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Autophagy in drug resistance of the multiple myeloma cell line RPMI8226 to doxorubicin
1Department of Hematology, Lanzhou General Hospital, Lanzhou,Gansu Province, China.
Abstract:
We investigated the effect of autophagy on drug resistance of multiple myeloma (MM) to doxorubicin (DOX). A DOX-resistant MM cell line (RPMI8226/DOX) was developed by progressively increasing the DOX concentration gradient. The drug resistance index was determined using the MTT method. Transmission electron microscopy, anti-light chain 3-fluorescein isothiocyanate immunofluorescence, and Western blotting were used to detect autophagy of MM cells. Flow cytometry was applied to detect changes in apoptosis of RPMI8226/DOX cells (stained with annexin-V/propidium iodide) caused by inhibition by hydroxychloroquine and 3-methyladenine on autophagy. The drug resistance index of RPMI8226/DOX to DOX was 10.8, and autophagy/lysosomal was clearly observed in RPMI8226/DOX cells under transmission electron microscopy, while immunofluorescence showed granular immunofluorescence in cells. Western blot analysis showed that light chain 3-II protein expression level was higher in RPMI8226/DOX cells than in RPMI8226/S cells. The apoptosis test showed that hydroxychloroquine or 3-methyladenine partially reversed the drug resistance of RPMI8226/DOX cells by inhibiting autophagy. Activation of autophagy in MM cells may explain the drug resistance of myeloma.
Insights
Autophagy activation in multiple myeloma (MM) cells contributes to doxorubicin (DOX) resistance. Inhibiting autophagy partially reversed drug resistance, suggesting it
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Multiple myeloma (MM) is a hematologic malignancy.
- Drug resistance is a major challenge in MM treatment.
- Autophagy plays a role in cellular stress response and drug resistance.
Purpose of the Study:
- To investigate the role of autophagy in doxorubicin (DOX) resistance in multiple myeloma (MM).
Main Methods:
- Developed a DOX-resistant MM cell line (RPMI8226/DOX).
- Assessed drug resistance using MTT assay.
- Detected autophagy via transmission electron microscopy, immunofluorescence, and Western blotting.
- Analyzed apoptosis changes using flow cytometry after autophagy inhibition.
Main Results:
- RPMI8226/DOX cells exhibited a drug resistance index of 10.8.
- Autophagy and lysosomal activity were observed in DOX-resistant cells.
- Increased light chain 3-II protein expression confirmed higher autophagy in resistant cells.
- Inhibiting autophagy with hydroxychloroquine or 3-methyladenine partially reversed DOX resistance.
Conclusions:
- Autophagy activation is linked to doxorubicin resistance in multiple myeloma.
- Targeting autophagy may be a potential strategy to overcome drug resistance in MM.
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