PMID- 31933796 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200117 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 12 IP - 11 DP - 2019 TI - Decitabine reverses gefitinib resistance in PC9 lung adenocarcinoma cells by demethylation of RASSF1A and GADD45beta promoter. PG - 4002-4010 AB - The acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) is the major reason for the failure of target therapy in advanced non small cell lung cancer (NSCLC) patients, the mechanism of which has not been fully elucidated yet. The present study aimed to investigate the different DNA methylation profile before and after acquired EGFR-TKI resistance, and explore the influence of the DNA demethylater, decitabine, on EGFR-TKI resistance. The DNA methylation chip was used to screen the genes whose DNA methylation status were changed in the EGFR-TKI sensitive human NSCLC cell line PC9, and the induced EGFR-TKI resistant NSCLC cell line PC9/GR (harboring T790M mutation). According to the results and literature reports, the tumor suppressor genes, RASSF1A and GADD45beta were selected for further research. Methylation specific PCR (MSP) and western blot further confirmed that the promoters of these two genes were methylated, and the protein expressions were significantly inhibited in PC9/GR cells. Additionally, decitabine, the DNA methyl transferase inhibitor, could reverse the methylation status of RASSF1A and GADD45beta promoters, elevate protein expression, and partially restore the sensitivity of PC9/GR cells to EGFR-TKI. To conclude, our results suggested that the DNA methylation of RASSF1 and GADD45beta may play a role in EGFR-TKI resistance, and epigenetic intervention might be an effective strategy to reverse EGFR-TKI resistance, suggesting further study. CI - IJCEP Copyright (c) 2019. FAU - Hou, Tao AU - Hou T AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Ma, Jin'an AU - Ma J AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Hu, Chunhong AU - Hu C AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Zou, Fangwen AU - Zou F AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Jiang, Shun AU - Jiang S AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Wang, Yapeng AU - Wang Y AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Han, Chen AU - Han C AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. FAU - Zhang, Ying AU - Zhang Y AD - Department of Oncology, Second Xiangya Hospital, Central South University Changsha, Hunan, P. R. China. LA - eng PT - Journal Article DEP - 20191101 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 PMC - PMC6949799 OTO - NOTNLM OT - Lung adenocarcinoma OT - decitabine OT - gefitinib resistance OT - methylation COIS- None. EDAT- 2020/01/15 06:00 MHDA- 2020/01/15 06:01 PMCR- 2019/11/01 CRDT- 2020/01/15 06:00 PHST- 2018/11/06 00:00 [received] PHST- 2018/12/23 00:00 [accepted] PHST- 2020/01/15 06:00 [entrez] PHST- 2020/01/15 06:00 [pubmed] PHST- 2020/01/15 06:01 [medline] PHST- 2019/11/01 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2019 Nov 1;12(11):4002-4010. eCollection 2019.