2018
DOI: 10.1111/cas.13601
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Krüppel‐like factor 4 promotes c‐Met amplification‐mediated gefitinib resistance in non‐small‐cell lung cancer

Abstract: Gefitinib has been widely used in the first‐line treatment of advanced EGFR‐mutated non‐small‐cell lung cancer (NSCLC). However, many NSCLC patients will acquire resistance to gefitinib after 9‐14 months of treatment. This study revealed that Krüppel‐like factor 4 (KLF4) contributes to the formation of gefitinib resistance in c‐Met‐overexpressing NSCLC cells. We observed that KLF4 was overexpressed in c‐Met‐overexpressing NSCLC cells and tissues. Knockdown of KLF4 increased tumorigenic properties in gefitinib‐… Show more

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Cited by 16 publications
(17 citation statements)
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“…Overexpression of peptidylarginine deiminase IV (PAD4) has been demonstrated to decrease the activity of EMT by inhibiting the expression of ETS-domain containing protein (Elk1), which then suppresses the resistance of NSCLC cell lines to gefitinib ( 22 ). Feng et al ( 23 ) indicated that Krüppel-like factor 4 (KLF4) is an important contributing factor for gefitinib resistance in c-Met-overexpressed-NSCLC cells by repressing the expression of apoptosis-related proteins. In addition, microRNAs have been recently reported to be widely involved in acquired gefitinib resistance in NSCLC ( 24 , 25 ).…”
Section: Discussionmentioning
confidence: 99%
“…Overexpression of peptidylarginine deiminase IV (PAD4) has been demonstrated to decrease the activity of EMT by inhibiting the expression of ETS-domain containing protein (Elk1), which then suppresses the resistance of NSCLC cell lines to gefitinib ( 22 ). Feng et al ( 23 ) indicated that Krüppel-like factor 4 (KLF4) is an important contributing factor for gefitinib resistance in c-Met-overexpressed-NSCLC cells by repressing the expression of apoptosis-related proteins. In addition, microRNAs have been recently reported to be widely involved in acquired gefitinib resistance in NSCLC ( 24 , 25 ).…”
Section: Discussionmentioning
confidence: 99%
“…Krüppel‐like transcription factor (KLF4) is a zinger transcription factor and plays a criterial role in regulating cell proliferation, differentiation, apoptosis, and migration . KLF4 has been found to act as an oncogene or tumor suppressor gene in different cancers in a context‐dependent manner .…”
Section: Introductionmentioning
confidence: 99%
“…Nevertheless, KLF4 is important in regulating response to many known drugs [ 1 ]. These include cetuximab [ 23 ], cisplatin [ 19 , 43 , 72 , 84 , 102 ], gefitinib [ 79 ], glibenclamide [ 78 ], mesalazine [ 22 ] and Sijunzi decoction [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…This finding is very significant as it demonstrates that the expression of KLF4 can be increased by the oral administration of the small molecule drug glibenclamide, at least in this particular context. KLF4 promotes resistance to gefitinib, an EGFR inhibitor, in NSCLC cells with c-Met overexpression [ 79 ]. The underlying molecular mechanism involves the regulation of phosphorylation of c-Met and Akt, as KLF4 negatively regulates the expression of β-catenin and inhibits the binding between c-Met and β-catenin [ 79 ].…”
Section: Lung Cancermentioning
confidence: 99%
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