Rosmarinic acid potentiates gefitinib in lung adenocarcinoma by modulating interactions between cancer cells and cancer-associated fibroblasts

  • 0The First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

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Summary

This summary is machine-generated.

Cancer-associated fibroblasts (CAFs) show a biphasic role in non-small cell lung cancer (NSCLC) progression. Rosmarinic acid (RA) modulates these interactions, enhancing gefitinib

Area Of Science

  • Oncology
  • Cancer Biology
  • Tumor Microenvironment

Background

  • Cancer-associated fibroblasts (CAFs) are key players in tumor progression.
  • The temporal dynamics of CAF-tumor cell interactions are not well understood.
  • Non-small cell lung cancer (NSCLC) progression is influenced by CAFs.

Purpose Of The Study

  • To investigate the time-dependent interactions between NSCLC cells and CAFs.
  • To evaluate the potential of rosmarinic acid (RA) in modulating these interactions.
  • To assess the therapeutic effects of RA, alone and in combination with gefitinib, in preclinical models.

Main Methods

  • In vitro co-culture of HCC827 lung adenocarcinoma cells and MRC-5 fibroblasts.
  • Assessment of CAF activation markers (α-SMA, FAP) and epithelial-mesenchymal transition (EMT).
  • In vivo xenograft models with varying tumor-to-fibroblast ratios, evaluating tumor growth and RA/gefitinib efficacy.

Main Results

  • Tumor-CAF interactions exhibit a biphasic pattern: initial suppression followed by accelerated tumor progression.
  • CAF activation peaked by day 6, with maximal EMT marker expression in NSCLC cells by day 8.
  • RA treatment reduced CAF activation and EMT, suppressed tumor growth in CAF-enriched xenografts, and enhanced gefitinib efficacy.

Conclusions

  • CAFs play a temporally biphasic role in NSCLC, initially suppressing then promoting tumor progression.
  • Rosmarinic acid effectively modulates tumor-stromal interactions and enhances gefitinib's anti-tumor effects.
  • RA may offer a strategy to overcome gefitinib resistance in NSCLC.