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[I. Chemical biology and drug discovery-35]



             Anti-cancer effects of the root of TK in human non-small cell


              lung cancer cells with resistance to epidermal growth factor


                                  receptor-tyrosine kinase inhibitors



                                            Hyun-Ji Park¹, Shin-Hyung Park¹˙*


                 ¹Department of Pathology, College of Korean Medicine, Dongeui University, Busan 47227, Korea





        Although epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) has become the standard treatment
        for non-small cell lung cancer (NSCLC), acquired resistance to these drugs remains a major obstacle for managing
        NSCLC. This study explored the anti-cancer effects of the root of TK in NSCLC cells with EGFR TKIs resistance. We

        first  established  erlotinib-resistant  PC9  (PC9/ER)  and  gefitinib-resistant  PC9  (PC9/GR)  cell  lines  using  a  dose-
        escalating maintenance of drugs in PC9 cells. We also used H1975 cell line (L858R/T790M) as the EGFR-TKI resistant

        cell line. Our results showed that ethanol extract of TK (ETK) suppressed the cell proliferation in EGFR-TKI resistant
        cell lines. In addition, ETK enhanced the sub-G1 DNA content, annexin V-positive cell population as well as chromatin

        condensation. The expression of cleaved PARP and cleaved caspase-3 was also increased by ETK. These findings
        demonstrate that ETK induced apoptosis in EGFR TKI-resistant NSCLC cell lines. Furthermore, the activities of general

        activators of cancer cell proliferation were significantly decreased by ETK in H1975 cells. In conclusion, the current
        study  suggests  the  potential  use  of  TK  for  managing  the  advanced  NSCLC  with EGFR-TKIs resistance  (NRF-

        2019R1F1A1059588).
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