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Updated: Jul 23, 2025

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
PRMT-1 and p120-Catenin as EMT Mediators in Osimertinib Resistance in NSCLC
Kavya Sri Racherla1, Katrina Dovalovsky1, Meet Patel1
1Department of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USA.
Abstract:
Osimertinib, an irreversible tyrosine kinase inhibitor, is a first-line therapy in EGFR-mutant NSCLC patients. Prolonged treatment with Osimertinib leads to resistance due to an acquired C797S mutation in the EGFR domain and other mechanisms, such as epithelial-mesenchymal transition (EMT). In this study, we investigated the role of PRMT-1 and p120-catenin in mediating Osimertinib resistance (OR) through EMT. These studies found upregulation of gene and protein expression of PRMT-1, p120-catenin and Kaiso factor. Knockdown of p120-catenin using siRNA increased OR efficacy by 45% as compared to cells treated with mock siRNA and OR. After 24 h of transfection, the percentage wound closure in cells transfected with p120-catenin siRNA was 26.2%. However, in mock siRNA-treated cells the wound closure was 7.4%, showing its involvement in EMT. We also found high levels of p120-catenin expressed in 30% of smokers as compared to 5.5% and 0% of non-smokers and quit-smokers (respectively) suggesting that smoking may influence p120-catenin expression in NSCLC patients. These results suggest that biomarkers such as PRMT-1 may mediate EMT by methylating Twist-1 and increasing p120-catenin expression, which causes transcriptional activation of genes associated with Kaiso factor to promote EMT in Osimertinib-resistant cells.
Insights
Osimertinib resistance in EGFR-mutant NSCLC involves epithelial-mesenchymal transition (EMT). PRMT-1 and p120-catenin upregulation drives this resistance, suggesting potential therapeutic targets for overcoming Osimertinib resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Osimertinib is a first-line therapy for EGFR-mutant Non-Small Cell Lung Cancer (NSCLC).
- Acquired resistance to Osimertinib, often via C797S mutation or epithelial-mesenchymal transition (EMT), limits long-term efficacy.
- Understanding resistance mechanisms is crucial for improving NSCLC treatment outcomes.
Purpose of the Study:
- To investigate the role of PRMT-1 and p120-catenin in mediating Osimertinib resistance (OR) through EMT in NSCLC.
- To explore potential biomarkers for Osimertinib resistance.
Main Methods:
- Investigated gene and protein expression of PRMT-1, p120-catenin, and Kaiso factor in Osimertinib-resistant cells.
- Utilized siRNA to knockdown p120-catenin and assessed its impact on OR efficacy and EMT markers (wound closure assay).
- Correlated p120-catenin expression with smoking status in NSCLC patients.
Main Results:
- Upregulation of PRMT-1, p120-catenin, and Kaiso factor was observed in Osimertinib-resistant cells.
- p120-catenin knockdown significantly increased OR efficacy (45%) and reduced cell migration (wound closure).
- Higher p120-catenin expression was found in current smokers compared to non-smokers and quit-smokers.
Conclusions:
- PRMT-1 and p120-catenin play a significant role in mediating Osimertinib resistance through EMT in NSCLC.
- PRMT-1 may promote EMT by methylating Twist-1 and upregulating p120-catenin.
- p120-catenin is a potential biomarker for Osimertinib resistance, and smoking may influence its expression.
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