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2016 ; 12
(1
): 63-68
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Gefitinib induces lung cancer cell autophagy and apoptosis via blockade of the
PI3K/AKT/mTOR pathway
#MMPMID27347100
Zhao ZQ
; Yu ZY
; Li J
; Ouyang XN
Oncol Lett
2016[Jul]; 12
(1
): 63-68
PMID27347100
show ga
Gefitinib is a selective inhibitor of the tyrosine kinase epidermal growth factor
receptor, which inhibits tumor pathogenesis, metastasis and angiogenesis, as well
as promoting apoptosis. Therefore, gefitinib presents an effective drug for the
targeted therapy of lung cancer. However, the underlying mechanisms by which
gefitinib induces lung cancer cell death remain unclear. To investigate the
effects of gefitinib on lung cancer cells and the mechanism of such, the present
study analyzed the effect of gefitinib on the autophagy, apoptosis and
proliferation of the A549 and A549-gefitinib-resistant (GR) cell lines GR. The
regulation of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/
mammalian target of rapamycin (mTOR) pathway was also investigated. Acridine
orange staining revealed that gefitinib induced autophagy of A549 cells but not
A549-GR cells. In addition, gefitinib promoted apoptosis and inhibited
proliferation of A549 cells but not A549-GR cells. Furthermore, western blot
analysis demonstrated that gefitinib treatment led to the downregulation of PI3K,
AKT, pAKT, mTOR and phosphorylated-mTOR protein expression in A549 cells but not
A549-GR cells. LY294002 blocked the PI3K/AKT/mTOR pathway and induced autophagy
and apoptosis of A549 cells, however, no synergistic effect was observed
following combined treatment with gefitinib and LY294002. In conclusion, the
results of the present study indicate that gefitinib promotes autophagy and
apoptosis of lung cancer cells via blockade of the PI3K/AKT/mTOR pathway, which
leads to lung cancer cell death.