PMID- 37424811 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 2156-6976 (Print) IS - 2156-6976 (Electronic) IS - 2156-6976 (Linking) VI - 13 IP - 6 DP - 2023 TI - lncRNA ASBEL and lncRNA Erbb4-IR reduce chemoresistance against gemcitabine and cisplatin in stage IV lung squamous cell carcinoma via the microRNA-21/LZTFL1 axis. PG - 2732-2750 AB - Drug resistance is a major cause of treatment failure and post-treatment disease progression in patients with cancer. This study aimed to investigate the mechanisms of chemoresistance to gemcitabine (GEM) plus cisplatin (cis-diamminedichloroplatinum, DDP) combination therapy in stage IV lung squamous cell carcinoma (LSCC). It also examined the functional role of lncRNA ASBEL and lncRNA Erbb4-IR in the malignant progression of LSCC. The expression of lncRNA ASBEL, lncRNA Erbb4-IR, miR-21, and LZTFL1 mRNA was examined in human stage IV LSCC tissues and adjacent normal tissues, human LSCC cells and normal human bronchial epithelial cells using qRT-PCR. Furthermore, LZTFL1 protein levels were also examined using western blots. Cell proliferation, cell migration and invasion, and cell cycle progression and apoptosis were evaluated in vitro using the CCK-8, transwell, and flow cytometry assays, respectively. Based on the treatment response, LSCC tissues were classified as GEM-, DDP-, and GEM+DDP-sensitive/resistant. The MTT assay was performed to assess the chemoresistance of human LSCC cells to GEM, DDP, and GEM+DDP following transfection experiments. The results showed that lncRNA ASBEL, lncRNA Erbb4-IR, and LZTFL1 were down-regulated in human LSCC tissues and cells, whereas miR-21 was up-regulated. In stage IV human LSCC tissues, miR-21 levels were negatively correlated with those of lncRNA ASBEL, lncRNA Erbb4-IR, and LZTFL1 mRNA. The overexpression of lncRNA ASBEL and lncRNA Erbb4-IR inhibited cell proliferation, migration, and invasion. It also blocked cell cycle entry and accelerated apoptosis. These effects were mediated by the miR-21/LZTFL1 axis and reduced chemoresistance to GEM+DDP combination therapy in stage IV human LSCC. These findings indicate that lncRNA ASBEL and lncRNA Erbb4-IR function as tumor suppressors in stage IV LSCC and attenuate chemoresistance to GEM+DDP combination therapy via the miR-21/LZTFL1 axis. Hence, lncRNA ASBEL, lncRNA Erbb4-IR, and LZTFL1 may be targeted to enhance the efficacy of GEM+DDP combination chemotherapy against LSCC. CI - AJCR Copyright (c) 2023. FAU - Liang, Zong-Ying AU - Liang ZY AD - Department of Thoracic Surgery, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. FAU - Zhang, Zhi-Min AU - Zhang ZM AD - Department of Thoracic Surgery, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. FAU - Sun, Guang-Rui AU - Sun GR AD - Department of Education Division, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. FAU - Zhao, Bao-Shan AU - Zhao BS AD - Department of Thoracic Surgery, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. FAU - Xin, Guo-Hua AU - Xin GH AD - Department of Thoracic Surgery, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. FAU - Zhang, Le AU - Zhang L AD - Department of Thoracic Surgery, The Affiliated Hospital of Chengde Medical University Chengde, Hebei, China. LA - eng PT - Journal Article DEP - 20230615 PL - United States TA - Am J Cancer Res JT - American journal of cancer research JID - 101549944 PMC - PMC10326598 OTO - NOTNLM OT - Advanced lung squamous cell carcinoma OT - chemoresistance OT - gemcitabine and cisplatin combination therapy OT - lncRNA ASBEL/lncRNA Erbb4-IR/miR-21/LZTFL1 axis OT - tumor suppressor COIS- None. EDAT- 2023/07/10 06:42 MHDA- 2023/07/10 06:43 PMCR- 2023/06/15 CRDT- 2023/07/10 04:48 PHST- 2023/02/09 00:00 [received] PHST- 2023/05/11 00:00 [accepted] PHST- 2023/07/10 06:43 [medline] PHST- 2023/07/10 06:42 [pubmed] PHST- 2023/07/10 04:48 [entrez] PHST- 2023/06/15 00:00 [pmc-release] PST - epublish SO - Am J Cancer Res. 2023 Jun 15;13(6):2732-2750. eCollection 2023.