2014
DOI: 10.1111/cas.12425
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RAC1 inhibition as a therapeutic target for gefitinib‐resistant non‐small‐cell lung cancer

Abstract: Although epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (EGFR-TKI), including gefitinib, provide a significant clinical benefit in non-small-cell lung cancer (NSCLC) patients, the acquisition of drug resistance has been known to limit the efficacy of EGFR-TKI therapy. In this study, we demonstrated the involvement of EGF-EGFR signaling in NSCLC cell migration and the requirement of RAC1 in EGFR-mediated progression of NSCLC. We showed the significant role of RAC1 pathway in the cell migrati… Show more

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Cited by 44 publications
(43 citation statements)
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“…Rac1 promoted colon cancer progression through promotion of cell proliferation, survival and migration (36). Rac1 expression is correlated with tumorigenesis, aggressiveness and treatment resistance in a number of cancers such as lung (37,38), breast cancer (39,40) and melanoma (23,41). These clinical investigations have shown the close correlation of Rac1 with human cancers.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Rac1 promoted colon cancer progression through promotion of cell proliferation, survival and migration (36). Rac1 expression is correlated with tumorigenesis, aggressiveness and treatment resistance in a number of cancers such as lung (37,38), breast cancer (39,40) and melanoma (23,41). These clinical investigations have shown the close correlation of Rac1 with human cancers.…”
Section: Discussionmentioning
confidence: 99%
“…They further found that inhibition of Rac1 activity could be useful in overcoming treatment resistance and could be proposed for hNSCC patients with primary or secondary chemoradioresistance (43). In addition, Kaneto et al (38) discovered that Rac1 inhibition was a potential therapeutic target for gefitinib-resistant non-small cell lung cancer (NSCLC). In agreement with the study of Kaneto et al, another group found that Rac1 suppression could suppress NSCLC stem cells and thus inhibit their tumorigenic activity (44).…”
Section: Discussionmentioning
confidence: 99%
“…Despite this,i ti sa dvertised as as pecific inhibitor and has been used to identify Rac1 as anew therapeutic target for the influenza virus,a nd in gefitinib-resistant non-small cell lung cancer. [126] It has also been reported that NSC23766 acts as ac ompetitive antagonist at muscarinic acetylcholine [127] and NMDA [128] receptors in aR ac1-independent manner,a tt he same concentrations used for Rac1 inhibition. Moreover,i t had critical, Rac1-independent, off-target effects in platelets [129] resulting in the authors concluding the lack of specificity limits their potential without further analysis.…”
Section: Discussionmentioning
confidence: 95%
“…Downregulation of RAC1 can reduce cell activation, such as migration, invasion, and the formation of lamellipodia . Moreover, the inhibition of RAC1 can also sensitize gefitinib‐resistant NSCLC cells to gefitinib . Finally, we speculate that the dysregulation of RAC1 can lead to massive cellular disorders, including platelet function, cell migration, adhesion, intracellular transport, and cellular transformation.…”
Section: Alternative Treatments Against Lung Cancer In Clinical Therapymentioning
confidence: 86%