Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation

Tyrosine kinase inhibitors (TKIs) resistance is a challenge in patients with epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC). Here, we examined the effect of Fasudil in reversing TKIs resistance. The results of CCK8 assay, clone formation assay, cell cycle arrest an...

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Main Authors: Tingting Liao, Jingjing Deng, Wenjuan Chen, Juanjuan Xu, Guanghai Yang, Mei Zhou, Zhilei Lv, Sufei Wang, Siwei Song, Xueyun Tan, Zhengrong Yin, Yumei Li, Yang Jin
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/19/4709
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author Tingting Liao
Jingjing Deng
Wenjuan Chen
Juanjuan Xu
Guanghai Yang
Mei Zhou
Zhilei Lv
Sufei Wang
Siwei Song
Xueyun Tan
Zhengrong Yin
Yumei Li
Yang Jin
author_facet Tingting Liao
Jingjing Deng
Wenjuan Chen
Juanjuan Xu
Guanghai Yang
Mei Zhou
Zhilei Lv
Sufei Wang
Siwei Song
Xueyun Tan
Zhengrong Yin
Yumei Li
Yang Jin
author_sort Tingting Liao
collection DOAJ
description Tyrosine kinase inhibitors (TKIs) resistance is a challenge in patients with epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC). Here, we examined the effect of Fasudil in reversing TKIs resistance. The results of CCK8 assay, clone formation assay, cell cycle arrest analysis, and apoptosis analysis show that Fasudil treatment effectively suppressed the growth and induced apoptosis of the EGFR-mutant NSCLC cells. Furthermore, Fasudil in combination with gefitinib showed a synergistic anti-tumor effect in gefitinib-resistant NSCLC cells. RNA-seq analysis and immunoblotting indicated that Fasudil treatment significantly inhibited intracellular lipid accumulation and EGFR/PI3K/AKT pathway activation. Mechanistic investigations showed that Fasudil regulated lipogenic gene expressions via AMPK signal pathway. In vivo, Fasudil and gefitinib co-administration significantly attenuated the growth of H1975 nude mouse xenograft models, suggesting that Fasudil treatment combined with gefitinib can be applied as a therapy for gefitinib-resistant NSCLC cells.
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spelling doaj.art-de708a21d4cb43da922be340666d75602023-11-23T19:55:21ZengMDPI AGCancers2072-66942022-09-011419470910.3390/cancers14194709Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid AccumulationTingting Liao0Jingjing Deng1Wenjuan Chen2Juanjuan Xu3Guanghai Yang4Mei Zhou5Zhilei Lv6Sufei Wang7Siwei Song8Xueyun Tan9Zhengrong Yin10Yumei Li11Yang Jin12NHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaDepartment of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaNHC Key Laboratory of Pulmonary Diseases, Key Laboratory of Biological Targeted Therapy, Ministry of Education, Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, ChinaTyrosine kinase inhibitors (TKIs) resistance is a challenge in patients with epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC). Here, we examined the effect of Fasudil in reversing TKIs resistance. The results of CCK8 assay, clone formation assay, cell cycle arrest analysis, and apoptosis analysis show that Fasudil treatment effectively suppressed the growth and induced apoptosis of the EGFR-mutant NSCLC cells. Furthermore, Fasudil in combination with gefitinib showed a synergistic anti-tumor effect in gefitinib-resistant NSCLC cells. RNA-seq analysis and immunoblotting indicated that Fasudil treatment significantly inhibited intracellular lipid accumulation and EGFR/PI3K/AKT pathway activation. Mechanistic investigations showed that Fasudil regulated lipogenic gene expressions via AMPK signal pathway. In vivo, Fasudil and gefitinib co-administration significantly attenuated the growth of H1975 nude mouse xenograft models, suggesting that Fasudil treatment combined with gefitinib can be applied as a therapy for gefitinib-resistant NSCLC cells.https://www.mdpi.com/2072-6694/14/19/4709FasudilEGFRNSCLCgefitiniblipid metabolism
spellingShingle Tingting Liao
Jingjing Deng
Wenjuan Chen
Juanjuan Xu
Guanghai Yang
Mei Zhou
Zhilei Lv
Sufei Wang
Siwei Song
Xueyun Tan
Zhengrong Yin
Yumei Li
Yang Jin
Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
Cancers
Fasudil
EGFR
NSCLC
gefitinib
lipid metabolism
title Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
title_full Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
title_fullStr Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
title_full_unstemmed Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
title_short Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation
title_sort fasudil increased the sensitivity to gefitinib in nsclc by decreasing intracellular lipid accumulation
topic Fasudil
EGFR
NSCLC
gefitinib
lipid metabolism
url https://www.mdpi.com/2072-6694/14/19/4709
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