updated: Oct 6, 2025

Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
GLP2-GLP2R signal affects the viability and EGFR-TKIs sensitivity of PC9 and HCC827 cells
Bin Song1, Hong Ge1, Chenwei Pu1
1Department of Respiratory Medicine, Zibo Central Hospital, #54 Gongqingtuan West Road, Zhangdian, Zibo, 255036, Shandong, People's Republic of China.
Background:
The resistance to epidermal growth factor receptor (EGFR)- tyrosine kinase inhibitors (TKIs) therapy is currently the major clinical challenge in the treatment of lung cancer. This study aims to reveal the role of glucagon-like peptide (GLP) 2 and GLP-2 receptor (GLP2R) signaling on the EGFR-TKIs and cisplatin resistance of lung cancer cells.
Methods:
The common differentially expressed genes in PC9 and HCC827 cells that were individually resistant to one of the three EGFR-TKIs (dacomitinib, osimertinib and afatinib) were screened. The data were from GSE168043 and GSE163913. The expression of GLP2R in drug-resistant cells was detected by western blot. The effect of GLP2R expression down- or up-regulation on resistance to dacomitinib, osimertinib, afatinib or cisplatin was measured by CCK-8 and flow cytometry assays. The long-acting analog of GLP-2, teduglutide, treated the parental cells.
Results:
A total of 143 common differentially expressed genes were identified. Compared with the parent cells, the GLP2R expression in drug-resistant cell lines was significantly up-regulated. The exogenous expression of GLP2R in parental cells enhanced cell viability, while knockdown of GLP2R levels in drug-resistant cell lines inhibited cell viability. In addition, teduglutide treatment also enhanced the viability of lung cancer cells.
Conclusion:
GLP2-GLP2R signal may change the sensitivity of cells to EGFR-TKIs and cisplatin. The development of GLP-2 or GLP2R inhibitors may be beneficial to the clinical treatment of lung cancer.
Insights
Glucagon-like peptide 2 (GLP-2) receptor signaling enhances lung cancer cell resistance to EGFR-TKIs and cisplatin. Inhibiting GLP-2 or GLP2R may improve cancer treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lung cancer treatment faces challenges due to resistance to epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs).
- Understanding novel signaling pathways involved in drug resistance is crucial for developing effective therapies.
Purpose of the Study:
- To investigate the role of glucagon-like peptide (GLP)-2 and GLP-2 receptor (GLP2R) signaling in acquired resistance to EGFR-TKIs and cisplatin in lung cancer cells.
- To identify potential therapeutic targets for overcoming drug resistance.
Main Methods:
- Screening of differentially expressed genes in EGFR-TKI-resistant lung cancer cell lines (PC9, HCC827) using public datasets (GSE168043, GSE163913).
- Western blot analysis to detect GLP2R expression in resistant cells.
- CCK-8 and flow cytometry assays to assess the impact of GLP2R modulation (up-regulation/down-regulation) on drug sensitivity.
- Treatment of parental cells with teduglutide, a GLP-2 analog.
Main Results:
- 143 common differentially expressed genes were identified between parent and resistant cells.
- GLP2R expression was significantly upregulated in drug-resistant lung cancer cell lines.
- Overexpression of GLP2R enhanced cell viability, while GLP2R knockdown reduced viability in resistant cells.
- Teduglutide treatment increased lung cancer cell viability.
Conclusions:
- The GLP-2/GLP2R signaling pathway appears to modulate lung cancer cell sensitivity to EGFR-TKIs and cisplatin.
- Targeting GLP-2 or GLP2R with inhibitors could represent a promising strategy for improving clinical outcomes in lung cancer treatment.
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