Reduction of PTEN protein and loss of epidermal growth factor receptor gene mutation in lung cancer with natural resistance to gefitinib (IRESSA)
2005

Lung Cancer Resistance to Gefitinib

publication Evidence: moderate

Author Information

Author(s): Kokubo Y, Gemma A, Noro R, Seike M, Kataoka K, Matsuda K, Okano T, Minegishi Y, Yoshimura A, Shibuya M, Kudoh S

Primary Institution: Nippon Medical School

Hypothesis

What are the mechanisms behind natural resistance to gefitinib in lung cancer?

Conclusion

The study found that loss of PTEN protein and the absence of EGFR gene mutation are associated with natural resistance to gefitinib in lung cancer cell lines.

Supporting Evidence

  • Gefitinib-resistant cell lines showed increased Akt phosphorylation and reduced PTEN expression.
  • Loss of the EGFR gene mutation was observed in gefitinib-resistant subpopulations.
  • Reintroduction of PTEN may be a potential strategy to overcome gefitinib resistance.

Takeaway

Some lung cancer cells can resist a drug called gefitinib because they lose a protein called PTEN, which helps control cell growth.

Methodology

The study analyzed NSCLC cell lines for gefitinib sensitivity using the MTT assay and examined gene expression profiles and signaling pathways.

Limitations

The study primarily used cell lines, which may not fully represent the complexity of human tumors.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602559

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