Zhang Xiangchao, Han Zhe, Li Zhengjun, Wang Tao
Department of Anesthesiology, Shengyang Chest Hospital, Shenyang City, Liaoning 110044, China.
Department of Anesthesiology, General Hospital of Northern Theater Command, Shenyang City, Liaoning 110015, China.
Open Med (Wars). 2023 Jun 5;18(1):20230730. doi: 10.1515/med-2023-0730. eCollection 2023.
Non-small-cell lung cancer (NSCLC) is a dominating type of lung cancer with high morbidity and mortality. Midazolam has been reported to promote cell apoptosis in NSCLC, but the molecular mechanism of midazolam remains to be further explored. In the current work, cell viability, proliferation, migration, and apoptosis rates of NSCLC cells treated with midazolam were measured using cell counting kit-8 assay, 5-ethynyl-2'-deoxyuridine (EdU) and colony formation assays, transwell, and flow cytometry assay, respectively, to evaluate the malignant behaviors. Western blot was applied to access EGFR/MEK/ERK pathway-related protein levels. The results demonstrated midazolam significantly declined the viability of NSCLC cells. Furthermore, midazolam restrained cell proliferation and migration and contributed to cell apoptosis in NSCLC. Midazolam exerted suppressive function to EGFR pathway during NSCLC development. Moreover, the activation of EGFR/MEK/ERK pathway abrogated the effects of midazolam on NSCLC cell proliferation, apoptosis, and migration. Taken together, midazolam exhibited anti-tumor effects hallmarked by EGFR pathway inhibition, providing a novel insight into the treatment of NSCLC.
非小细胞肺癌(NSCLC)是肺癌的主要类型,发病率和死亡率都很高。据报道,咪达唑仑可促进NSCLC细胞凋亡,但其分子机制仍有待进一步探索。在当前研究中,分别使用细胞计数试剂盒-8检测法、5-乙炔基-2'-脱氧尿苷(EdU)和集落形成检测法、Transwell法以及流式细胞术检测法,测定了用咪达唑仑处理的NSCLC细胞的活力、增殖、迁移和凋亡率,以评估其恶性行为。采用蛋白质免疫印迹法检测表皮生长因子受体(EGFR)/丝裂原活化蛋白激酶/细胞外信号调节激酶(MEK/ERK)通路相关蛋白水平。结果表明,咪达唑仑显著降低了NSCLC细胞的活力。此外,咪达唑仑抑制了NSCLC细胞的增殖和迁移,并促进了细胞凋亡。在NSCLC发生发展过程中,咪达唑仑对EGFR通路发挥了抑制作用。此外,EGFR/MEK/ERK通路的激活消除了咪达唑仑对NSCLC细胞增殖、凋亡和迁移的影响。综上所述,咪达唑仑通过抑制EGFR通路表现出抗肿瘤作用,为NSCLC的治疗提供了新的思路。