2019
DOI: 10.1038/s42255-019-0052-9
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miR-147b-mediated TCA cycle dysfunction and pseudohypoxia initiate drug tolerance to EGFR inhibitors in lung adenocarcinoma

Abstract: Drug-tolerance is an acute defense response prior to a fully drug-resistant state and tumor relapse, however there are few therapeutic agents targeting drug-tolerance in the clinic. Here we show that miR-147b initiates a reversible tolerant-state to the EGFR inhibitor osimertinib in non-small cell lung cancer. With miRNA-seq analysis we find that miR-147b is the most upregulated microRNA in osimertinib-tolerant and EGFR mutated lung cancer cells. Whole transcriptome analysis of single-cell derived clones revea… Show more

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Cited by 62 publications
(76 citation statements)
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“…In agreement with a recent tandem mass spectrometry study performed by Zhang and colleagues, we nd that DCA does not increase glucose metabolism, but rather affects pyruvate and lactate metabolism directly [113]. On the level of mRNA, we nd LDHA to be signi cantly downregulated upon 48 h of DCA treatment, further indicating decrease in fermentation.…”
Section: Discussionsupporting
confidence: 92%
“…In agreement with a recent tandem mass spectrometry study performed by Zhang and colleagues, we nd that DCA does not increase glucose metabolism, but rather affects pyruvate and lactate metabolism directly [113]. On the level of mRNA, we nd LDHA to be signi cantly downregulated upon 48 h of DCA treatment, further indicating decrease in fermentation.…”
Section: Discussionsupporting
confidence: 92%
“…In cancer research, miRNAs have been discovered to have a role in developing drug tolerance. Altered miR-147b initiates a reversible state of tolerance to osimertinib in lung cancer cells by binding SDHD (Zhang et al, 2019). Pretreatment with a miR-147b inhibitor delayed osimertinib-associated drug tolerance, providing a promising target for preventing tumor relapse (Zhang et al, 2019).…”
Section: Tca Cyclementioning
confidence: 99%
“…We report here that miR-147b expression increases with TGF- treatment, attenuates KMT2D expression, and subsequently allows the cancer cells to acquire a mesenchymal phenotype. Others have also reported the pro-tumor role of miR-147b [37][38][39] . For example, miR-147b increases the tumorigenicity in hepatocellular carcinoma by targeting ubiquitinconjugating enzyme E2N 37 .…”
Section: Discussionmentioning
confidence: 95%
“…In patients with hepatitis C-associated diffuse large Bcell lymphoma, high miR-147b level is correlated with poor prognosis 38 . Recent work in lung cancer showed that miR-147b endows enhanced drug resistance by altering tricarboxylic acid cycle 39 . These findings suggest the possibility of using miR-147b as a therapeutic target for multiple tumor types.…”
Section: Discussionmentioning
confidence: 99%