
Lung cancer (LC) is the principal cause of cancer-related mortality throughout the world. Histologically, LC is generally divided into two main categories: small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). Despite the chemotherapy and targeted therapies have significantly improved patients’ prognosis, the acquired drug resistance after chemotherapies substantially limits the efficacy of cancer therapy. The 5-year survival rate of patients with LC is only 15%. Therefore, investigating the mechanisms of drug resistance, identifying novel therapeutic targets, and developing new chemotherapeutic agents to overcome cancer drug resistance are urgently needed. The creation of drug-resistant cell lines is the experimental basis for studying the mechanism of drug resistance and identifying novel therapeutic targets.
Nowadays, common strategies to establish drug resistance LC consist of isolating drug-resistant cancer cells in the clinic, treating drug-sensitive cells with continuous constant drug concentration or stepwise increasing doses of a drug over time to acquire resistant cells. And then, measure the expression level of P-glycoprotein (P-gp) to identify the acquired drug resistance to conventional cytotoxic drugs in the developed cell lines. If the used drug is a targeted therapy, sequencing the kinase domain of the drug target gene to identify the drug resistance mutation sites, thus validating the acquisition of resistance.
The aim of this collection (but is not limited to) is to describe detailed state-of-the-art protocols and procedures for isolation, establishment, and identification techniques of drug-resistant cell lines currently in use in the LC field, including introduce novel approaches. Contributions in various aspects are welcomed.