Non-small cell lung cancer (NSCLC) is the most common lung cancer type and the most common cause of mortality in lung cancer patients. NSCLC is often associated with resistance to chemotherapeutics and together with rapid metastatic spread, results in limited treatment options and poor patient survival. NSCLCs are heterogeneous, and consist of epithelial and mesenchymal NSCLC cells. Mesenchymal NSCLC cells are thought to be responsible for the chemoresistance phenotype, but if and how this phenotype can be transferred to other NSCLC cells is currently not known. We hypothesised that small extracellular vesicles, exosomes, secreted by mesenchymal NSCLC cells could potentially transfer the chemoresistance phenotype to surrounding epithelial NSCLC cells. To explore this possibility, we used a unique human bronchial epithelial cell (HBEC) model in which the parental cells were transformed from an epithelial to mesenchymal phenotype by introducing oncogenic alterations common in NSCLC. We found that exosomes derived from the oncogenically transformed, mesenchymal HBECs could transfer chemoresistance to the parental, epithelial HBECs and increase ZEB1 mRNA, a master EMT transcription factor, in the recipient cells. Additionally, we demonstrate that exosomes from mesenchymal, but not epithelial HBECs contain the ZEB1 mRNA, thereby providing a potential mechanism for the induction of a mesenchymal phenotype in recipient cells. Together, this work demonstrates for the first time that exosomes derived from mesenchymal, oncogenically transformed lung cells can transfer chemoresistance and mesenchymal phenotypes to recipient cells, likely via the transfer of ZEB1 mRNA in exosomes.Lung cancer is the leading cause of cancer mortality worldwide, 1 largely due to metastasis and development of treatment resistance. Non-small cell lung cancer (NSCLC) is the most common subtype of lung cancer and most patients present with late stage disease and poor survival prospects.
1The developmental epithelial-to-mesenchymal transition (EMT) process is the phenotypic depolarisation of epithelial cells to elongated mesenchymal cells, due to downregulation of epithelial properties and remodelling of the cytoskeleton to enhance migratory potential. 2 EMT has been associated with metastasis and acquired resistance to cancer therapies 3,4 in various cancers, including NSCLC. 5 EMT is the phenotypic depolarisation of epithelial cells to elongated mesenchymal cells, due to downregulation of epithelial properties and remodelling of the cytoskeleton to enhance migratory potential. 2 The loss of epithelial characteristics is associated with E-cadherin loss and gain of mesenchymal markers, such as vimentin.2 E-cadherin is primarily regulated by canonical EMT transcription factors (Snail, Slug, Twist and Zeb1/2), that repress E-cadherin through interactions with the proximal region of the E-cadherin promoter. Recently, it has been demonstrated that EMT is expendable for metastasis but is an essential step in the development of chemoresistance in breast ...