Journal
INTERNATIONAL JOURNAL OF ONCOLOGY
Volume 47, Issue 4, Pages 1257-1265Publisher
SPANDIDOS PUBL LTD
DOI: 10.3892/ijo.2015.3123
Keywords
podophyllotoxin acetate; cell cycle arrest; apoptosis; ER stress; autophagy; lung cancer
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Funding
- Nuclear Research and Development Program of the National Research Foundation of Korea (NRF) grant - Korean government (MEST) [2012M2A2A7010422]
- Basic Science Research Program through the NRF [NRF-2014R1A1A2054985]
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We previously reported that podophyllotoxin acetate (PA) radiosensitizes NCI-H460 cells. Here, we confirmed that PA treatment also induces cell death among two other non-small cell lung cancer (NSCLC) cell lines: NCI-H1299 and A549 cells (IC50 values = 7.6 and 16.1 nM, respectively). Our experiments further showed that PA treatment was able to induce cell death via various mechanisms. First, PA dose-dependently induced cell cycle arrest at G2/M phase, as shown by accumulation of the mitosis-related proteins, p21, survivin and Aurora B. This G2/M phase arrest was due to the PA-induced inhibition of microtubule polymerization. Together, the decreased microtubule polymerization and increased cell cycle arrest induced DNA damage (reflected by accumulation of gamma-H2AX) and triggered the induction of intrinsic and extrinsic apoptotic pathways, as shown by the time-dependent activations of caspase-3, -8 and -9. Second, PA time-dependently activated the pro-apoptotic ER stress pathway, as evidenced by increased expression levels of BiP, CHOP, IRE1-alpha, phospho-PERK, and phospho-JNK. Third, PA activated autophagy, as reflected by time-dependent increases in the expression levels of beclin-1, Atg3, Atg5 and Atg7, and the cleavage of LC3. Collectively, these results suggest a model wherein PA decreases microtubule polymerization and increases cell cycle arrest, thereby inducing apoptotic cell death via the activation of DNA damage, ER stress and autophagy.
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