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MicroRNA-601 Enhances Osimertinib Sensitivity by Targeting Transient Receptor Potential Mucolipin 3 in Non-small Cell
Mi Seong Kim1,2, Min Seuk Kim1
1Department of Oral Physiology, Institute of Biomaterial-Implant, School of Dentistry, Wonkwang University, Iksan, Korea.
Journal of Cancer Prevention
|December 22, 2025
Summary
MicroRNA-601 (miR-601) can overcome acquired resistance to osimertinib in non-small cell lung cancer (NSCLC) by downregulating TRPML3. Restoring miR-601 may be a new strategy against TKI resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Acquired resistance to tyrosine kinase inhibitors (TKIs) like osimertinib is a significant challenge in non-small cell lung cancer (NSCLC) treatment.
- Lysosomal Ca2+ signaling, mediated by transient receptor potential mucolipin 3 (TRPML3), is implicated in TKI resistance through enhanced drug efflux.
- The role of microRNA-601 (miR-601) in regulating TRPML3 and its impact on osimertinib resistance in NSCLC requires investigation.
Purpose of the Study:
- To investigate the regulatory role of miR-601 in modulating TRPML3 expression.
- To determine the impact of miR-601 on osimertinib resistance in NSCLC cells.
- To explore the potential of restoring miR-601 as a therapeutic strategy.
Main Methods:
- Bioinformatic analysis (DIANA microT-CDS) to predict miR-601 targets.
- Luciferase reporter assays to confirm direct binding of miR-601 to TRPML3 3'-UTR.
- Functional assays in parental and osimertinib-resistant NSCLC cell lines (PC9, HCC827) evaluating miR-601 effects on TRPML3, apoptosis, cell cycle, and drug sensitivity.
Main Results:
- TRPML3 was identified as a direct target of miR-601.
- Osimertinib treatment decreased miR-601 levels in NSCLC cells, with lower basal expression in resistant cells.
- miR-601 overexpression reduced TRPML3, increased apoptosis, induced G0/G1 arrest, and restored osimertinib sensitivity, mimicking TRPML3 knockdown effects.
Conclusions:
- miR-601 negatively regulates TRPML3 expression in NSCLC cells.
- miR-601 modulates responses to TKIs, suggesting a role in overcoming osimertinib resistance.
- Restoring miR-601 levels offers a potential therapeutic approach targeting TRPML3-mediated lysosomal signaling in resistant NSCLC.
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