Abstract
Objective
Drug resistance in tumors is one of the major factors that leads to chemotherapy failure.
This study aims to investigate the effect of Radix Tetrastigma extracts (RTEs) on
Taxol-induced autophagy and the chemosensitivity against drug resistance in triple-negative
breast cancer (TNBC).
Methods
Taxol-resistant MDA-MB-468 (MDA-MB-468/Taxol) cells were induced and treated with
RTEs and/or Taxol. Mice were subcutaneously inoculated with MDA-MB- 468/Taxol cells
to establish xenograft models. The associated protein levels were measured by western
blotting. Flow cytometry, CCK-8 and EdU assay were performed to detect cell apoptosis,
viability, and proliferation, respectively.
Results
In MDA-MB-468/Taxol cells, RTEs & Taxol treatment increased cell apoptosis, reduced
cell viability and proliferation, up-regulated anti-autophagy marker LC3I/LC3II ratio,
and enhanced mTOR level. With RTEs & Taxol treatment, mTOR silencing downregulated
LC3I/LC3II ratio, increased cell viability and proliferation, and reduced cell apoptosis,
while mTOR overexpression showed the opposite results. PI3K inhibitor reduced AKT
and mTOR levels, and the effects on cell activities were similar to the results of
mTOR silencing. After RTEs & Taxol injection, xenograft tumor was smaller, and AKT,
mTOR, LC3I/LC3II ratio and apoptotic marker cleaved caspase-3 were increased.
Conclusion
RTEs enhanced the chemosensitivity of resistant TNBC cells to Taxol through inhibiting
PI3K/Akt/mTOR-mediated autophagy.
Micro
RTEs exerted anti-tumor effects in various cancers, and this study determined its
role in TNBC. Taxol-resistant MDA-MB-468 cells were induced and xenograft models were
established. We found that RTEs inhibited autophagy of MDA-MB-468/Taxol cells and
reduced tumor growth. Inhibition of PI3K/Akt/mTOR pathway promoted autophagy of MDA-MB-468/Taxol
cells. We may provide a new potential strategy for TNBC treatment.
Keywords
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References
- Evidence of direct damage to extraocular muscles as a cause of diplopia following orbital trauma.Ophthalmic Plast Reconstr Surg. 1989; 5: 81-91
- An overview of triple-negative breast cancer.Arch Gynecol Obstet. 2016; 293: 247-269
- Clinicopathological features and prognosis of triple-negative breast cancer: a comparison between younger (<60) and elderly (>/=60) patients.European J Cancer Care. 2016; 25: 1065-1075
- Comparison of clinicopathological features and prognosis in triple-negative and non-triple negative breast cancer.J Cancer. 2016; 7: 167-173
- Subtyping of triple-negative breast cancer: implications for therapy.Cancer. 2015; 121: 8-16
- A review of systemic treatment in metastatic triple-negative breast cancer.Breast Cancer. 2016; 10: 25-36
- Autophagy, cancer stem cells and drug resistance.J Pathol. 2019; 247: 708-718
- Autophagy delays apoptotic death in breast cancer cells following DNA damage.Cell Death Differ. 2007; 14: 500-510
- Chloroquine in cancer therapy: a double-edged sword of autophagy.Cancer Res. 2013; 73: 3-7
- Regulation mechanisms and signaling pathways of autophagy.Annual Rev Genet. 2009; 43: 67-93
- PI3K/AKT/mTOR pathway inhibitors in triple-negative breast cancer: a review on drug discovery and future challenges.Drug Discov Today. 2019; 24: 2181-2191
- AMPK and mTOR regulate autophagy through direct phosphorylation of Ulk1.Nature Cell Biol. 2011; 13: 132-141
- Inhibition of PI3K/Akt/mTOR pathway by apigenin induces apoptosis and autophagy in hepatocellular carcinoma cells.Biomed Pharmacother. 2018; 103: 699-707
- Treatment of triple-negative breast cancer with Chinese herbal medicine: a prospective cohort study protocol.Medicine. 2017; 96: e8408
- Network meta-analysis of Chinese herbal injections combined with the chemotherapy for the treatment of pancreatic cancer.Medicine. 2017; 96: e7005
- Radix stephaniae tetrandrine: an emerging role for management of breast cancer.Curr Pharm Design. 2020; 26: 25-36
- The phenolic profiles of Radix Tetrastigma after solid phase extraction (SPE) and their antitumor effects and antioxidant activities in H22 tumor-bearing mice.Food Funct. 2017; 8: 4014-4027
- Flavonoids from Radix Tetrastigmae inhibit TLR4/MD-2 mediated JNK and NF-kappaB pathway with anti-inflammatory properties.Cytokine. 2016; 84: 29-36
- Antitumor activity of total flavonoids from Tetrastigma hemsleyanum Diels et Gilg is associated with the inhibition of regulatory T cells in mice.OncoTargets Ther. 2014; 7: 947-956
- Tetrastigma hemsleyanum (Sanyeqing) root tuber extracts induces apoptosis in human cervical carcinoma HeLa cells.J Ethnopharmacol. 2015; 165: 46-53
- LIN9 confers paclitaxel resistance in triple negative breast cancer cells by upregulating CCSAP.Sci China Life Sci. 2020; 63: 419-428
- Evaluation of MDA-MB-468 cell culture media analysis in predicting triple-negative breast cancer patient sera metabolic profiles.Metabolites. 2020; 10: 173
- Metabolic changes associated with methionine stress sensitivity in MDA-MB-468 breast cancer cells.Cancer Metab. 2016; 4: 9
- Autophagy: process and function.Genes Dev. 2007; 21: 2861-2873
- mTOR: a pharmacologic target for autophagy regulation.J Clin Invest. 2015; 125: 25-32
- Identification of single nucleotide polymorphisms of the PI3K-AKT-mTOR pathway as a risk factor of central nervous system metastasis in metastatic breast cancer.Eur J Cancer. 2017; 87: 189-198
- Protective effect of hsa-miR-570-3p targeting CD274 on triple negative breast cancer by blocking PI3K/AKT/mTOR signaling pathway.Kaohsiung J Med Sci. 2020; 36: 581-591
- Elevated estrogen receptor beta expression in triple negative breast cancer cells is associated with sensitivity to doxorubicin by inhibiting the PI3K/AKT/mTOR signaling pathway.Exp Ther Med. 2020; 20: 1630-1636
- Actin-Like protein 8 promotes the progression of triple-negative breast cancer via activating PI3K/AKT/mTOR pathway.Onco Targets Ther. 2021; 14: 2463-2473
- Bioinformatic analysis of miR-4792 regulates Radix Tetrastigma hemsleyani flavone to inhibit proliferation, invasion, and induce apoptosis of A549 cells.OncoTargets Ther. 2019; 12: 1401-1412
- Radix Tetrastigma hemsleyani flavone exhibits antitumor activity in colorectal cancer via Wnt/beta-catenin signaling pathway.OncoTargets Ther. 2018; 11: 6437-6446
- Antipyretic and antitumor effects of a purified polysaccharide from aerial parts of Tetrastigma hemsleyanum.Journal of Ethnopharmacology. 2020; 253112663
Article info
Publication history
Published online: August 04, 2021
Accepted:
July 29,
2021
Received in revised form:
July 13,
2021
Received:
March 29,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.