Synergy between belinostat and gemcitabine in vitro. Panel (A) MTT assays. BxPc3 pancreatic cancer cells were cultured in 96-well plates and treated for 48 h with either gemcitabine, belinostat or the combination of both. MTT assay measured cell number relative to diluent control. A series of combination of gemcitabine and belinostat were tested. Gem 5: gemcitabine 5 μg/mL; Bel 1, 10, 100: belinostat 1, 10, 100 μM; Gem + Bel: combination of both drugs. Panel (B): Synergy between belinonstat and gemcitabine in both belinostat-sensitive and -resistant cell lines. One combination of gemcitabine and belinostat was tested. Gem, gemcitabine 5 ug/mL; Bel, belinostat 1 μM; Gem + Bel, combination of both drugs. Results represent the mean ± SD of two independent experiments with quadruplicates for each experimental and control group. Panel (C): Expression levels of ATG5, LC3, and phosphorylated p70s6k (p-p70s6k) from pancreatic cancer cell lines treated with 1 μM belinostat for 24 h were examined. Panel (D): Western blot analysis of the expression levels of LC3 and Bcl-xL were examined in cell lines treated with belinostat, gemcitabine, or the combination of both.