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Updated: Jun 8, 2026

Detection of Mitochondria Membrane Potential to Study CLIC4 Knockdown-induced HN4 Cell Apoptosis In Vitro
Published on: July 17, 2018
Doxycycline in mitochondrial mediated pathway of apoptosis: a systematic review
Jayesh Sagar1, Kevin Sales, A Seifalian
1Division of Surgery and Interventional Science, University College London, Gower Street, London. WC1E 6BT, UK. j.sagar_2001@yahoo.com
Abstract:
Tetracyclines have been long known for their antimicrobial role. They are one of the most widely used antibiotics in clinical practice since last 5 decades. Recently their role as matrix metalloproteinase inhibitor and in apoptosis has widely attracted attention in biological field. Of them, doxycycline is one with long duration of actions and has recently been shown to have various anti-cancer properties, especially cytotoxic and anti-proliferative activities. Here, we systematically reviewed the role of doxycycline in the mitochondrial mediated apoptosis in various tissues. MEDLINE and EMBASE databases were searched using a formal search strategy with definite inclusion and exclusion criteria. Data extraction was performed for each included study using a custom designed data extraction form. A total of 81 references were identified through MEDLINE and 5 were identified through EMBASE. 74 references from MEDLINE and all 5 in EMBASE were excluded through reading titles, abstracts and full text. In total, 7 studies fulfilled inclusion criteria. Following systematic review of these studies, we concluded that doxycycline induces apoptosis through mitochondrial mediated pathway in different tissue cells however it may be cell specific. The caspase independent apoptosis as one of the mechanisms of actions of doxycycline needs further studies for better understanding.
Insights
Doxycycline, a tetracycline antibiotic, triggers programmed cell death (apoptosis) via the mitochondrial pathway in various cell types. This mechanism appears to be cell-specific and warrants further investigation for its anti-cancer potential.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Tetracyclines, including doxycycline, are widely used antibiotics with emerging roles beyond antimicrobial activity.
- Doxycycline exhibits matrix metalloproteinase inhibitory and apoptosis-inducing properties, attracting significant research interest.
- Recent studies highlight doxycycline's anti-cancer effects, particularly its cytotoxic and anti-proliferative activities.
Purpose of the Study:
- To systematically review the role of doxycycline in inducing mitochondrial-mediated apoptosis across different tissue types.
- To consolidate current evidence on doxycycline's mechanisms of action in cancer cell death.
Main Methods:
- A systematic literature search was conducted using MEDLINE and EMBASE databases.
- Inclusion and exclusion criteria were applied to select relevant studies.
- Data extraction was performed from 7 studies that met the criteria.
Main Results:
- Doxycycline was found to induce apoptosis through the mitochondrial pathway in various tissue cells.
- The apoptotic effect of doxycycline appears to be cell-specific.
- Caspase-independent apoptosis was identified as a potential mechanism requiring further research.
Conclusions:
- Doxycycline effectively induces mitochondrial-mediated apoptosis in diverse cell types.
- The cell-specific nature of doxycycline's apoptotic effects necessitates tailored therapeutic strategies.
- Further research is crucial to elucidate the role of caspase-independent apoptosis in doxycycline's anti-cancer actions.
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