Autophagy regulates vinorelbine sensitivity due to continued Keap1-mediated ROS generation in lung adenocarcinoma

Yan-Wei Wu1, Chiou-Feng Lin2, Yee-Shin Lin3

  • 11Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Cell Death Discovery
|September 25, 2018
PubMed

Insights

Autophagy promotes cancer cell survival but inhibiting it increases sensitivity to chemotherapy. This study shows autophagy regulates Keap1-mediated ROS generation, impacting vinorelbine-induced apoptosis in lung adenocarcinoma.

Area of Science:

  • Cell Biology
  • Oncology
  • Biochemistry

Background:

  • Autophagy is a cellular process that cancer cells utilize to survive various stresses, including chemotherapy.
  • Inhibiting autophagy has shown promise in overcoming drug resistance in metastatic cancer.
  • Understanding the intricate mechanisms of autophagy in lung cancer is crucial for developing effective therapeutic strategies.

Purpose of the Study:

  • To investigate how autophagy influences Keap1, reactive oxygen species (ROS) generation, and vinorelbine-induced apoptosis in modified lung cancer cell lines.
  • To explore the differential expression of key proteins like PTEN, mTOR, Akt, and Keap1 in AS2 and A549 lung cancer cells.
  • To elucidate the role of autophagy in regulating chemoresistance and sensitivity in lung adenocarcinoma.

Main Methods:

  • Genetic modification of lung cancer cell lines (AS2 and A549) involving PTEN, mTOR, Keap1, and Atg5.
  • Assessment of autophagy markers such as p62 accumulation and LC3 II conversion.
  • Measurement of reactive oxygen species (ROS) generation and anti-oxidant response element (ARE) activity.
  • Evaluation of vinorelbine-induced apoptosis in response to genetic modifications and autophagy inhibition.

Main Results:

  • AS2 cells exhibited higher mTOR/Akt and lower PTEN expression with decreased autophagy compared to A549 cells.
  • Modifications like PTEN overexpression or Keap1 knockdown in AS2 cells increased autophagy markers (p62, LC3 II) and decreased ROS and apoptosis.
  • Conversely, PTEN or Atg5 knockdown and Keap1 overexpression in A549 cells reduced autophagy markers, increased ROS, and enhanced vinorelbine-induced apoptosis.
  • Autophagy inhibition augmented ROS generation and vinorelbine-induced apoptosis in A549 and CL1-5 cells.

Conclusions:

  • Autophagy plays a critical role in regulating vinorelbine sensitivity in lung adenocarcinoma cells.
  • The study demonstrates that autophagy modulates vinorelbine sensitivity by maintaining Keap1-mediated ROS generation.
  • Targeting autophagy in combination with chemotherapy could be a viable strategy to overcome drug resistance in lung cancer.

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