Abstract
Four rare earth oxides have been shown to induce autophagy. Interestingly, we often noticed plentiful vacuolization, which was not always involved in this autophagic process. In this study, we investigated three other rare-earth elements, including Yttrium (Y), Ytterbium (Yb), and Lanthanum (La). Autophagic effect could be induced by all of them but only Y2O3 and Yb2O3 could cause massive vacuolization. Y2O3 and Yb2O3 treated by sonication or centrifugation to reduce particle size were used to test vacuolization level in HeLa cell lines. The results showed that rare earth oxides-induced vacuolization is size-dependent and differs from autophagic pathway. To further clarify the characteristics of this autophagic process, we used MEF Atg-5 (autophagy associated gene 5) knockout cell line, and the result showed that the autophagic process induced by rare earth oxides is Atg-5-dependent and the observed vacuolization was independent from autophagy. Similar results could also be observed in our tests on 3-methyladenine(3-MA), a well-known autophagy inhibitor. In conclusion, for the first time, we clarified the relationship between massive vacuolization and autophagic process induced by rare earth oxides and pointed out the size effect of rare earth oxides on the formation of vacuoles, which give clues to further investigation on the mechanisms underlying their biological effects.
Keywords: size-dependent, rare-earth oxides, vacuolization, autophagy
Introduction
Rare earth elements, a category of compounds including 17 different members with similar chemical properties, consist of scandium, yttrium, and the 15 lanthanides. Their increasing application has been intensively reported over the past few years in fields of superconductor, electronic polishers, and refining catalysts. Recently, rare earth oxides were reported to induce various biological functions in vitro, including antiviral activity.1,2 Protein adsorption and cellular uptake,3 oxidative stress,4–7 cell differentiation8 and neuroprotection.9,10 Under this circumstance, the study for mechanism about the biological effects of nano rare earth oxides will be important to their future biomedical applications.
Autophagy, a highly-regulated cellular process for eliminating long-lived proteins and damaged organelle components via lysosomal mechanism, has received much attention.
Interestingly, nanoparticles have been identified as a novel class of autophagy inducers as progress in the field of nanotechnology allows for a deeper understanding of their effects on live organisms. Our previous report has shown that autophagy- inducing activity is a common biological effect for rare-earth elements, including samarium (Sm)/europium (Eu), and gadolinium (Gd)/terbium (Tb).11 The evidence sheds light on further investigation upon the specific characteristics of vacuolization and autophagic effect induced by oxide particles.
The most interesting characteristic of nanoparticles is the quantum size effect due to their minute size. Therefore, size effect might play an important role in nanomaterialinduced biological functions. Here we presented an interesting phenomenon that certain rare earth oxides, referred as Y2O3 and Yb2O3, could cause size-dependent vacuolization accompanied with autophagic effect. Such vacuolization is also proved to be independent from the autophagic process and occurred coincidentally. The present study showed the physical characteristics like size of rare earth oxides could hold important influences on their biological effects such as vacuolization and clarified the relationship between autophagy and vacuolization. These results will help to understand the role nanoparticles act in the autophagic pathway and develop applications of nano rare earth oxides in medical therapy.
Materials and methods
Reagents
Microtubules associated protein light chain 3 (LC3) plasmid, immortalized wild-type MEF and Atg5−/− MEF cells were donated by N Mizushima (The Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan). GFP-LC3/HeLa cells were selected and established in the laboratory. Rare earth oxides (99.9% pure) were from Huizhou Ruier Company (Huizhou, China). Nano Y2O3 powder (99.995%, <50 nm particle size) was purchased from Aldrich Chemical (Milwaukee, WI, USA). Rapamycin, trehalose, monodansylcadaverine (MDC), 3-methyladenine (3-MA), were all purchased from Sigma (St Louis, MO, USA). MitoTracker Red (MT) and LysoTracker Red (LT) were from Invitrogen (Carlsbad, CA, USA). LC3 antibody and GAPDH antibody were purchased from Novus (Littleton, CO, USA) and Santa Cruz Biotechnology (Santa Cruz, CA, USA), respectively. All cell culture reagents were purchased from Gibco (Carlsbad, CA, USA). Reagents were dissolved in phosphate-buffered saline (PBS), distilled water, ultrapure water (pH 6.7; Milli-Q, Bedford, MA, USA) or dimethyl sulfoxide according to manufacturer’s instructions.
Cell culture
All cells were grown continuously as a monolayer at 37°C and 5% CO2 in Dulbecco’s modified Eagle’s medium supplemented with 10% fetal bovine serum, 100 μg/mL penicillin, and 100 μg/mL streptomycin.
GFP-LC3 green dot aggregation assay
GFP-LC3/HeLa cells were observed under fluorescent microscopy (Olympus IX71, Tokyo, Japan), cells with at least five visible GFP-LC3 dots were identified as GFP-LC3 dot formation.
Autophagic marker dye staining
GFP-LC3/HeLa cells were grown in 96-well plates and treated with rare earth oxides solution (50 g/mL for 24 h, then were treated for 15 min with 10 μM MDC, 20 nM. MT and 75 nM LT, respectively. After washing twice with PBS, cells were examined under fluorescent microscopy.
Immuno-blotting
Cells were cultured in 24-well plates. After being trypsinized and collected, cells were resuspended with the lysis buffer (0.5% Nonidet P-40/10 mM Tris-HCl, pH 7.5/100 mM NaCl) with an equal volume of 2x SDS sample buffer, boiled for 10 min. Proteins were separated on a 12% SDS/PAGE gel and transferred to nitrocellulose membrane (Amersham, Freiburg, Germany). After blocking with 5% nonfat dry milk, the nitrocellulose membrane was incubated for 3 h with a primary antibody at an appropriate dilution, extensively washed, incubated with horseradish peroxidase-conjugated secondary antibody (1:10,000 dilution) for 1 h, and finally visualized with enhanced chemiluminescence (ECL) kit (Biological Industries, Beit Haemek, Israel).
Transmission electron microscope
Nano rare earth oxides were characterized by a JEOL-2010 high-resolution transmission electron microscopy (HRTEM; JEOL, Tokyo, Japan) at 200 kV. To visualized autophagic vesicles (AVs), GFP-LC3/HeLa cells were grown in the 6-well plates and exposed under rare earth oxides for 24 h. After collection, cells were fixed in 0.1 M Na-phosphate buffer (pH 7.4) containing 2% glutaraldehyde for 1 h. After postfixing in 1% OsO4 at room temperature for 60 min, cells were dehydrated with a graded series of ethano, and embedded in epoxy resin. Areas containing cells were block mounted and cut into ultrathin sections. The sections were stained with uranyl acetate and lead citrate and examined with a transmission electron microscope (JEOL-1230; JEOL).
Statistical analysis
All data were expressed as mean ± SEM. and analyzed by two-tailed Student’s t-tests.
Results
Vacuolization is observed in GFP-LC3/HeLa cells treated with Y2O3 and Yb2O3, but not La2O3 particles
In HeLa cells stably expressing GFP-LC3 plasmid, we added Y2O3, Yb2O3, La2O3 (50 μg/mL) into cell culture medium and observed the cell morphology as well as LC3 dot aggregation under fluorescent microscopy. Massive vacuoles became visible 24 h after the Y2O3, Yb2O3 treatment. Also we could locate the LC3 aggregation in the cell and most vacuoles were partially enclosed by LC3 dot. On the other hand, in HeLa cells treated with La2O3, only LC3 dot aggregation could be seen (Figure 1a). And the Yb2O3 particles-induced vacuoles were also presented under the light microscopy (Figure 1b). The dose effect and time curve of GFP-LC3 dot formation showed that the treated punctuate GFP cells accumulated as dose and time increased. And cells treated with 50 μg/mL Yb2O3 for 24 h were enough to induce 80% cells punctuation (Figure 1c, d). Similar assays on vacuolization suggested 75% cells presented at least one visible vacuole after treatment with 100 μg/mL Yb2O3 for 24 h (Figure 1e,f).
Figure 1.
Massive vacuolization of GFP-LC3/HeLa cells induced by Y2O3, Yb2O3 but not La2O3. A) Direct observation of vacuolization and GFP-LC3 dot aggregation via fluorescent microscopy (treated with 50 μg/mL oxide particles, 24 h). B) The vacuoles in GFP-LC3/HeLa cells treated with Yb2O3 (50 μg/mL, 24 h). C) GFP-LC3 aggregation dose effect after treatment with Yb2O3 for 24 h. D) GFP-LC3 aggregation time curve after treatment with 50 μg/mL Yb2O3. E) Vacuolization percentage dose effect in GFP-LC3/HeLa cells after treatment with Yb2O3 for 24 h. F) Vacuolization percentage time curve essay after treatment with 100 μg/mL Yb2O3. Mean ± SEM; n = 3.
Notes: *P < 0.05; **P < 0.01.
GFP-LC3 dot aggregation induced by nano rare earth oxides represents a classical Atg-5 dependent autophagy process
To prove that Yb2O3-induced LC3 dot aggregation is specific and autophagy is involved, we presented several pieces of evidence. Under the transmission electron microscopy (TEM), the majority of Yb2O3-treated HeLa cells, but not controlled cells, indicated features of autophagic vacuoles (AVs), mostly in late phases (Figure 2a). Consistently, most of the GFP-LC3 dots viewed under fluorescent microscopy could also be stained by MDC, which specifically stains acidic vesicles including autolysosomes (Figure 2b). Similarly, co-localization could be identified between GFP-LC3 green dots and LT staining pattern (Figure 2c). Moreover, autophagic vacuoles in most cases contain parts of mitochondria organelles and thereby could be stained by MT dye, as confirmed in Figure 2d. The most persuasive evidence of autophagy occurrence was known to be type conversion of LC3 protein. As shown from Figure 2e, after Yb2O3-treatment, LC3 protein underwent type conversion from LC3 Type I (18 kd) to endogenous Type II (16 kd). And the total mount of LC3 Type II gradually accumulated in 48 h, indicating a proceeding autophagy process. All the above experiments exhibited similar results in Y2O3 treatment group (data not shown). As both an increase in autophagosome production and an impaired autophagic degradation can make autophagic vacuoles accumulate in the cells, we examined the degradation level of P62, which is a selective substrate of autophagy. Our results showed that in HeLa cells treated with Y2O3, Yb2O3, La2O3 for 24 h, the degradation rate of P62 increased significantly compared with control group. This supporting evidence strongly indicated that a true and complete autophagy process occurred during the vacuolization induced by Yb2O3 and Y2O3 particles.
Figure 2.
The vacuolization of GFP-LC3/HeLa cells, induced by Y2O3, Yb2O3, is coupled with a typical autophagic process. A) Ultrastructural features of autophagosomes treated with PBS or 50 μg/mL of Yb2O3 for 2 days, as revealed by TEM. Right panels are high magnification images of left panels. Typical AVs (black arrows) are indicated, b–d. Autophagic marker dye staining assay on GFP-LC3/HeLa cells treated with 50 μg/mL Yb2O3 for 24 h. B) 10MM MDC, 15 min. C) 75 nM LysoTracker Red (LT), 15 min. D) 20 nM MitoTracker Red (MT), 15 min. Hoechst 33342 (HO) dye was used to show nucleus subcellular location. E) LC3 protein type conversion and the accumulation of LC3-ll in 48 h, Cells were treated with 50 μg/mL Yb2O3 and then subject to the western blotting. GAPDH was loading control. F) P62 protein degradation rate in autophagy pathway was measured by western blotting. Cells were treated with 50 μg/mL Yb2O3 for 24 h and then analyzed. GAPDH was loading control.
Vacuolization induced by Y2O3 particles are size-dependent
Under microscopy, the oxides particles were observed to circle around vacuoles (data not shown), making us to assume that vacuole formation was not related to autophagy, but the particles themselves. Considering that green GFP- LC3 dot in La2O3-treated cells scattered intracellularly, we tend to believe that the vacuolization coupled with autophagy was size-dependent, which means only particles (or particle aggregates that often existed in water solution) larger than a certain size were able to induce vacuolization. To verify this, we added Y2O3 nanopowder (50 μg/mL) into cell medium, and noticed no apparent vacuolization after 24 h, whereas GFP-LC3 dot aggregation still existed (Figure 3a). Data from dynamic light scattering (DLS) showed the average size of imputed Y2O3 nanoparticles aggregates was 177 nm, while the average size of domestic-made Y2O3 used in Figure 1 was 856 nm (Figure 3b), which is consistent with our TEM images (Figure 3c). Furthermore, we extracted supernantant of Y2O3 used in Figure 1 after centrifugation at 1600 rpm. DLS data showed the average size of Y2O3 supernantant was 299 nm (Figure 3e), as well as TEM images (Figure 3f). As supposed, the supernantant containing smaller particle aggregations caused less vacuoles in HeLa cell lines (Figure 3d).
Figure 3.
The size-dependent effect of vacuolization induced by Y2O3. A) GFP-LC3/HeLa cell lines treated with Y2O3 nanoparticles no longer contain visible vacuoles. B, C) DLS and TEM picture showed smaller size of nano-Y2O3 powder. D, E, F) The supernatant of Y2O3 after centrifugation at 1600 rpm also showed similar results.
Vacuolization induced by Yb2O3 particles are size-dependent
Sonication is a classical physical method to decrease average size of nanoparticle aggregates in solvent. Compared to Yb2O3 particles used in Figure 1, after sonication Yb2O3 could cause similar LC3 aggregation effects yet a significant reduction of vacuolization, both in size and number (Figure 4a). As we could see from DLS data and TEM images, the average size of Yb2O3 fell from 993 nm to 279 nm after sonication (Figure 4b,c). We also performed staining assay as well as LC-3 type conversion to prove autophagy was not affected in this size-reducing process. GFP-LC-3 dots could be co- localized by MDC, LT, and MT dye and the type conversion from LC-3 type I to endogenous type II was observed in both sonicated Yb2O3 and Y2O3 nanoparticles-treated HeLa cell lines (Figure 4d,e).
Figure 4.
The size-dependent effect of vacuolization induced by Yb2O3. A) sonicated Yb2O3 no longer causes visible vacuoles in GFP-LC3/HeLa cell lines. B, C) DLS data and TEM picture showed smaller size of sonicated Yb2O3 compared to untreated Yb2O3 particles. D) Autophagic marker dye staining assay on GFP-LC3/HeLa cells treated with 50 μg/mL Yb2O3 (sonicated) for 24 h. E) LC3 protein type conversion. Cells were either untreated (cont) or treated with 50 μg/mL oxide particles for 24 h and collected for western blotting.
Vacuolization and autophagy are triggered independently
Results in Figures 3 and 4 strongly imply that vacuolization and autophagy may be two independent, rather than interrelated, events. Here we use Atg5−/− MEF cells to block out the Atg-5-dependent autophagic cycle, and in western blotting analysis, neither classical autophagy inducers (trehalose, rapamycin) nor rare earth oxides were able to enter autophagy pathway in Atg5−/− MEF cells, whereas they both acted normally in immortalized wildtype MEF cells, indicating a well established system (Figure 5a). Consistent with our previous assumption, apparent vacuolization was still observed in K-MEF cells treated with 50 μg/mL Y2O3, Yb2O3 for 24 h under light microscopy (Figure 5b). Meanwhile, 3-MA, a known inhibitor of autophagy pathway through regulating the phosphor-inositol 3-kinase (PI3K) pathway, caused a reducing GFP-LC3 dot aggregation, as well as the LC3 type II protein on western blotting. Predictably, the vacuolization induced by Yb2O3 in GFP-LC3/HeLa cells was not influenced by 3-MA, suggesting a different pathway from the autophagy process (Figure 5c).
Figure 5.
Massive vacuolization induced by Y2O3, Yb2O3 is an independent event. A) the autophagy blocking effect of Atg5−/− MEF cells by western blotting. Cells were either untreated (cont) or treated with trehalose 100 μM, rapamycin 50 μg/mL (Tre, Rap, two well-known autophagy inducers as positive control), 50 μg/mL Y2O3, Yb2O3, I-MEF = immortalized wildtype MEF cells, K-MEF = Atg5−/− MEF cells. B) Direct vacuolization of K-MEF cells observed under phase contrast microscopy. C, D) 3-MA, the autophagy inducer, does not interfere with vacuolization. Cells were treated with nothing (cont), 50 μg/mL Yb2O3, 50 g/mL Yb2O3 + 5 μM 3-MA. After observation under fluorescent microscopy, cells were trypsinized, collected and subject to western blotting.
Discussion
It has been known for a long time that the formation of numerous vacuoles under light microscopy is a response to some basic compounds, such as procaine, procainamide, and many others.12,13 Our results showed that some rare earth oxides could induce massive vacuolization in HeLa cell lines and they caused different vacuolization levels in a size-dependent mechanism. Actually, physical characteristics of nanomaterials such as size or shape are usually responsible for their special biological effects. A size-dependent autophagy-inducing effect of quantum dots in human mesenchymal stem cells was reported already.14 Also gold nanoparticles of various sizes were proved to be cytotoxic with different kinds of cell death.15 Such size effect might give a clue for the potential mechanism of the formation of vacuolization and relative responses in cells.
Previous reports demonstrated that wortmannin could induce the formation of giant vacuoles in several cell types and in a definite time window.16,17 Also, it is well known that wortmannin at concentrations that inhibited PtdIns 3-kinase activity, prevented autophagic process.18 Apart from that, a massive vacuolization and autophagic cell death phenomenon induced by nanosized neodymium oxide was reported in H460 cells.19 Although these results showed that vacuolization might have some connection with autophagy, a clear explanation of the relationship between autophagy and vacuolization is still not available. In our study, we investigated those two linked biological events induced by rare earth oxides in HeLa cell lines and proved that these two events are independent. Nanosized materials could induce autophagic effect but no vacuolization while larger sized particles could induce both. Moreover, after using Atg5−/− MEF cells to block autophagic process, the same material still could cause massive vacuolization without autophagy.
Nanosized materials have received considerable attention in the last few years for their particular physical structure as well as biological properties. Studies have shown anticancer effects of nanoparticles and their future preclinical application appears to be promising. For example, Nano-C60 has been demonstrated to sensitize chemotherapeutic killing of normal and drug-resistant cancer cells.20 Nevertheless, yet interestingly, other results indicated diversified cellular signaling pathways involved in the various kinds of cell death caused by nanomaterials. Nano-C60 produced oxygen radicals and disrupted cellular function through lipid peroxidation in different cancer cell lines.21 Another study presented that C60(OH)24 caused the accumulation of polyubiquitinated proteins and facilitated autophagic cell death.22 In our study, we demonstrated other than autophagy there is at least another pathway through which rare earth oxides develop their biological functions. Previous results suggested that taxol treatment dose-dependently increased the level of Bcl-XL23 and induced cytoplasmic vacuolization.24 Bcl-2 family members Bak and Bax are present in the endoplamic reticulum (ER) where they control apoptosis through the regulation of calcium levels and they are proved to be able to induce ER vacuolization via Bak.25 These results give us possible direction to figure out this unknown mechanism involved in this case.
In conclusion, using rare earth oxides with different sizes, we proved that the plentiful vacuolization in HeLa cells was actually caused by large aggregates of nanosized rare earth oxides. Our results showed that the formation of vacuolization was size-dependent and behaved in a different pathway from autophagy. Understanding the molecular mechanism of this pathway may help us in the future development of cancer therapy using rare earth oxides.
Acknowledgments
This work was supported by the Chinese Ministry of Sciences 973 Program (2006CB933300, 2007CB935800), Natural Science Foundation of China (#30721002), Knowledge Innovation Program of the Chinese Academy of Sciences (KSCX2-YW-R-139, KSCX2-YW-R-21), and the Cultivation Fund of the Ministry of Education of China, NO706035).
Footnotes
Disclosure
No conflicts of interest were declared in relation to this paper.
References
- 1.Liu YN, Shi S, Mei WJ, et al. In vitro and in vivo investigations on the antiviral activity of a series of mixed-valence rare earth borotungstate heteropoly blues. Eur J Med Chem. 2008;43(9):1963–1970. doi: 10.1016/j.ejmech.2007.12.022. [DOI] [PubMed] [Google Scholar]
- 2.Liu J, Mei W, Li Y, Wang E, Ji L, Tao P. Antiviral activity of mixedvalence rare earth borotungstate heteropoly blues against influenza virus in mice. Antivir Chem Chemother. 2000;11(6):367–372. doi: 10.1177/095632020001100603. [DOI] [PubMed] [Google Scholar]
- 3.Patil S, Sandberg A, Heckert E, Self W, Seal S. Protein adsorption and cellular uptake of cerium oxide nanoparticles as a function of zeta potential. Biomaterials. 2007;28(31):4600–4607. doi: 10.1016/j.biomaterials.2007.07.029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Chen J, Patil S, Seal S, McGinnis JF. Rare earth nanoparticles prevent retinal degeneration induced by intracellular peroxides. Nat Nanotechnol. 2006;1(2):142–150. doi: 10.1038/nnano.2006.91. [DOI] [PubMed] [Google Scholar]
- 5.Heckert EG, Karakoti AS, Seal S, Self W. The role of cerium redox state in the SOD mimetic activity of nanoceria. Biomaterials. 2008;29(18):2705–2709. doi: 10.1016/j.biomaterials.2008.03.014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Chen J, Patil S, Seal S, McGinnis JF. Nanoceria particles prevent ROI-induced blindness. Adv Exp Med Biol. 2008;613:53–59. doi: 10.1007/978-0-387-74904-4_5. [DOI] [PubMed] [Google Scholar]
- 7.Park EJ, Choi J, Park YK, Park K. Oxidative stress induced by cerium oxide nanoparticles in cultured BEAS-2B cells. Toxicology. 2008;245:1–2. 90–100. doi: 10.1016/j.tox.2007.12.022. [DOI] [PubMed] [Google Scholar]
- 8.Wang X, Yuan L, Huang J, Zhang TL, Wang K. Lanthanum enhances in vitro osteoblast differentiation via pertussis toxin-sensitive gi protein and ERK signaling pathway. J Cell Biochem. 2008;105(5):1307–1315. doi: 10.1002/jcb.21932. [DOI] [PubMed] [Google Scholar]
- 9.Schubert D, Dargusch R, Raitano J, Chan SW. Cerium and yttrium oxide nanoparticles are neuroprotective. Biochem Biophys Res Commun. 2006;342(1):86–91. doi: 10.1016/j.bbrc.2006.01.129. [DOI] [PubMed] [Google Scholar]
- 10.Das M, Patil S, Bhargava N, et al. Auto-catalytic ceria nanoparticles offer neuroprotection to adult rat spinal cord neurons. Biomaterials. 2007;28(10):1918–1925. doi: 10.1016/j.biomaterials.2006.11.036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Yu L, Lu Y, Na M, Yu SH, Wen LP. Rare earth oxide nanocrystals induce autophagy in HeLa cells. Small. 2009;5(24):2784–2787. doi: 10.1002/smll.200901714. [DOI] [PubMed] [Google Scholar]
- 12.Belkin M, Hardy WG, Orr HC, Lachman AB. Induction in vitro by autonomic drugs of cytoplasmic vacuoles in ascites tumor cells. J Natl Cancer Inst. 1962;28:187–201. [PubMed] [Google Scholar]
- 13.Henics T, Wheatley DN. Cytoplasmic vacuolation, adaptation and cell death: a view on new perspectives and features. Biol Cell. 1999;91:485–498. doi: 10.1016/s0248-4900(00)88205-2. [DOI] [PubMed] [Google Scholar]
- 14.Seleverstov O, Zabirnyk O, Zscharnack M, et al. Quantum dots for human mesenchymal stem cells labeling. A size-dependent autophagy activation. Nano Lett. 2006;6:2826–2832. doi: 10.1021/nl0619711. [DOI] [PubMed] [Google Scholar]
- 15.Pan Y, Neuss S, Leifert A, et al. Size-dependent cytotoxicity of gold nanoparticles. Small. 2007;3(11):1941–1949. doi: 10.1002/smll.200700378. [DOI] [PubMed] [Google Scholar]
- 16.Chen X, Wang Z. Regulation of intracellular trafficking of the EGF receptor by Rab5 in the absence of phosphatidylinositol 3-kinase activity. EMBO Rep. 2001;2:68–74. doi: 10.1093/embo-reports/kve005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Houle S, Marceau F. Wortmannin alters the intracellular trafficking of the bradykinin B2 receptor: role of phosphoinositide 3-kinase and Rab5. Biochem J. 2003;375:151–158. doi: 10.1042/BJ20030872. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Blommaart EF, Krause U, Schellens JP, Vreeling-Sindelárová H, Meijer AJ. The phosphatidylinositol 3-kinase inhibitors wortmannin and LY 294002 inhibit autophagy in isolated rat hepatocytes. Eur J Biochem. 1997;243:1–2. 240–246. doi: 10.1111/j.1432-1033.1997.0240a.x. [DOI] [PubMed] [Google Scholar]
- 19.Chen Y, Yang L, Feng C, et al. Nano neodymium oxide induces massive vacuolization and autophagic cell death in non-small cell lung cancer NCI-H460 cells. Biochem Biophys Res Commun. 2005;337:52–60. doi: 10.1016/j.bbrc.2005.09.018. [DOI] [PubMed] [Google Scholar]
- 20.Zhang Q, Yang W, Man N, et al. Autophagy-mediated chemosensitization in cancer cells by fullerene C60 nanocrystal. Autophagy. 2009;19:5(8) doi: 10.4161/auto.5.8.9842. [DOI] [PubMed] [Google Scholar]
- 21.Sayesa CM, Gobinb AM, et al. Colvina. Biomaterials. 2005;26:7587–7595. doi: 10.1016/j.biomaterials.2005.05.027. [DOI] [PubMed] [Google Scholar]
- 22.Yamawaki H, Iwai N. Cytotoxicity of water-soluble fullerene in vascular endothelial cells. Am J Physiol Cell Physiol. 2006;290:C1495–1502. doi: 10.1152/ajpcell.00481.2005. [DOI] [PubMed] [Google Scholar]
- 23.Chun E, Lee KY. Bcl-2 and Bcl-XL are important for the induction paclitaxel resistance in human hepatocellular carcinoma cells. Biochem Biophys Res Commun. 2004;315:771–779. doi: 10.1016/j.bbrc.2004.01.118. [DOI] [PubMed] [Google Scholar]
- 24.Klee M, Pimentel-Muinos FX. Bcl-XL specifically activates Bak to induce swelling and restructuring of the endoplasmic reticulum. J Cell Biol. 2005;168:723–734. doi: 10.1083/jcb.200408169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Tong-sheng C, Xiao-ping W, Lei S, Long-xiang W, Da X, Martin M. Taxol induces caspase-independent cytoplasmic vacuolization and cell death through endoplasmic reticulum (ER) swelling in ASTC-a-1 cells. Cancer Lett. 2008;270:164–172. doi: 10.1016/j.canlet.2008.05.008. [DOI] [PubMed] [Google Scholar]