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Epigallocatechin gallate circumvents drug induced resistance in non-small cell lung cancer by modulating glucose metabolism and AMPK/AKT/MAPK axis
Zhou, Yan1; Huang, Shiqi2; Guo, Yizhen1; Ran, Maxoin1; Shan, Wenying1; Wen-Hau Chen2,3; Tam, Kin Yip1
2023-08
Source PublicationPhytotheraphy Research
ISSN0951-418X
Volume37Issue:12Pages:5837-5853
Abstract

Upon prolonged use of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) in non-small-cell lung cancer (NSCLC), acquired drug resistance inevitably occurs. This study investigates the combined use of EGFR-TKIs (gefitinib or osimertinib) with epigallocatechin gallate (EGCG) to overcome acquired drug resistance in NSCLC models. The in vitro antiproliferative effects of EGFR-TKIs and EGCG combination in EGFR-mutant parental and resistant cell lines were evaluated. The in vivo efficacy of the combination was assessed in xenograft mouse models derived from EGFR-TKI-resistant NSCLC cells. We found that the combined use of EGFR-TKIs and EGCG significantly reversed the Warburg effect by suppressing glycolysis while boosting mitochondrial respiration, which was accompanied by increased cellular ROS and decreased lactate secretion. The combination effectively activated the AMPK pathway while inhibited both ERK/MAPK and AKT/mTOR pathways, leading to cell cycle arrest and apoptosis, particularly in drug-resistant NSCLC cells. The in vivo results obtained from mouse tumor xenograft model confirmed that EGCG effectively overcame osimertinib resistance. This study revealed that EGCG suppressed cancer bypass survival signaling and altered cancer metabolic profiles, which is a promising anticancer adjuvant of EGFR-TKIs to overcome acquired drug resistance in NSCLC.

KeywordAcquired Drug Resistance Combination Therapy Egcg Egfr-tkis Nsclc Synergetic Effect
DOI10.1002/ptr.7990
URLView the original
Indexed BySCIE
WOS Research AreaPharmacology & Pharmacy
WOS SubjectChemistry, Medicinal ; Pharmacology & Pharmacy
WOS IDWOS:001077021300001
PublisherWILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ
Scopus ID2-s2.0-85169087453
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PHARMACEUTICAL SCIENCES
Corresponding AuthorWen-Hau Chen; Tam, Kin Yip
Affiliation1.Faculty of Health Sciences, University of Macau
2.Wuyi University
3.Wuyi University, Sciences and Biotechnology & Health Science, Jiangmen 529020, Guangdong, Peoples R China
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Zhou, Yan,Huang, Shiqi,Guo, Yizhen,et al. Epigallocatechin gallate circumvents drug induced resistance in non-small cell lung cancer by modulating glucose metabolism and AMPK/AKT/MAPK axis[J]. Phytotheraphy Research, 2023, 37(12), 5837-5853.
APA Zhou, Yan., Huang, Shiqi., Guo, Yizhen., Ran, Maxoin., Shan, Wenying., Wen-Hau Chen., & Tam, Kin Yip (2023). Epigallocatechin gallate circumvents drug induced resistance in non-small cell lung cancer by modulating glucose metabolism and AMPK/AKT/MAPK axis. Phytotheraphy Research, 37(12), 5837-5853.
MLA Zhou, Yan,et al."Epigallocatechin gallate circumvents drug induced resistance in non-small cell lung cancer by modulating glucose metabolism and AMPK/AKT/MAPK axis".Phytotheraphy Research 37.12(2023):5837-5853.
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