Still another strategy would be to target the EGFR with other agents that can control the purpose, independent of the kind of mutation. A good example is cetuximab. Lately, the addition of potent c-Met inhibitor cetuximab to afatinib has produced impressive results in treating EGFR reversible TKI resistant lung cancer due to T790M mutation. EGFR specific siRNAs may be good candidates for cancer therapy because of their uniqueness, efficiency, and energy in gene specific silencing and ability to suppress EGFR expression independent of the mutation standing of the gene. Currently, you will find only a few reports on the natural effects of EGFR siRNAs on lung cancer cells. Sordella et al. used a commercial EGFR wild type siRNA pool that efficiently caused the chemical caspase 3 at 96 h post transfection. The siRNA therapy also suppressed stability in H1975 cells expressing a T790M mutant EGFR and H1650 cells harboring a downstream Haematopoiesis PTEN mutation, although not in H358 cells which can be wild type for EGFR. In the present study, we’ve shown an EGFR specific siRNA is quite able to controlling the expression of EGFR in every cell lines tested, independent of the EGFR mutation status. Our answers are partly in discordance with the data of Sordella et al. who, albeit applying unique siRNA sequences and finding assays, found no biological effects in wild-type cells. These differences may reside in the focus of the siRNAs used and the capability of the siRNAs to reduce gene expression that has been high and uniform across cell lines within our experiments. Our results have been in line with the statement of Rothenberg et al., which showed that lentivirusbased shRNA constructs targeting wild type EGFR mRNA can promote cell death. supplier Adriamycin Moreover, a reduction in cell viability was seen in EGFR wild type cells by Yamanaka et al. who studied the result of an EGFR siRNA, in numerous set of lung adenocarcinoma cell lines harboring a spectrum of EGFR wild-type, mutant, and KRAS mutant cell lines. Although all cell lines tested in our study were painful and sensitive to our EGFR siRNA, some differences were noted. To start with, the differential sensitivity towards inhibition of cell development versus apoptosis induction wasn’t the same. The effect of an siRNA upon important aspects of the malignant phenotype, cell development, and survival is a measure of the unique amplitude of the quality and oncogenic potency of the different variations. The H1650 and HCC827 cell lines with an exon 19 deletion were the most delicate, both for growth inhibition and apoptosis induction, confirming that the exon 19 mutation is the most oncogenic and addictive. H1650 cells have been called immune to TKIs due the loss of an operating PTEN suppressor.