Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells

In this study, we investigated the synergistic effect of co-administration of osimertinib and HAD-B1 using gefitinib-resistant non-small cell lung cancer cells, HCC827-GR. HAD-B1 is composed of 4 natural drugs, Panax Notoginseng Radix, Panax ginseng C. A. Meyer, Cordyceps militaris, and Boswellia ca...

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Main Authors: Eun-Ju Ko KMD, PhD, Eun-Bin Kwag PhD, Ji-Hye Park KMD, PhD, Sung-Hyuk Cho MS, So-Jung Park KMD, PhD, Mi-Kyung Jung KMD, PhD, In-Cheol Kang PhD, Hwa-Seung Yoo KMD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Integrative Cancer Therapies
Online Access:https://doi.org/10.1177/15347354241307006
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author Eun-Ju Ko KMD, PhD
Eun-Bin Kwag PhD
Ji-Hye Park KMD, PhD
Sung-Hyuk Cho MS
So-Jung Park KMD, PhD
Mi-Kyung Jung KMD, PhD
In-Cheol Kang PhD
Hwa-Seung Yoo KMD, PhD
author_facet Eun-Ju Ko KMD, PhD
Eun-Bin Kwag PhD
Ji-Hye Park KMD, PhD
Sung-Hyuk Cho MS
So-Jung Park KMD, PhD
Mi-Kyung Jung KMD, PhD
In-Cheol Kang PhD
Hwa-Seung Yoo KMD, PhD
author_sort Eun-Ju Ko KMD, PhD
collection DOAJ
description In this study, we investigated the synergistic effect of co-administration of osimertinib and HAD-B1 using gefitinib-resistant non-small cell lung cancer cells, HCC827-GR. HAD-B1 is composed of 4 natural drugs, Panax Notoginseng Radix, Panax ginseng C. A. Meyer, Cordyceps militaris, and Boswellia carterii Birdwood, and has been reported to have therapeutic effects on patients with advanced non-small cell lung cancer in several studies. Resistance to gefitinib in HCC827 cells was acquired through MET activity. Co-treatment with osimertinib and HAD-B1 reduced the cell viability of HCC827-GR cells. In addition, phosphorylation of MET and ERK were effectively suppressed for HCC827-GR cells. And, compared to when osimertinib and HAD-B1 were administered alone, cell proliferation was significantly inhibited and apoptosis was effectively induced when osimertinib and HAD-B1 were co-administered to HCC827-GR cells. We found that the synergistic effect of osimertinib and HAD-B1 combination therapy resulted in cancer cell death and cell cycle arrest by targeting the ERK and mTOR signaling pathways. In conclusion, this study confirmed that the combination of osimertinib, a third-generation anticancer drug, and HAD-B1, a natural anticancer drug, had a potentially synergistic effect on non-small cell lung cancer resistant to EGFR-targeted anticancer drugs.
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spelling doaj-art-44cc8d37190145ecaeea61988076d2572025-01-17T11:03:43ZengSAGE PublishingIntegrative Cancer Therapies1552-695X2025-01-012410.1177/15347354241307006Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer CellsEun-Ju Ko KMD, PhD0Eun-Bin Kwag PhD1Ji-Hye Park KMD, PhD2Sung-Hyuk Cho MS3So-Jung Park KMD, PhD4Mi-Kyung Jung KMD, PhD5In-Cheol Kang PhD6Hwa-Seung Yoo KMD, PhD7Cha Ilsan Medical Center of Cha University, Ilsan, Republic of KoreaIntegrative Medicine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USASeoul Korean Medicine Hospital of Daejeon University, Seoul, Republic of KoreaInnopharmascreen, Inc., Incheon, Republic of KoreaPusan National University of Korean Medicine Hospital, Busan, Republic of KoreaKorean Institute of Oriental Medicine, Daejeon, Republic of KoreaHoseo University, Asan, Republic of KoreaSeoul Korean Medicine Hospital of Daejeon University, Seoul, Republic of KoreaIn this study, we investigated the synergistic effect of co-administration of osimertinib and HAD-B1 using gefitinib-resistant non-small cell lung cancer cells, HCC827-GR. HAD-B1 is composed of 4 natural drugs, Panax Notoginseng Radix, Panax ginseng C. A. Meyer, Cordyceps militaris, and Boswellia carterii Birdwood, and has been reported to have therapeutic effects on patients with advanced non-small cell lung cancer in several studies. Resistance to gefitinib in HCC827 cells was acquired through MET activity. Co-treatment with osimertinib and HAD-B1 reduced the cell viability of HCC827-GR cells. In addition, phosphorylation of MET and ERK were effectively suppressed for HCC827-GR cells. And, compared to when osimertinib and HAD-B1 were administered alone, cell proliferation was significantly inhibited and apoptosis was effectively induced when osimertinib and HAD-B1 were co-administered to HCC827-GR cells. We found that the synergistic effect of osimertinib and HAD-B1 combination therapy resulted in cancer cell death and cell cycle arrest by targeting the ERK and mTOR signaling pathways. In conclusion, this study confirmed that the combination of osimertinib, a third-generation anticancer drug, and HAD-B1, a natural anticancer drug, had a potentially synergistic effect on non-small cell lung cancer resistant to EGFR-targeted anticancer drugs.https://doi.org/10.1177/15347354241307006
spellingShingle Eun-Ju Ko KMD, PhD
Eun-Bin Kwag PhD
Ji-Hye Park KMD, PhD
Sung-Hyuk Cho MS
So-Jung Park KMD, PhD
Mi-Kyung Jung KMD, PhD
In-Cheol Kang PhD
Hwa-Seung Yoo KMD, PhD
Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
Integrative Cancer Therapies
title Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
title_full Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
title_fullStr Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
title_full_unstemmed Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
title_short Synergistic Effect of HAD-B1 and Osimertinib Against Gefitinib Resistant HCC827 Non-Small Cell Lung Cancer Cells
title_sort synergistic effect of had b1 and osimertinib against gefitinib resistant hcc827 non small cell lung cancer cells
url https://doi.org/10.1177/15347354241307006
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