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Updated: Jun 1, 2026

Evaluating Autophagy Levels in Two Different Pancreatic Cell Models Using LC3 Immunofluorescence
Published on: April 28, 2023
Omeprazole inhibits proliferation and modulates autophagy in pancreatic cancer cells
Andrej Udelnow1, Andreas Kreyes, Stefan Ellinger
1Department of General, Visceral and Transplantation Surgery, University Hospital of Ulm, Ulm, Germany.
Background:
Omeprazole has recently been described as a modulator of tumour chemoresistance, although its underlying molecular mechanisms remain controversial. Since pancreatic tumours are highly chemoresistant, a logical step would be to investigate the pharmacodynamic, morphological and biochemical effects of omeprazole on pancreatic cancer cell lines.
Methodology/Principal Findings:
Dose-effect curves of omeprazole, pantoprazole, gemcitabine, 5-fluorouracil and the combinations of omeprazole and 5-fluorouracil or gemcitabine were generated for the pancreatic cancer cell lines MiaPaCa-2, ASPC-1, Colo357, PancTu-1, Panc1 and Panc89. They revealed that omeprazole inhibited proliferation at probably non-toxic concentrations and reversed the hormesis phenomena of 5-fluorouracil. Electron microscopy showed that omeprazole led to accumulation of phagophores and early autophagosomes in ASPC-1 and MiaPaCa-2 cells. Signal changes indicating inhibited proliferation and programmed cell death were found by proton NMR spectroscopy of both cell lines when treated with omeprazole which was identified intracellularly. Omeprazole modulates the lysosomal transport pathway as shown by Western blot analysis of the expression of LAMP-1, Cathepsin-D and β-COP in lysosome- and Golgi complex containing cell fractions. Acridine orange staining revealed that the pump function of the vATPase was not specifically inhibited by omeprazole. Gene expression of the autophagy-related LC3 gene as well as of Bad, Mdr-1, Atg12 and the vATPase was analysed after treatment of cells with 5-fluorouracil and omeprazole and confirmed the above mentioned results.
Conclusions:
We hypothesise that omeprazole interacts with the regulatory functions of the vATPase without inhibiting its pump function. A modulation of the lysosomal transport pathway and autophagy is caused in pancreatic cancer cells leading to programmed cell death. This may circumvent common resistance mechanisms of pancreatic cancer. Since omeprazole use has already been established in clinical practice these results could lead to new clinical applications.
Insights
Omeprazole inhibits pancreatic cancer cell growth by modulating autophagy and lysosomal pathways, potentially overcoming chemoresistance. This proton pump inhibitor shows promise for new clinical applications in cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Pancreatic tumors exhibit significant chemoresistance, necessitating novel therapeutic strategies.
- Omeprazole's role in tumor chemoresistance is debated, requiring further investigation into its mechanisms.
Purpose of the Study:
- To investigate the pharmacodynamic, morphological, and biochemical effects of omeprazole on pancreatic cancer cell lines.
- To elucidate the molecular mechanisms by which omeprazole may modulate pancreatic cancer chemoresistance.
Main Methods:
- Dose-effect analyses of omeprazole and chemotherapeutics (gemcitabine, 5-fluorouracil) on pancreatic cancer cell lines.
- Electron microscopy, proton NMR spectroscopy, Western blot analysis, and acridine orange staining to assess cellular effects and pathway modulation.
- Gene expression analysis of autophagy-related and drug resistance markers.
Main Results:
- Omeprazole inhibited pancreatic cancer cell proliferation at non-toxic concentrations and reversed 5-fluorouracil resistance.
- Omeprazole induced autophagosome accumulation and programmed cell death, modulating lysosomal transport and autophagy pathways.
- Intracellular omeprazole was identified, and its interaction with v-ATPase regulatory functions, without inhibiting pump activity, was suggested.
Conclusions:
- Omeprazole modulates pancreatic cancer cell autophagy and lysosomal transport, leading to programmed cell death.
- This mechanism may circumvent common pancreatic cancer resistance pathways.
- Findings suggest potential new clinical applications for omeprazole in pancreatic cancer treatment.
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