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Updated: Jan 17, 2026

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Assembly factor for spindle microtubules (ASPM) promotes osimertinib resistance in lung cancer by increasing EGFR
Pengpeng Gui1,2,3, Zhengyi Han1, Zhenyu Yin2
1State Key Laboratory of Technologies for Chinese Medicine Pharmaceutica Process Control and intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, China.
Background:
Non-small cell lung cancer (NSCLC) represents approximately 85% of all lung malignancies, with lung adenocarcinoma (LUAD) being the predominant histologic subtype. Epidermal growth factor receptor (EGFR) mutations serve as critical therapeutic targets in NSCLC; however, resistance to EGFR tyrosine kinase inhibitors (EGFR-TKIs) remains a major clinical challenge. Recent studies highlight the need to identify molecular drivers of resistance to improve therapeutic outcomes.
Method:
This study analyzed tumor tissue datasets to investigate the role of the assembly factor for spindle microtubules (ASPM) in NSCLC progression and drug resistance. Bioinformatics methods revealed high expression of ASPM in tumor tissues and its association with low patient survival. Functional validation was performed using the EGFR-TKI-resistant cell line PC9 osimertinib-resistant (PC-9 OR), with ASPM-silenced models. Cellular proliferation, invasion, and EGFR protein stability analyses were conducted. Additionally, the therapeutic impact of ASPM silencing and overexpression combined with the third-generation TKI osimertinib was evaluated.
Results:
ASPM is significantly upregulated in NSCLC tumor tissues and is strongly associated with reduced patient survival. ASPM silencing attenuates PC-9 and PC-9 OR malignant phenotypes, including proliferation and invasion, and sensitizes resistant cells to osimertinib. In addition, inhibiting the expression of ASPM effectively reduces damage to the cell cycle and protein stability of drug-resistant cells, thereby restoring the expression and function of EGFR.
Conclusion:
This study identified ASPM as a novel regulator of EGFR-TKI resistance in NSCLC, with dual roles in promoting tumor aggressiveness and stabilizing EGFR signaling. Targeting ASPM may represent a promising therapeutic strategy to overcome EGFR-TKI resistance, enhance osimertinib efficacy, and expand treatment options for refractory NSCLC patients. These findings provide a foundation for developing ASPM-directed therapies in precision oncology.
Insights
Assembly factor for spindle microtubules (ASPM) drives non-small cell lung cancer (NSCLC) aggressiveness and EGFR tyrosine kinase inhibitor (EGFR-TKI) resistance. Targeting ASPM may overcome resistance and improve NSCLC treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Non-small cell lung cancer (NSCLC), particularly lung adenocarcinoma (LUAD), is a major cause of cancer mortality.
- Epidermal growth factor receptor (EGFR) mutations are key targets for NSCLC therapy, but resistance to EGFR tyrosine kinase inhibitors (EGFR-TKIs) is a significant clinical hurdle.
- Identifying novel molecular drivers of EGFR-TKI resistance is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of the assembly factor for spindle microtubules (ASPM) in NSCLC progression and resistance to EGFR-TKIs.
- To explore ASPM as a potential therapeutic target for overcoming drug resistance in NSCLC.
Main Methods:
- Bioinformatic analysis of NSCLC tumor tissue datasets to assess ASPM expression and its correlation with patient survival.
- Functional studies using EGFR-TKI-resistant NSCLC cell lines (PC9-OR) with ASPM-silenced models.
- Evaluation of cellular proliferation, invasion, cell cycle, EGFR protein stability, and response to osimertinib treatment.
Main Results:
- ASPM was found to be significantly upregulated in NSCLC tissues, correlating with reduced patient survival.
- ASPM silencing suppressed malignant phenotypes (proliferation, invasion) in NSCLC cells and sensitized resistant cells to osimertinib.
- Inhibition of ASPM reduced cell cycle damage and EGFR protein instability in resistant cells, restoring EGFR expression and function.
Conclusions:
- ASPM acts as a novel regulator of EGFR-TKI resistance in NSCLC, promoting tumor aggressiveness and stabilizing EGFR signaling.
- Targeting ASPM presents a promising strategy to overcome EGFR-TKI resistance and enhance the efficacy of osimertinib.
- These findings support the development of ASPM-directed therapies for precision oncology in refractory NSCLC.
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