Abstract:Abstract: Objective To investigate the effect of E2F-1 on multidrug resistance in small cell lung cancer (SCLC) and its relationship with the prognosis. Methods The expression of E2F-1 in the cancerous tissues of 92 patients with SCLC was detected. The effect of the expression of E2F1 mRNA on survival time was analyzed. The human SCLC sensitive cell line H69 and multidrug resistant cell line H69AR were cultured. The cells were divided into E2F-1 overexpression group, negative control group and blank control group, respectively. The drug sensitivity of the cells in different transfected groups were detected. Results The relative expression level of E2F1 mRNA in the SCLC tissues was higher than that in the adjacent tissues (P < 0.05). The median survival time in the low-expression group was longer than that in the high-expression group (P < 0.05). The IC50 values of Doxorubicin, Cisplatin and Etoposide for H69 cells in the E2F-1 overexpression group were higher than those in the negative control group and the blank control group (P < 0.05). The IC50 values of Doxorubicin, Cisplatin and Etoposide for H69AR cells in the E2F-1 interference group were lower than those in the negative control group and the blank control group (P < 0.05). Conclusions E2F-1 is highly expressed in SCLC tissues. Reduced expression of E2F-1 could enhance the sensitivity of multidrug resistant cell line H69AR to chemotherapy.