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.

Frontiers in Genetics
|September 22, 2025
PubMed
Abstract

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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