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MTS assay (A, B), colony forming assay (C) and flow cytometry (D) were applied to measure the effects of hsa_circ_0005576 knockdown and miR‐512‐5p inhibition on osimertinib sensitivity in H1975OR and HCC827OR cells. *P < .05

MTS assay (A, B), colony forming assay (C) and flow cytometry (D) were applied to measure the effects of hsa_circ_0005576 knockdown and miR‐512‐5p inhibition on osimertinib sensitivity in H1975OR and HCC827OR cells. *P < .05

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Osimertinib is a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) for lung adenocarcinoma (LUAD) harboring activating mutations, but patients ultimately develop acquired resistance. Circular RNAs are involved in EGFR-TKI resistance, while the role of hsa_circ_0005576 in the osimertinib resistance of LUAD remain...

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... Previous data suggested that circRANGAP1 [12] and SOD2 [27] functions as oncogenes, while miR-512-5p acts as a tumor suppressor [28,29]. However, whether these three genes interact with each other to regulate NSCLC progression is unknown. ...
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... circPVT1 is related with the cisplatin and pemetrexed insensitivity of patients with lung adenocarcinoma; notably, circPVT1 contributes to cisplatin and pemetrexed chemotherapy resistance through the miR-145-5p/ABcc1 axis (42). Hsa_circ_0005576 promotes osimertinib resistance through the miR-512-5p/IGF1R axis in lung adenocarcinoma cells (43). Inhibition of circ7312 reduces osimertinib resistance by promoting pyroptosis and Figure 7. downregulation of circPPP4R1 increase the sensitivity of H1975-OR cells to osimertinib. ...
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Drug resistance is an urgent problem to be solved in the treatment of non‑small‑cell lung cancer (NSCLC). Osimertinib is a third‑generation EGFR‑tyrosine kinase inhibitor, which can improve the efficacy and quality of life of patients; however, the inevitable resistance after long‑term use of osimertinib often leads to treatment failure. Cell lines are key tools for basic and preclinical studies. At present, few osimertinib‑resistant cell lines (HCC827‑OR and H1975‑OR) have been established. In the present study, osimertinib‑resistant cell lines were established by gradually increasing the drug concentration. Half‑maximal inhibitory concentration (IC50), cell morphology, whole exon sequencing, Cell Counting Kit‑8 assay, EdU staining and flow cytometry were used to evaluate the osimertinib‑resistant cell lines. Western blot analysis was used to detect the expression levels of key proteins involved in osimertinib resistance. The circular RNA (circRNA) expression profile was identified by RNA sequencing (RNA‑seq) analysis of HCC827, HCC827‑OR, H1975 and H1975‑OR cells. Subsequently, the biological roles of differentially expressed circRNAs were explored in in vitro studies. Osimertinib‑resistant cell lines were successfully established via treatment with an increasing concentration of osimertinib. Osimertinib IC50 and proliferation of resistant cells were much higher than those of sensitive cells. Notably, phosphorylated (p)‑AKT and p‑ERK were markedly activated in resistant cells, and the inhibitory effect of osimertinib on p‑AKT and p‑ERK was weaker in resistant cells than that in parental cells. RNA‑seq analysis identified differentially expressed circRNAs in HCC827, HCC827‑OR, H1975 and H1975‑OR cells. The most dysregulated circRNAs (circPDLIM5 and circPPP4R1) were selected for further functional study. Kyoto Encyclopedia of Genes and Genomes pathway analysis showed that the host genes of differentially expressed circRNAs were associated with 'endocytosis' and 'regulation of autophagy'. In conclusion, the present study established osimertinib‑resistant cell lines and revealed that circRNAs may serve as a promising biomarker in NSCLC osimertinib resistance.
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... Hsa_circ_0005576 was markedly increased in osimertinib-resistant LUAD cells. Knockdown of hsa_circ_0005576 recovered osimertinib sensitivity via the miR-512-5p/IGF1 receptor pathway (114). In addition, hsa_circ_0007312 (circ7312) was positively correlated with osimertinib IC 50 values and xenograft experiments indicated that knockdown of circ7312 decreased resistance to osimertinib in vivo. ...
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... Regarding the functions of circRNAs in the resistance of osimertinib, a third-generation EGFR-TKI, Liu et al. demonstrated that has_circ_0005576 promoted osimertinib resistance by regulating miR-512-5p/IGF1R axis in LUAD cells (119). Another report clearly showed that has_circ_0002130 expression was considerably increased in osimertinib-resistant NSCLC cells and serum exosomes from osimertinib-resistant NSCLC patients, suggesting circ_0002130 may promote osimertinib resistance. ...
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... Beyond tumorigenesis, recent studies have investigated dysregulated ncRNAs in EGFR TKI-resistant lung cancer and partially elucidated their diverse mechanisms. To date, research has mainly focused on specific ncRNAs involved in crucial signaling pathways downstream of EGFR and parallel pathways instead of the mechanisms of ncRNA dysregulation [32][33][34]. Remarkably, a minority of studies have shown that EGFR mutations might lead naturally to ncRNAs [35]. MiR-21, for example, a miRNA activated by EGFR, has been proven to negatively modulate TNF expression. ...
... Thus, the PI3K/AKT pathway is enhanced, causing resistance to gefitinib, afatinib, erlotinib and osimertinib [49,50]. In a similar manner, ncRNAs such as miR-223, lncRNA GAS5 and hsa_circ_0005576 regulate IGF1R expression and subsequently influence the resistance of lung cancer cells to EGFR TKIs [32,[51][52][53]. ...
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... 399,400 CircRNA hsa_-circ_0005576 directly interacts with miR-512-5p in LUAD cell lines and upregulates miR-512-5p/IGF-1R pathway, leading to osimertinib resistance. 401 In addition, circRNA-SORE binds to Y-box binding protein 1 (YBX1) to block the interaction between YBX1 and the pre-mRNA-processing factor 19 (PRP19) (an E3 ubiquitin ligase). 402 Consequently, PRP19-mediated YBX degradation is inhibited, and high YBX is related to the apoptosis resistance. ...
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