PMID- 32319656 OWN - NLM STAT- MEDLINE DCOM- 20210308 LR - 20211022 IS - 1791-2431 (Electronic) IS - 1021-335X (Linking) VI - 44 IP - 1 DP - 2020 Jul TI - Icariside II overcomes BRAF inhibitor resistance in melanoma by inducing ROS production and inhibiting MITF. PG - 360-370 LID - 10.3892/or.2020.7582 [doi] AB - Metastatic melanoma is the most aggressive skin cancer. Although BRAF inhibitor treatment has achieved great success in melanoma, resistance develops within 12 months. Icariside II (IS), a natural compound extracted from Herba Epimedii, exerts anticancer properties. In the present study, we determined by MTT, flow cytometry and western blotting, respectively that IS potentiated the PLX4032‑induced downregulation of cell viability and increase in apoptosis and autophagy in BRAF inhibitor‑resistant melanoma. In addition, we also revealed by flow cytometry and western blotting, respectively, that IS combined with PLX4032 increased mitochondrial and intracellular reactive oxygen species (ROS) generation and subsequently promoted depolarization of mitochondria and release of apoptotic proteins. N‑acetyl cysteine (NAC) and glutathione (GSH), ROS scavengers, reversed the IS‑induced enhancement of the response to PLX4032. Microphthalmia‑associated transcription factor (MITF) and tyrosine‑protein kinase Met (c‑Met) are well‑known factors that contribute to BRAF inhibitor resistance. Furthermore, c‑Met is a direct transcriptional target of MITF in melanocytes and melanoma cells. It was also revealed that IS markedly inhibited MITF and c‑Met expression partially by increasing ROS production in BRAF inhibitor‑resistant melanoma cells. FAU - Liu, Xiao AU - Liu X AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - Li, Zheng AU - Li Z AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - Li, Ming AU - Li M AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - Chai, Jingxiu AU - Chai J AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - He, Shan AU - He S AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - Wu, Jinfeng AU - Wu J AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. FAU - Xu, Jinhua AU - Xu J AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China. LA - eng PT - Journal Article DEP - 20200415 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - 0 (Flavonoids) RN - 0 (MITF protein, human) RN - 0 (Microphthalmia-Associated Transcription Factor) RN - 0 (Reactive Oxygen Species) RN - 113558-15-9 (baohuoside I) RN - 207SMY3FQT (Vemurafenib) RN - EC 2.7.10.1 (MET protein, human) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) SB - IM MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Down-Regulation MH - Drug Resistance, Neoplasm/drug effects MH - Drug Synergism MH - Flavonoids/*pharmacology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Melanoma/drug therapy/*genetics/metabolism MH - Membrane Potential, Mitochondrial/drug effects MH - Microphthalmia-Associated Transcription Factor/*genetics MH - Proto-Oncogene Proteins B-raf/*genetics MH - Proto-Oncogene Proteins c-met/genetics MH - Reactive Oxygen Species/*metabolism MH - Vemurafenib/*pharmacology OTO - NOTNLM OT - icariside II OT - melanoma OT - BRAF inhibitor resistance OT - reactive oxygen species OT - MITF EDAT- 2020/04/23 06:00 MHDA- 2021/03/09 06:00 CRDT- 2020/04/23 06:00 PHST- 2019/09/24 00:00 [received] PHST- 2020/03/18 00:00 [accepted] PHST- 2020/04/23 06:00 [pubmed] PHST- 2021/03/09 06:00 [medline] PHST- 2020/04/23 06:00 [entrez] AID - 10.3892/or.2020.7582 [doi] PST - ppublish SO - Oncol Rep. 2020 Jul;44(1):360-370. doi: 10.3892/or.2020.7582. Epub 2020 Apr 15.