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      Long Noncoding RNA LINC00460 Promotes the Gefitinib Resistance of Nonsmall Cell Lung Cancer Through Epidermal Growth Factor Receptor by Sponging miR-769-5p

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          Abstract

          The vital roles of long noncoding RNAs (lncRNAs) in the nonsmall cell lung cancer (NSCLC) tumorigenesis are increasingly important. This work aims to investigate the role of lncRNA LINC00460 in the gefitinib resistance of NSCLC cells and discover its relevant mechanism. Our finding reveals that the expression of lncRNA LINC00460 is upregulated in the gefitinib-resistant NSCLC tissue and cells, and closely correlated with advanced tumor stage and clinical poor prognosis outcome. Gain and loss functional assays are performed in gefitinib-resistant NSCLC cells (A549/GR), stating that LINC00460 facilitates the 50% inhibitive concentration of gefitinib for NSCLC cells, multidrug-resistant-related proteins (P-gp, MRP1, and BCRP), as well as the invasion. In vivo, LINC00460 silencing represses the tumor growth. Bioinformatics prediction tools and luciferase analysis confirm that the upregulated LINC00460 sponged miR-769-5p in NSCLC cells; moreover, epidermal growth factor receptor (EGFR) is identified as a direct target gene of miR-769-5p. Verification experiments confirm that the restoration of EGFR could weaken the sensibility of NSCLC cells toward the gefitinib. In conclusion, our result demonstrates that LINC00460 plays a pivotal role in gefitinib resistance of NSCLC cells by targeting EGFR through sponging miR-769-5p. This finding might serve as a therapeutic target for NSCLC.

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          Most cited references26

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          Rational design of inhibitors that bind to inactive kinase conformations.

          The majority of kinase inhibitors that have been developed so far--known as type I inhibitors--target the ATP binding site of the kinase in its active conformation, in which the activation loop is phosphorylated. Recently, crystal structures of inhibitors such as imatinib (STI571), BIRB796 and sorafenib (BAY43-9006)--known as type II inhibitors--have revealed a new binding mode that exploits an additional binding site immediately adjacent to the region occupied by ATP. This pocket is made accessible by an activation-loop rearrangement that is characteristic of kinases in an inactive conformation. Here, we present a structural analysis of binding modes of known human type II inhibitors and demonstrate that they conform to a pharmacophore model that is currently being used to design a new generation of kinase inhibitors.
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            Patterns of Metastatic Spread and Mechanisms of Resistance to Crizotinib in ROS1-Positive Non–Small-Cell Lung Cancer

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              Gefitinib.

              Gefitinib is an orally active selective inhibitor epidermal growth factor receptor (EGFR). The large randomised phase III IPASS study (gefitinib 250 mg, daily vs carboplatin and paclitaxel) showed a beneficial effect on progression-free survival (PFS) and quality of life in selected patient populations under the treatment with gefitinib (HR for TKI 0.74; 95% CI: 0.65-0.85). In the subgroup of patients with EGFR mutation the effect of gefitinib on PFS was notably, PFS HR 0.48; 95% CI: 0.36-0.64, p < 0.001) and the objective response rate (RR) was 71.2% with gefitinib versus 47.3% with chemotherapy. However no significant difference of overall survival was found. Based on this study gefitinib was approved for the first-line treatment of the patients with non-small cell lung cancer (NSCLC) with sensitising EGFR mutations (exon 19 deletion or L858R point mutation). Gefitinib is metabolized in the liver. Most of the adverse effects of gefitinib, such as rash, dry skin and diarrhoe, are mild to moderate in severity and are reversible.
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                Author and article information

                Journal
                DNA Cell Biol
                DNA Cell Biol
                dna
                DNA and Cell Biology
                Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA )
                1044-5498
                1557-7430
                01 February 2019
                05 February 2019
                05 February 2019
                : 38
                : 2
                : 176-183
                Affiliations
                [ 1 ]Department of Chest Surgery, Nanjing Chest Hospital, Nanjing, China.
                [ 2 ]Department of Pneumology, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, China.
                [ 3 ]Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
                Author notes
                [*]

                These authors are first authors.

                [*]Address correspondence to: Yan Yang, PhD, Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China yangyan78njmu@ 123456126.com
                [*]Feng Liu, MD, Department of Chest Surgery, Nanjing Chest Hospital, Nanjing 210029, China liufeng886@ 123456aliyun.com
                Article
                10.1089/dna.2018.4462
                10.1089/dna.2018.4462
                6383575
                30601026
                21d29ffa-2366-4a85-bc31-9cb9aba7c051
                © Guodong Ma et al., 2018; Published by Mary Ann Liebert, Inc.

                This Open Access article is distributed under the terms of the Creative Commons License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 September 2018
                : 21 October 2018
                : 29 October 2018
                Page count
                Figures: 4, Tables: 1, References: 30, Pages: 8
                Categories
                Molecular Mechanisms of Disease

                nonsmall cell lung cancer,gefitinib resistance,linc00460,mir-769-5p,egfr

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