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A Combined 3D Tissue Engineered In Vitro/In Silico Lung Tumor Model for Predicting Drug Effectiveness in Specific Mutational Backgrounds
Published on: April 6, 2016
CIB2 mediates acquired gefitinib resistance by inducing ZEB1 expression and epithelial-mesenchymal transition
Feng-Mei Zhou1, Kun-Kun Wang1, Li-Hong Wang1
1Academy of Medical Science, Zhengzhou University, Zhengzhou 450000, China.
Abstract:
EGFR-TKIs have been used as frontline treatment in patients with advanced non-small cell lung cancer (NSCLC) suffering from the EGFR mutation. Gefitinib, the first-generation EGFR-TKI, has greatly improved survival rates in lung cancer patients, whereas acquired gefitinib resistance is still a critical issue that needs to be overcome. In our research, high expression levels of CIB2 were found in gefitinib-resistant lung cancer cells. CIB2 knockout rendered gefitinib-resistant cells more sensitive to gefitinib, and overexpression of CIB2 in parental cells was sufficient to induce more resistance to gefitinib. Inhibition of CIB2 in gefitinib-resistant lung cancer cells significantly induced cell apoptosis. To clarify the major molecular mechanism by which CIB2 increases gefitinib resistance, we demonstrated that raised CIB2 in lung cancer cells promoted epithelial-to-mesenchymal transition (EMT) through upregulation of ZEB1. Moreover, FOSL1 transcriptionally regulated CIB2 expression. Finally, CIB2 rendered tumors resistant to gefitinib treatment in vivo. Our results explored a new mechanism: upregulated CIB2 promoted EMT through ZEB1 to regulate gefitinib resistance, which could be a candidate therapeutic target for overcoming acquired resistance to EGFR-TKIs in NSCLC patients.
Insights
High CIB2 expression drives gefitinib resistance in non-small cell lung cancer (NSCLC) by promoting EMT via ZEB1. Targeting CIB2 may overcome acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) like gefitinib are first-line treatments for advanced non-small cell lung cancer (NSCLC) with EGFR mutations.
- Acquired resistance to gefitinib remains a significant clinical challenge, necessitating novel therapeutic strategies.
Purpose of the Study:
- To investigate the role of CIB2 in acquired gefitinib resistance in NSCLC.
- To elucidate the molecular mechanisms underlying CIB2-mediated gefitinib resistance.
Main Methods:
- Analysis of CIB2 expression in gefitinib-resistant NSCLC cells.
- CIB2 knockout and overexpression studies in lung cancer cell lines.
- Investigation of the effects of CIB2 inhibition on cell apoptosis and epithelial-to-mesenchymal transition (EMT).
- Assessment of CIB2's role in gefitinib resistance *in vivo*.
Main Results:
- High CIB2 expression was observed in gefitinib-resistant NSCLC cells.
- CIB2 knockout increased sensitivity to gefitinib, while CIB2 overexpression induced resistance.
- CIB2 inhibition significantly promoted apoptosis in resistant cells.
- Upregulated CIB2 promoted EMT via ZEB1, and FOSL1 transcriptionally regulated CIB2.
- CIB2 conferred gefitinib resistance in *in vivo* tumor models.
Conclusions:
- Upregulated CIB2 promotes EMT through ZEB1, contributing to acquired gefitinib resistance in NSCLC.
- CIB2 represents a potential therapeutic target for overcoming acquired resistance to EGFR-TKIs in NSCLC patients.
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