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Down-regulating Nrf2 by tangeretin reverses multiple drug resistance to both chemotherapy and EGFR tyrosine kinase inhibitors in lung cancer
Xie Ying1; Feng SenLing2; He Fang3; Yan PeiYu3; Yao XiaoJun3; Fan XingXing3; Leung Elaine Lai Han4; Zhou Hua1
2022-12
Source PublicationPHARMACOLOGICAL RESEARCH
ISSN1043-6618
Volume186Pages:106514
Abstract

Multiple drug resistance (MDR) is the major obstacle for both chemotherapy and molecular-targeted therapy for cancer, which is mainly caused by overexpression of ABC transporters or genetic mutation of drug targets. Based on previous studies, we hypothesized that ROS/Nrf2 is the common target for overcoming acquired drug resistance to both targeted therapy and chemotherapy treatments. In this study, we firstly proved that the levels of ROS and Nrf2 were remarkably up-regulated in both H1975 (Gefitinib-resistant lung cancer cells with T790M) and A549/T (paclitaxel-resistant) cells, which is consistent with the clinical database analysis results of lung cancer patients that Nrf2 expression level is negatively related to survival rate. Nrf2 Knockdown with siRNA or tangeretin (TG, a flavonoid isolated from citrus peels) inhibited the MDR cell growth by suppressing the Nrf2 pathway, and efficiently enhanced the anti-tumor effects of paclitaxel and AZD9291 (the third generation of TKI) in A549/T or H1975, respectively. Moreover, TG sensitized A549/T cells-derived xenografts to paclitaxel via inhibiting Nrf2 and its downstream target P-gp, leading to an increased paclitaxel concentration in tumors. Collectively, targeting Nrf2 to enhance ROS may be a common target for overcoming the acquired drug resistance and enhancing the therapeutic effects of chemotherapy and molecular-targeted therapy.

KeywordDrug Resistance Chemotherapy Egfr Tyrosine Kinase Inhibitors Nrf2 Tangeretin
DOI10.1016/j.phrs.2022.106514
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPharmacology & Pharmacy
WOS SubjectPharmacology & Pharmacy
WOS IDWOS:000882525600005
PublisherACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD, 24-28 OVAL RD, LONDON NW1 7DX, ENGLAND
Scopus ID2-s2.0-85140878420
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF BIOMEDICAL SCIENCES
Corresponding AuthorFan XingXing; Leung Elaine Lai Han; Zhou Hua
Affiliation1.Guangdong Provincial Academy of Chinese Medical Sciences, State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
2.Department of Pharmacy, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
3.State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau Special Administrative Region of China
4.Faculty of Health Sciences, University of Macau, Macau Special Administrative Region of China
Corresponding Author AffilicationUniversity of Macau;  Faculty of Health Sciences
Recommended Citation
GB/T 7714
Xie Ying,Feng SenLing,He Fang,et al. Down-regulating Nrf2 by tangeretin reverses multiple drug resistance to both chemotherapy and EGFR tyrosine kinase inhibitors in lung cancer[J]. PHARMACOLOGICAL RESEARCH, 2022, 186, 106514.
APA Xie Ying., Feng SenLing., He Fang., Yan PeiYu., Yao XiaoJun., Fan XingXing., Leung Elaine Lai Han., & Zhou Hua (2022). Down-regulating Nrf2 by tangeretin reverses multiple drug resistance to both chemotherapy and EGFR tyrosine kinase inhibitors in lung cancer. PHARMACOLOGICAL RESEARCH, 186, 106514.
MLA Xie Ying,et al."Down-regulating Nrf2 by tangeretin reverses multiple drug resistance to both chemotherapy and EGFR tyrosine kinase inhibitors in lung cancer".PHARMACOLOGICAL RESEARCH 186(2022):106514.
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