Abstract

Despite the development of numerous therapeutics targeting the epithelial growth factor receptor (EGFR) for non-small cell lung carcinoma (NSCLC), the application of these drugs is limited because of drug resistance. Here, we investigated the antitumor effect of calcium-mediated degradation of EGFR pathway-associated proteins on NSCLC. First, lactate calcium salt (LCS) was utilized for calcium supplementation. Src, α-tubulin and EGFR levels were measured after LSC treatment, and the proteins were visualized by immunocytochemistry. Calpeptin was used to confirm the calcium-mediated effect of LCS on NSCLC. Nuclear expression of c-Myc and cyclin D1 was determined to understand the underlying mechanism of signal inhibition following EGFR and Src destabilization. The colony formation assay and a xenograft animal model were used to confirm the in vitro and in vivo antitumor effects, respectively. LCS supplementation reduced Src and α-tubulin expression in NSCLC cells. EGFR was destabilized because of proteolysis of Src and α-tubulin. c-Myc and cyclin D1 expression levels were also reduced following the decrease in the transcriptional co-activation of EGFR and Src. Clonogenic ability and tumor growth were significantly inhibited by LSC treatment-induced EGFR destabilization. These results suggest that other than specifically targeting EGFR, proteolysis of associated molecules such as Src or α-tubulin may effectively exert an antitumor effect on NSCLC via EGFR destabilization. Therefore, LCS is expected to be a good candidate for developing novel anti-NSCLC therapeutics overcoming chemoresistance.

Highlights

  • In 2017, Korea witnessed 26,093 new cases of lung cancer, which is the most common cancer in males

  • Src Is Destabilized in Non-Small Cell Lung Carcinoma (NSCLC) Cells after Lactate Calcium Salt (LCS) Treatment in a Time-Dependent Manner

  • Since calcium is the main component of lactate calcium salt (LCS), we determined the effect of calcium on non-small cell lung carcinoma (NSCLC) cells

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Summary

Introduction

In 2017, Korea witnessed 26,093 new cases of lung cancer, which is the most common cancer in males. The pathway of epithelial growth factor receptor (EGFR) signaling is important for regulating the growth, proliferation, invasion and metastasis of cancer cells, including NSCLC [3,4]. EGFR dimerizes upon activation by ligand, such as EGF, infrequently as heterodimers with other EGFR family members; it is activated by phosphorylation and interacts with various intracellular proteins [5]. These proceedings activate signaling cascades in the cancer cells, and the receptors are dimerized and internalized via endocytic trafficking and are moved to the cell surface for recycling or degraded by lysosomes [6,7]. EGFR is an important molecular target for NSCLC therapy

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