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通过调控自噬,人非小细胞肺癌细胞对喜树碱的敏感性增加。

Human non‑small cell lung cancer cells can be sensitized to camptothecin by modulating autophagy.

机构信息

Department of Nursing, St. Mary's Junior College of Medicine, Nursing and Management, Yilan 266, Taiwan, R.O.C.

Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan, R.O.C.

出版信息

Int J Oncol. 2018 Nov;53(5):1967-1979. doi: 10.3892/ijo.2018.4523. Epub 2018 Aug 14.

Abstract

Lung cancer is a prevalent disease and is one of the leading causes of mortality worldwide. Despite the development of various anticancer drugs, the prognosis of lung cancer is relatively poor. Metastasis of lung cancer, as well as chemoresistance, is associated with a high mortality rate for patients with lung cancer. Camptothecin (CPT) is a well-known anticancer drug, which causes cancer cell apoptosis via the induction of DNA damage; however, the cytotoxicity of CPT easily reaches a plateau at a relatively high dose in lung cancer cells, thus limiting its efficacy. The present study demonstrated that CPT may induce autophagy in two human non‑small cell lung cancer cell lines, H1299 and H460. In addition, the results of a viability assay and Annexin V staining revealed that CPT-induced autophagy could protect lung cancer cells from programmed cell death. Conversely, the cytotoxicity of CPT was increased when autophagy was blocked by 3-methyladenine treatment. Furthermore, inhibition of autophagy enhanced the levels of CPT-induced DNA damage in the lung cancer cell lines. Accordingly, these findings suggested that autophagy exerts a protective role in CPT-treated lung cancer cells, and the combination of CPT with a specific inhibitor of autophagy may be considered a promising strategy for the future treatment of lung cancer.

摘要

肺癌是一种常见疾病,也是全球主要致死原因之一。尽管已经开发出了多种抗癌药物,但肺癌的预后仍然较差。肺癌的转移和化疗耐药性与肺癌患者的高死亡率相关。喜树碱(CPT)是一种著名的抗癌药物,它通过诱导 DNA 损伤导致癌细胞凋亡;然而,CPT 在肺癌细胞中的细胞毒性在相对较高的剂量下容易达到平台期,从而限制了其疗效。本研究表明,CPT 可能在两种人非小细胞肺癌细胞系 H1299 和 H460 中诱导自噬。此外,细胞活力测定和 Annexin V 染色的结果表明,CPT 诱导的自噬可以保护肺癌细胞免受程序性细胞死亡。相反,当自噬被 3-甲基腺嘌呤处理阻断时,CPT 的细胞毒性增加。此外,抑制自噬增强了 CPT 诱导的肺癌细胞系中 DNA 损伤的水平。因此,这些发现表明自噬在 CPT 处理的肺癌细胞中发挥保护作用,CPT 与自噬特异性抑制剂的联合应用可能是未来治疗肺癌的一种有前途的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df70/6192723/f009b15429be/IJO-53-05-1967-g00.jpg

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