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Updated: May 24, 2025

Evaluation of Keratinocyte Proliferation on Two- and Three-dimensional Type I Collagen Substrates
Published on: April 22, 2019
Brigatinib can inhibit proliferation and induce apoptosis of human immortalized keratinocyte cells
Qi Yang1, Dan Zhao1, Linjie Ju2
1School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China.
Background:
Brigatinib is approved in multiple countries for the treatment of patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC). Despite its superior efficacy, the dermal toxicities caused by brigatinib cannot be overlooked. However, its underlying mechanism remains unknown.
Methods:
The effects of brigatinib on the proliferation ability of human immortalized keratinocyte (HaCaT) cells were evaluated using Cell Counting Kit-8 (CCK-8) proliferation, colony formation, and 5-ethynyl-2'-deoxyuridine (EdU) incorporation assays. The effects of brigatinib on apoptosis were detected using Annexin FITC/PI and Acridine Orange (AO) staining assays. Cell cycle was assessed with flow cytometry. An analysis of transcriptome by RNA sequencing procedures (RNA-seq) was performed to reveal the key regulatory genes. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were used to find out the biological function and related signal pathways. The expressions of amphiregulin, epiregulin and transforming growth factor alpha (TGFA) and the protein levels of Phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT) and Cleaved-Caspase three were measured by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and western blot assay.
Results:
Brigatinib inhibits cell proliferation with an IC50 value of 2.9 μmol/L and significantly increases apoptosis rates. Transcriptome sequencing (RNA-seq) indicates that brigatinib could significantly downregulate the expression of amphiregulin, epiregulin and TGFA. In addition, we demonstrated that brigatinib reduced the protein expression of amphiregulin, epiregulin, TGFA, PI3K, AKT and phosphorylated AKT (p-AKT).
Conclusion:
This study confirms the inhibition of HaCaT cells growth and progression by brigatinib and highlights the potential value of the PI3K/AKT pathway as a therapeutic target for brigatinib-induced dermal toxicities.
Insights
Brigatinib, used for ALK-positive NSCLC, causes skin toxicities. This study shows brigatinib inhibits keratinocyte growth and apoptosis, potentially via the PI3K/AKT pathway, offering insights into managing these side effects.
Area of Science:
- Dermatology
- Oncology
- Molecular Biology
Background:
- Brigatinib is an effective treatment for anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC).
- Dermal toxicities are a significant side effect of brigatinib treatment, but the underlying mechanisms are not fully understood.
- Investigating the cellular effects of brigatinib on skin cells is crucial for managing treatment-related adverse events.
Purpose of the Study:
- To elucidate the mechanism of brigatinib-induced dermal toxicities at the cellular level.
- To evaluate the impact of brigatinib on human immortalized keratinocyte (HaCaT) cell proliferation, apoptosis, and cell cycle.
- To identify key molecular pathways and genes involved in brigatinib's effects on keratinocytes.
Main Methods:
- Cell proliferation was assessed using CCK-8, colony formation, and EdU incorporation assays.
- Apoptosis was measured by Annexin FITC/PI and Acridine Orange staining.
- Transcriptome sequencing (RNA-seq) was employed to identify differentially expressed genes and signaling pathways, followed by qRT-PCR and western blot validation of key targets including EGFR ligands and the PI3K/AKT pathway.
Main Results:
- Brigatinib demonstrated significant inhibition of HaCaT cell proliferation with an IC50 of 2.9 μmol/L and increased apoptosis rates.
- RNA-seq analysis revealed that brigatinib downregulates the expression of amphiregulin, epiregulin, and TGFA.
- Protein analysis confirmed reduced levels of amphiregulin, epiregulin, TGFA, PI3K, AKT, and phosphorylated AKT (p-AKT) following brigatinib treatment.
Conclusions:
- Brigatinib inhibits the growth and progression of human keratinocytes (HaCaT cells).
- The study identifies downregulation of EGFR ligands (amphiregulin, epiregulin, TGFA) and the PI3K/AKT signaling pathway as key effects of brigatinib.
- The PI3K/AKT pathway represents a potential therapeutic target for mitigating brigatinib-induced dermal toxicities.
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