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Updated: Jun 11, 2026

Quantitative Analysis of Autophagy using Advanced 3D Fluorescence Microscopy
Published on: May 3, 2013
Pterostilbene induces autophagy and apoptosis in sensitive and chemoresistant human bladder cancer cells
Rong-Jane Chen1, Chi-Tang Ho, Ying-Jan Wang
1Department of Environmental and Occupational Health, National Cheng Kung University Medical College, Tainan, Taiwan.
Scope:
Bladder cancer is one of the most common malignancies in the world. The majority of bladder cancer deaths are due to unresectable lesions that are resistant to chemotherapy. Pterostilbene (PT), a naturally occurring phytoalexin, possesses a variety of pharmacologic activities, including antioxidant, cancer prevention activity and cytotoxicity to many cancers. We found that PT effectively inhibits the growth of sensitive and chemoresistant human bladder cancer cells by inducing cell cycle arrest, autophagy and apoptosis. Down-regulations of Cyclin A, B and D1 and pRB are the results of PT-induced cell cycle arrest.
Methods And Results:
Autophagy occurred at an early stage and was observed through the formation of acidic vesicular organelles (the marker for autophagy) and microtubule-associated protein 1 light chain 3-II production. Apoptosis occurred at a later stage and was detected by Annexin V and 4',6-diamidino-2-phenylindole staining. PT-induced autophagy was triggered by the inhibition of active human protein kinase/the mammalian TOR/p70S6K pathway and activation of extracellular signal-regulated kinase pathway. Inhibition of autophagy by pretreatment with 3-methyladenine, bafilomycin A1, Beclin 1 or extracellular signal-regulated kinase short hairpin RNA enhanced PT-triggered apoptosis.
Conclusion:
This is the first study to demonstrate that PT causes autophagy in cancer cells and suggests that PT could serve as a new and promising agent for the treatment of sensitive and chemoresistant bladder cancer cells.
Insights
Pterostilbene (PT) inhibits bladder cancer growth by inducing cell cycle arrest, autophagy, and apoptosis in both sensitive and chemoresistant cells. This study highlights PT as a potential therapeutic agent for bladder cancer treatment.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Bladder cancer is a common malignancy with many cases becoming unresectable and chemotherapy-resistant.
- Pterostilbene (PT), a natural phytoalexin, exhibits antioxidant, cancer prevention, and cytotoxic properties against various cancers.
Purpose of the Study:
- To investigate the efficacy of Pterostilbene (PT) in inhibiting the growth of sensitive and chemoresistant human bladder cancer cells.
- To elucidate the mechanisms underlying PT's anti-cancer effects, including cell cycle arrest, autophagy, and apoptosis.
Main Methods:
- Assessed PT's effect on bladder cancer cell growth.
- Analyzed PT-induced cell cycle arrest through Cyclin A, B, D1, and pRB.
- Detected autophagy via acidic vesicular organelles and microtubule-associated protein 1 light chain 3-II.
- Identified apoptosis using Annexin V and 4',6-diamidino-2-phenylindole staining.
Main Results:
- PT inhibited the growth of both sensitive and chemoresistant human bladder cancer cells.
- PT induced cell cycle arrest, characterized by down-regulation of Cyclin A, B, D1, and pRB.
- PT triggered autophagy early and apoptosis later, involving the mTOR and ERK pathways.
- Inhibiting autophagy potentiated PT-induced apoptosis.
Conclusions:
- This study is the first to show that Pterostilbene (PT) induces autophagy in cancer cells.
- Pterostilbene (PT) demonstrates potential as a novel therapeutic agent for treating both sensitive and chemoresistant bladder cancer.
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