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2018 ; 16
(2
): 2533-2538
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Overexpression of Napsin A resensitizes drug-resistant lung cancer A549 cells to
gefitinib by inhibiting EMT
#MMPMID30008942
Zhou L
; Lv X
; Yang J
; Zhu Y
; Wang Z
; Xu T
Oncol Lett
2018[Aug]; 16
(2
): 2533-2538
PMID30008942
show ga
Lung cancer is one of the most common malignant tumors and also the leading cause
of cancer-related deaths in the world. Epidermal growth factor receptor tyrosine
kinase inhibitors (EGFR-TKI), such as gefitinib, have been used in the therapy of
lung cancer. However, the acquisition of drug resistance is a major limitation in
the clinical efficiency of EGFR-TKIs. Epithelial-mesenchymal transition (EMT) has
been demonstrated to be an underlying mechanism of acquired resistance. A
previous study has reported that Napsin A expression can inhibit EMT in lung
cancer cells. The present study therefore investigated the effect of Napsin A on
the sensitivity of EGFR-TKI-resistant lung cancer cells. First, a drug-resistant
lung cancer cell line was generated using the EGFR-TKI gefitinib on A549 cells
(termed here A549-GFT). EMT was demonstrated to be induced in the drug resistant
A549-GFT cells, evidenced by reduced E-cadherin expression and increased Vimentin
expression compared with control A549 cells. Next, Napsin A was overexpressed in
the cells by transfection of the Napsin A-expression vector, PLJM1-Napsin A.
Western blot analysis confirmed that the protein expression levels of Napsin A
were significantly elevated in the Napsin A-overexpressing cells. Cell
proliferation and apoptosis assays were performed to evaluate the effect of
Napsin A overexpression on resistant A549 cells. The results of MTT assay
demonstrated that Napsin A overexpression inhibited the proliferation of A549 and
drug-resistant A549-GFT cells and that the proliferation of Napsin
A-overexpressing A549-GFT cells was significantly inhibited by gefitinib
treatment compared with control A549-GFT cells. The results from the Annexin
V/propidium iodide double staining apoptosis assay indicated that Napsin A
overexpression enhanced gefitinib-induced apoptosis in A549-GFT cells.
Additionally, EMT was reversed following Napsin A expression in A549-GFT cells,
as evidenced by the restoration of E-cadherin and downregulation of Vimentin
expression. Further investigation demonstrated that Napsin A overexpression
resulted in inhibition of focal adhesion kinase, a critical factor in integrin
signaling, in the resistant A549-GFT cells. These data suggested that Napsin A
resensitized the drug-resistant A549-GFT cells to gefitinib, possibly by
reversing EMT via integrin signaling inhibition. Therefore, Napsin A combined
with a TKI may be a more effective treatment strategy for lung cancer.