Cyclosporine A sensitizes human non-small cell lung cancer cells to gefitinib through inhibition of STAT3

被引:55
|
作者
Shou, Jiawei [1 ]
You, Liangkun [1 ]
Yao, Junlin [1 ]
Xie, Jiansheng [2 ]
Jing, Jing [3 ]
Jing, Zhao [1 ]
Jiang, Liming [1 ]
Sui, Xinbing [1 ]
Pan, Hongming [1 ]
Han, Weidong [1 ]
机构
[1] Zhejiang Univ, Sir Run Run Shaw Hosp, Coll Med, Dept Med Oncol, Hangzhou, Zhejiang, Peoples R China
[2] Zhejiang Univ, Sir Run Run Shaw Hosp, Coll Med, Inst Clin Sci,Lab Canc Biol, Hangzhou, Zhejiang, Peoples R China
[3] Tongde Hosp Zhejiang Prov, Dept Med Oncol, Hangzhou, Zhejiang, Peoples R China
基金
中国国家自然科学基金;
关键词
Cyclosporine A; EGFR-TKI; Lung cancer; STAT3; ACQUIRED-RESISTANCE; GROWTH; EGFR; ERLOTINIB; PATHWAY; ACTIVATION; APOPTOSIS; CALCINEURIN; PACLITAXEL; LEUKEMIA;
D O I
10.1016/j.canlet.2016.06.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) have dramatically prolonged the overall survival of non-small cell lung cancer (NSCLC) patients with EGFR-activating mutation, but the presence of primary or acquired resistance eventually leads to therapeutic failure. Thus, how to improve the efficacy and reverse the resistance to EGFR-TKIs remains a significant challenge. In this study, we found that CsA significantly augmented the anti-cancer effect of gefitinib in EGFR-TKI-sensitive and -resistant NSCLC cells. Mechanistically, CsA promoted gefitinib-induced apoptosis through inhibition of the STAT3 pathway. Similar with the function of CsA, siRNAs against STAT3 also enhanced gefitinib-induced apoptosis in multiple lung cancer cells. Xenograft studies further demonstrated that CsA promoted the anti-cancer activity of gefitinib on lung cancer cells through inhibition of STAT3. Moreover, NSCLC patients with high levels of phosphorylated STAT3 (Y705) showed a significantly poorer therapeutic response to EGFR-TKIs. This study provides preclinical evidence that the combination of CsA or a STAT3 inhibitor with EGFR-TKIs is a promising approach to improve the efficacy of EGFR-TKIs for the treatment of patients with advanced NSCLC. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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页码:124 / 133
页数:10
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