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Ivacaftor, a CFTR potentiator, synergizes with osimertinib against acquired resistance to osimertinib in NSCLC by regulating CFTR-PTEN-AKT axis
Li, Yue Kang1,2,3,4; Ge, Fu Jing2,4; Liu, Xiang Ning2,4; Zeng, Chen Ming2,4; Qian, Mei Jia2,4; Li, Yong Hao2,4; Zheng, Ming Ming2,4; Qu, Jing Jing1,3; Fang, Liang Jie1,3; Lu, Jin Jian5; Yang, Bo2,4,6; He, Qiao Jun2,4,7; Zhou, Jian Ya1,3; Zhu, Hong2,4,7
2024-12
Source PublicationActa Pharmacologica Sinica
ISSN1671-4083
Abstract

Osimertinib, a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI), has demonstrated significant clinical benefits in the treatment of EGFR-mutated non-small cell lung cancer (NSCLC). However, inevitable acquired resistance to osimertinib limits its clinical utility, and there is a lack of effective countermeasures. Here, we established osimertinib-resistant cell lines and performed drug library screening. This screening identified ivacaftor, a cystic fibrosis transmembrane conductance regulator (CFTR) potentiator, as a synergistic enhancer of osimertinib-induced anti-tumor activity both in vitro and in vivo. Mechanistically, ivacaftor facilitated the colocalization of CFTR and PTEN on the plasma membrane to promote the function of PTEN, subsequently inhibiting the PI3K/AKT signaling pathway and suppressing tumor growth. In summary, our study suggests that activating CFTR enhances osimertinib-induced anti-tumor activity by regulating the PTEN-AKT axis. Furthermore, ivacaftor and osimertinib constitute a potential combination strategy for treating osimertinib-resistant EGFR-mutated NSCLC patients. (Figure presented.)

KeywordAcquired Resistance Cftr Ivacaftor Nsclc Osimertinib
DOI10.1038/s41401-024-01427-0
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaChemistry ; Pharmacology & Pharmacy
WOS SubjectChemistry, Multidisciplinary ; Pharmacology & Pharmacy
WOS IDWOS:001368843900001
PublisherNATURE PUBL GROUP, MACMILLAN BUILDING, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Scopus ID2-s2.0-85211442662
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionTHE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
Institute of Chinese Medical Sciences
Corresponding AuthorZhou, Jian Ya; Zhu, Hong
Affiliation1.Department of Respiratory Disease, Thoracic Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003, China
2.Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China
3.The Clinical Research Center for Respiratory Diseases of Zhejiang Province, Hangzhou, 310003, China
4.Engineering Research Center of Innovative Anticancer Drugs, Ministry of Education, Hangzhou, 310058, China
5.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, 999078, Macao
6.School of Medicine, Hangzhou City University, Hangzhou, 310015, China
7.Innovation Institute for Artificial Intelligence in Medicine, Zhejiang University, Hangzhou, 310058, China
Recommended Citation
GB/T 7714
Li, Yue Kang,Ge, Fu Jing,Liu, Xiang Ning,et al. Ivacaftor, a CFTR potentiator, synergizes with osimertinib against acquired resistance to osimertinib in NSCLC by regulating CFTR-PTEN-AKT axis[J]. Acta Pharmacologica Sinica, 2024.
APA Li, Yue Kang., Ge, Fu Jing., Liu, Xiang Ning., Zeng, Chen Ming., Qian, Mei Jia., Li, Yong Hao., Zheng, Ming Ming., Qu, Jing Jing., Fang, Liang Jie., Lu, Jin Jian., Yang, Bo., He, Qiao Jun., Zhou, Jian Ya., & Zhu, Hong (2024). Ivacaftor, a CFTR potentiator, synergizes with osimertinib against acquired resistance to osimertinib in NSCLC by regulating CFTR-PTEN-AKT axis. Acta Pharmacologica Sinica.
MLA Li, Yue Kang,et al."Ivacaftor, a CFTR potentiator, synergizes with osimertinib against acquired resistance to osimertinib in NSCLC by regulating CFTR-PTEN-AKT axis".Acta Pharmacologica Sinica (2024).
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