Polo-like kinase 1 is a
serine/threonine kinase which plays an essential role in mitosis and malignant transformation. The aim of this study was to investigate the prognostic significance of
polo-like kinase 1 expression and determine its possibility as a therapeutic target in
non-small cell lung cancer. Semi-quantitative RT-PCR assay was performed to detect
polo-like kinase 1 mRNA expression in
non-small cell lung cancer cells or tissues. Immunohistochemistry was performed to detect
polo-like kinase 1 protein expression in 100
non-small cell lung cancer tissue samples, and the associations of
polo-like kinase 1 expression with clinicopathological factors or prognosis of
non-small cell lung cancer patients were evaluated. RNA interference was employed to inhibit endogenous
polo-like kinase 1 expression and analyzed the effects of
polo-like kinase 1 inhibition on the malignant phenotypes of
non-small cell lung cancer cells including growth, apoptosis, radio- or chemoresistance. Also, the possible molecular mechanisms were also investigated. The levels of
polo-like kinase 1 mRNA expression in
non-small cell lung cancer cell lines or tissues were significantly higher than those in normal human bronchial epithelial cell line or corresponding non-
tumor tissues. High
polo-like kinase 1 expression was significantly correlated with advanced clinical stage, higher
tumor classification and
lymph node metastasis of
non-small cell lung cancer patients (P=0.001, 0.004 and 0.001, respectively). Meanwhile, high
polo-like kinase 1 protein expression was also an independent prognostic molecular marker for
non-small cell lung cancer patients (hazard ratio: 2.113; 95% confidence interval: 1.326-3.557; P=0.017).
Polo-like kinase 1 inhibition could significantly inhibit in vitro and in vivo proliferation, induce cell arrest of G(2)/M phase and apoptosis enhancement in
non-small cell lung cancer cells, which might be activation of the p53 pathway and the Cdc25C/cdc2/
cyclin B1 feedback loop. Further, inhibition of
polo-like kinase 1 could enhance the sensitivity of
non-small cell lung cancer cells to
taxanes or irradiation. Thus,
polo-like kinase 1 might be a prognostic marker and a chemo- or radiotherapeutic target for
non-small cell lung cancer.