Abstract
Primary squamous cell carcinoma of the thyroid is a rare and aggressive type of neoplasm, which is routinely treated with surgery; however, despite this, survival time is not commonly more than six months. Thus, the aim of the present study was to determine the efficacy of pseudolaric acid (PAB) as a therapeutic agent. PAB is an antitubulin agent, and in the present study, inhibition of the SW579 thyroid squamous cell carcinoma cell line by PAB was investigated. PAB was found to inhibit SW579 cell growth in a time- and dose-dependent manner via interference in α-tubulin polymerization. However, the inhibitory role of PAB in SW579 cells was not predominantly due to apoptosis, but was due to the cytostatic status resulting from cell cycle arrest. The present study proposes that this is the underlying mechanism of the antitumor properties of PAB. During cytostatis, autophagy was activated to sustain cell survival and SW579 cell migration was inhibited. Nuclear p53 expression was observed to be reduced, however the role of reduced p53 requires further investigation. Therefore, PAB induced cytostasis, which inhibited SW579 cell growth and therefore may function as an antitubulin therapeutic agent.
Keywords: SW579 thyroid squamous cell carcinoma cell line, pseudolaric acid B, antitumor
Introduction
Human primary squamous cell carcinoma of the thyroid is a rare and aggressive type of neoplasm and although optimal treatment strategies are adopted, survival time is not expected to surpass six months. An effective therapeutic agent is therefore required. Pseudolaric acid B (PAB) (Fig. 1A) is a diterpene acid isolated from the root and trunk bark of Pseudolarix kaempferi Gordon (Pinaceae), known in Chinese as Tu-Jin-Pi, which may be administered to treat dermatological fungal infections. PAB has demonstrated potent inhibition of cell growth in vitro in a number of tumor cell lines (1–6). Thus, the aim of the present study was to investigate the antitumor effect of PAB on squamous cell carcinoma of the thyroid.
PAB is an antitubulin therapeutic agent (7–9) which, similar to other tubulin-associated agents, including taxanes (paclitaxel and docetaxel), the vinca alkaloids (vincristine and vinblastine) and nocodazole (10–12), suppresses microtubule dynamics to inhibit tumor growth in different cancer cell lines (7–9). Apoptosis, as one type of antitumor mechanism, has been the focus of many previous studies into antitumor therapeutic agent development (13,14). Cell cycle arrest is another type of antitumor mechanism where cells are blocked from entering the next phase of the cell cycle and cannot proliferate. It has been reported that cell cycle arrest is often associated with apoptosis (15,16) and/or autophagy (17,18). Autophagy is the process by which cellular components are delivered to lysosomes for bulk degradation (19), in certain cases it appears to promote cell death and morbidity, however, in the majority of circumstances, autophagy promotes cell survival by adapting cells to stress (20). In addition, autophagy has been demonstrated to inhibit apoptosis, thereby decreasing the antitumor effect of therapeutic agents (21). The present study assessed the effect of PAB on the proliferation and autophagy-mediated cell survival of human primary squamous cell carcinoma.
Materials and methods
Materials
PAB was purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China) and dissolved in dimethyl sulfoxide (DMSO; Sigma-Aldrich, St. Louis, MO, USA) to make a stock solution. The concentration of DMSO was maintained at <0.01% in all the cell cultures, and no detectable effect on cell growth or cell death was observed. Propidium iodode (PI), monodansylcadaverine (MDC), rhodamine 123, 3-methyladenine (3-MA), Hoechst 33258, RNase A and MTT were purchased from Sigma-Aldrich. An Annexin V:FITC apoptosis detection kit I was purchased from BD Biosciences (Franklin Lakes, NJ, USA). Mouse anti-human LC3A/B monoclonal antibody (66139-1-Ig), rabbit anti-human Beclin 1 polyclonal antibody (11306-1-AP), rabbit anti-human B-cell lymphoma 2 (Bcl-2) polyclonal antibody (12789-1-AP) and rabbit anti-human p53 polyclonal antibody (10442-1-AP) were purchased from ProteinTech Group, Inc (ProteinTech, Chicago, IL, USA). Rabbit anti-human histone H3 polyclonal antibody (A01502-40) was purchased from GenScript, Inc (Piscataway, NJ, USA). Mouse anti-human α-tubulin monoclonal antibody (sc-23948), mouse anti human caspase-3 monoclonal antibody (sc-65497), fluorescein isothiocyanate (FITC)-labeled mouse secondary antibody (sc-2339), alkaline phosphatase (AP)-labeled rabbit anti-mouse (sc-358915) and goat anti-rabbit (sc-2057) secondary antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, Dallas, TX, USA).
Cell culture
SW579 human thyroid squamous cell carcinoma cells were obtained from American Type Culture Collection (Manassas, VA, USA), and cultured in L-15 medium (GE Healthcare Life Sciences, Logan, UT, USA) supplemented with 10% fetal calf serum (Gibco, Grand Island, NY, USA), 2 mM glutamine (Gibco), penicillin (100 U/ml; Sigma-Aldrich) and streptomycin (100 µg/ml; Amresco, Solon, OH, USA), and maintained at 37°C without CO2 in a humidified atmosphere.
Cell growth inhibition test
The inhibition of cell growth was determined using an MTT assay. SW579 cells (1.0×104 cells/well) were seeded onto 96-well culture plates (Nalge-Nunc, Int., Penfield, NY. USA). Following incubation for 24 h, different concentrations of PAB (0, 1.25, 2.5, 5, 10, 15, 20, 25, 30 or 40 µM) were added to the plates. Cell growth was measured at different time-points (12, 24, 36 and 48 h) by addition of 20 µl MTT (5 mg/ml) at 37°C for 3 h, and DMSO (150 µl) was added to dissolve the formazan crystals. Absorbance was measured at 492 nm using an enzyme-linked immunosorbent assay plate reader (iMark™; Bio-Rad, Hercules, CA, USA). The percentage of inhibition was calculated as follows: Cell death (%) = [A492(control)−A492(sample)]/[A492(control)−A492(blank)] ×100.
Cell counting using a hemocytometer
Trypan blue (Sigma-Aldrich) was used to stain the cells. Live cells appeared colorless and bright (refractile) under phase contrast microscopy and the dead cells stained blue (non-refractile). Subsequent to staining with a final concentration 0.2% trypan blue, live cells were visualized and counted using a hemocytometer (Shanghai Qiujing Xue Qiu Ji Shu Ban, Shanghai, China). Decreasing ratio was calculated as follows: Decreasing ratio (%) = [cell number (control) − cell number (sample)]/cell number (control) ×100.
Immunofluorescence
SW579 cells (5×105) were placed on cover slips in a 6-well plate. Following 24 h of cell culture, the cells were treated with 4 µM PAB for 24 h, washed with phosphate-buffered saline (PBS), fixed in 3.7% formaldehyde (Sigma-Aldrich) and rinsed three times in 1X PBS. The specimen was placed in blocking buffer (1X PBS, 5% normal serum and 0.3% Triton X-100) for 60 min, and subsequently incubated with α-tubulin antibody (1:100 dilution) overnight at 4°C. Following rinsing three times with 1X PBS, cells were incubated with FITC-conjugated mouse secondary antibody (1:1,000 dilution) for 2 h at room temperature in the dark. The secondary antibodies were aspirated and the cover slips were rinsed once in 1X PBS prior to staining with 5 mg/l Hoechst 33258 for 30 min. The intensity of FITC staining was measured by fluorescence microscopy (Olympus CKX31, Olympus Corp., Tokyo, Japan) at an excitation wavelength of 505 nm with a 534-nm emission filter (Leica, Mannheim, Germany). Nuclear changes were observed by fluorescence microscopy at an excitation wavelength of 350 nm with a 460-nm emission filter (Leica).
Flow cytometric analysis of the cell cycle
SW579 cells (1.0×106) were harvested and rinsed with PBS. The cell pellets were fixed in 70% ethanol at 4°C overnight. Following two washes with PBS, the cells were stained with 1.0 ml PI solution containing 50 mg/l PI, 1 g/l RNase A and 3.8 mM 0.1% Triton X-100 in sodium citrate, followed by incubation on ice in the dark for 30 min. The samples were analyzed using a FACScan flow cytometer (BD Biosciences).
Observation of morphologic changes by light microscopy
SW579 cells (5×105 cells/well) were cultured in 6-well plates for 24 h. The cells were treated with 4 µM PAB for 24 and 48 h, and morphologic changes were observed by phase contrast microscopy (Olympus IX51, Olympus Corp.).
Observation of nuclear morphologic changes by fluorescence microscopy
SW579 cells (5×105) were placed on cover slips in a 6-well plate. Following a 24-h cell culture, the cells were treated with 4 µM PAB for 24 and 48 h, washed with PBS, fixed in 3.7% formaldehyde for 1 h and stained with 5 mg/l Hoechst 33258 for 30 min. Nuclear changes were observed by fluorescence microscopy (Olympus CKX31, Olympus Corp.) at an excitation wave length of 350 nm using a 460-nm emission filter (Leica).
Annexin V-PI staining
Phosphatidylserine was detected using the Annexin V:FITC apoptosis detection kit I according to the manufacturer's instructions. The cells were trypsinized, washed twice with cold PBS and resuspended in 200 µl 1X binding buffer. Cell suspension (100 µl) was transferred to a 5-ml culture tube and incubated with 5 µl FITC-Annexin V and 10 µl PI (10 µg/ml) for 15 min at room temperature in the dark. Binding buffer (1X; 500 µl) was added to each tube and the cells were analyzed by flow cytometry (FACSCalibur; BD Biosciences). Analysis was conducted according to the protocol of the Annexin V-PI apoptosis detection kit.
Determination of DNA fragmentation by agarose gel electrophoresis
Cells were trypsinized and the adherent and floating cells were collected by centrifugation at 1,000 × g for 5 min. The procedure was conducted as described by Yu et al (4).
Observation of MDC staining by fluorescence microscopy
A fluorescent compound, MDC has been proposed as a tracer for autophagic vacuoles. SW579 cells were treated with 4 µM PAB for 36 h and incubated with 0.05 mM MDC at 37°C for 1 h. Following incubation, the cells were washed once with PBS. Intracellular MDC was measured by fluorescence microscopy (Olympus CKX31, Olympus Corp) at an excitation wavelength of 380 nm with a 525-nm emission filter (Olympus Corp).
Cell migration
Cells derived from human primary squamous cell carcinoma of the thyroid were cultured for 24 h. Lines were arbitrarily scratched using a pipette tip, those of a similar width were selected, and the width was recorded at 12, 24, 36 and 48 h after PAB treatment by phase contrast microscopy (Olympus IX51, Olympus Corp.).
Western blot analysis of total protein expression and nuclear protein
SW579 cells (1×106) were cultured in a 25-ml culture bottle for 24 h and were subsequently treated with 4 µM PAB for 24 h. Adherent and floating cells were collected by trypsinization and centrifugation, and frozen at −80°C. Western blot analysis was performed for total, cytoplasmic and nuclear proteins as described by Yu et al (4). Protein expression was detected using the corresponding primary polyclonal antibody at 1:1,000 dilution, except for LC3A/B monoclonal antibody, which was used at 1:200 dilution. Subsequently, blots were incubated with the corresponding AP-conjugated secondary antibody at 1:1,000 dilution. Proteins were visualized using nitro blue tetrazolium chloride and 5-bromo-4-chloro-3-indoylphosphate and then scanned (Hp G4050; Hewlett-Packard, Palo Alto, CA, USA).
Statistical analysis
Statistical analyses were performed using Student's t-test through Microsoft Excel 2007 (Microsoft, Franklin, TN, USA). All data are representative of at least three independent experiments, and are expressed as the mean ± standard deviation. P<0.05 was considered to indicate a statistically significant difference.
Results
Inhibitory effect of PAB on SW579 cells
PAB is a diterpene acid (Fig. 1A), which has demonstrated an antitumor effect in diverse cancer cell lines (1–6). MTT analysis indicated that PAB inhibited SW579 cell growth in human thyroid squamous carcinoma cell line, in a time- and dose-dependent manner. The inhibitory effect of PAB was greater at 48 h compared with 12, 24 and 36 h, and the half maximal inhibitory concentration of PAB at 48 h was 4.26 µM (Fig. 1B). During the current study, 4 µM PAB was used in all experiments.
In the cell counting test, the cell number in the PAB-treated group was reduced at 12, 24, 36 and 48 h, compared with the control group and the difference became more pronounced over time (Fig. 2A). In the PAB-treated group, the cell number at 12 and 24 h was decreased compared with that at 0 h, with a decreasing ratio of 12.47 and 28.64%, respectively (Fig. 2B), while from 24 h the cell number was stable, which indicated that from 24 h, the cells had entered cytostatic status (Fig. 2B).
PAB exposure altered tubulin distribution
Previous studies have reported that PAB is a tubulin-targeting agent (7), therefore, the effect of PAB on microtubule networks in SW579 cells was investigated by immunofluorescence staining of α-tubulin. As presented in Fig. 3, treatment of SW579 cells with 4 µM PAB for 24 h resulted in aggregation of the microtubule fibers. This disruption was accompanied by cellular deformation, consistent with the role of microtubules in the maintenance of cell shape (22). The cell nuclei were stained and the dots of aggregation of the microtubule fibers were observed to be located near to the cell nuclei (Fig. 3).
PAB induced G2/M cell cycle arrest
To further investigate the mechanism of cell growth inhibition by PAB, the cell cycle was analyzed flow cytometry. Following 4 µM PAB treatment for 36 h, the quantity of DNA doubled compared with the control group (Fig. 4A), indicating that PAB-treated cells may be arrested at the G2/M phase. In the histogram analysis, it was observed that from 12 h, PAB began to increase the percentage of cells in the G2/M phase of the cell cycle (Fig. 4B).
PAB did not induce apoptosis
To determine that there was no apoptosis occurring, cell and nuclear morphology were observed. At 24 and 48 h no characteristics of cell apoptosis were evident, such as the appearance of apoptotic bodies or condensed cell nuclei in the PAB-treated group (Fig. 5A). While at 24 and 48 h after PAB treatment, cell nuclei did not become brighter indicating that no apoptosis was occurring; however, multinuclear cells appeared at 48 h (Fig. 5B). Further analysis was conducted to confirm whether apoptosis was involved in the decreasing cell number following PAB treatment. Annexin V-PI staining indicated that no apoptosis was occurring following PAB treatment for 12 h, and the early apoptotic ratio increased from 0 to 1.95% in the PAB-treated cells compared with the control group (Fig. 6A). Agarose gel electrophoresis was also conducted and no DNA ladder was observed at 0, 12, 24, 36 or 48 h subsequent to PAB treatment (Fig. 6B). In addition, at 24 h following PAB treatment, the expression of active caspase-3 was not increased compared with the control group (Fig. 6C).
PAB induced autophagy at 24 h following PAB treatment
It was demonstrated that 4 µM PAB increased MDC-positive staining, which marked autophagy (Fig. 7A). Furthermore, at 24 h the level of LC3-II expression increased, which indicated autophagy (Fig. 7B). The role of autophagy-induction by PAB treatment was unknown, thus the autophagy inhibitor, 3-MA (2 mM) was used to inhibit autophagy and a decreased cell survival rate was identified (Fig. 7C).
PAB inhibited cell migration
The effect of PAB exposure on inhibition of SW579 cell migration was investigated in the current study. It was demonstrated that SW579 cells were able to migrate as, over time, the arbitrarily scratched lines gradually disappeared in the control cells, whereas the scratched lines remained in the PAB-treated cells (Fig. 8).
PAB did not regulate Bcl-2 and Beclin-1 expression levels, but decreased the expression of nuclear p53
It was found that PAB exposure did not regulate the expression of Bcl-2 and Beclin-1 after 24 h treatment (Fig. 9A). However, the expression of nuclear p53 was reduced by PAB treatment at 24 h (Fig. 9B).
Discussion
PAB has been demonstrated to exert a potent antitumor effect on MCF-7 human breast cancer cells, HeLa human cervical cancer cells and A375 human melanoma cells (1–6). Compared with these cell lines, human primary squamous cell carcinoma of the thyroid is a rare, and often ignored, example of a cell line for a neoplasm demonstrating aggressive behavior. Despite optimal surgical treatment being adopted, survival of greater than six months with this aggressive malignancy is unlikely. An effective therapeutic agent is required to improve treatment success. In the present study, PAB was demonstrated to exert an antitumor effect on the SW579 cells from primary squamous cell carcinoma of the thyroid.
PAB exposure inhibited SW579 growth in a time- and dose-dependent manner, following 48 h of PAB treatment, the antitumor effect was marked, indicating PAB was increasingly effective over time. Subsequently, a cell counting test was conducted to further observe the inhibitory effect of PAB. In the PAB-treated group, it was observed that the cell number decreased at 12 and 24 h compared with at 0 h, however the cell number remained stable from 24 to 48 h. This suggests that from 0 to 24 h, a small quantity of cell death occurred, however from 24 to 48 h cells entered a cytostatic state. Thus, indicating that the inhibitory effect of PAB originates from control of cell growth and cytostatic activity. It has been reported that PAB exerts its antitumor effects via disturbing tubulin function (7), therefore the effect of PAB on tubulin function was investigated in the SW579 cell line in the present study. PAB exposure resulted in the aggregation of microtubule fibers near to the nuclei, which is consistent with previous reports (7). The cytostatic status induced by PAB was analyzed by determining the cell cycle distribution following PAB treatment, and it was observed that from 12 h after PAB treatment the percentage of cells in the G2/M phase was increased, indicating that the cytostatic status resulted from cell cycle arrest in the G2/M phase. At 12 and 24 h, in the PAB-treated group the cell number was reduced compared with that at 0 h, which indicated that cell death had occurred. Apoptosis is one type of death mechanism, thus cell and nuclear morphologic analysis, Annexin V-PI staining and gel electrophoresis were conducted to detect apoptosis. However, in the cell morphologic analysis, no obvious apoptotic bodies were observed. In the nuclear morphologic analysis, the nuclei were not condensed and bright nuclear fragmentation was not observed. The Annexin V-PI test did not identify phosphatidylserine translocation, and in gel electrophoresis, no DNA fragmentation was apparent following PAB treatment for 0–48 h. Therefore, PAB did not induce apoptosis in the SW579 cell line, thus the mechanism for reduced cell number at 12 and 24 h after PAB treatment was not apoptosis, but another mechanism of cell death, such as necrosis. It has been previously reported that autophagy occurs when the cell is arrested during the cell cycle (23). In the present study, PAB treatment increased MDC staining and LC3-II protein expression, which marks autophagy. Inhibition of autophagy using the autophagy inhibitor, 3-MA, increased cell death, indicating that during cytostasis autophagy sustains cell survival. In the present study it was observed that PAB inhibited cell migration; a notable finding due to the aggressive nature of human primary squamous cell carcinoma of the thyroid.
The mechanism of PAB as an antitumor therapeutic agent was also investigated. Beclin-1 and Bcl-2 are autophagy-associated proteins, however, the expression of these proteins was not affected by PAB treatment, suggesting that PAB-induced autophagy was not associated with the expression of Beclin-1 and Bcl-2. Bcl-2 expression is decreased when apoptosis occurs (24) and the current study demonstrated that PAB exposure did not induce apoptosis. The p53 protein is crucial in multicellular organisms, where it regulates the cell cycle and, thus, functions as a tumor suppressor, preventing cancer (25). However, it was found that following PAB treatment, the expression of nuclear p53 was decreased. The role of decreased nuclear p53 remains unknown and requires further investigation. It was hypothesized that decreased expression of p53 may be associated with the lack of apoptosis in PAB-treated SW579 cells. In conclusion, PAB exerted an antitumor effect via inducing a cytostatic state in SW579 cells from the human thyroid squamous cell carcinoma cell line.
In conclusion, the present study demonstrated that the antitubulin agent PAB exerted cytostatic effects on primary squamous cell carcinoma of the thyroid with the involvement of autophagy and a reduced cell migratory ability. PAB is therefore a candidate drug for treating primary squamous cell carcinoma of the thyroid.
Acknowledgments
The present study was supported by funding from Jilin Provincial Science and Technology Department (grant no. 20140204004YY), the National Natural Science Foundation of China (grant no. 81301416), the Postdoctoral Science Foundation of China (grant no. 2014M561302), the Chinese Ministry of Science and Technology (grant nos. 2012CB911100 and 2013ZX10001005), the State Grade III Laboratory of Traditional Chinese Medicine, the Immunology and Molecular Biology Laboratory and the Key Laboratory of Molecular Virology of Jilin Province (grant no. 20102209).
References
- 1.Pan DJ, Li ZL, Hu CQ, Chen K, Chang JJ, Lee KH. The cytotoxic principles of Pseudolarix kaempferi: Pseudolaric acid-A and -B and related derivatives. Planta Med. 1990;56:383–5. doi: 10.1055/s-2006-960989. [DOI] [PubMed] [Google Scholar]
- 2.Gong XF, Wang MW, Tashiro S, Onodera S, Ikejima T. Pseudolaric acid B induces apoptosis through p53 and Bax/Bcl-2 pathways in human melanoma A375-S2 cells. Arch Pharm Res. 2005;28:68–72. doi: 10.1007/BF02975138. [DOI] [PubMed] [Google Scholar]
- 3.Gong X, Wang M, Tashiro S, Onodera S, Ikejima T. Involvement of JNK-initiated p53 accumulation and phosphorylation of p53 in pseudolaric acid B induced cell death. Exp Mol Med. 2006;38:428–34. doi: 10.1038/emm.2006.50. [DOI] [PubMed] [Google Scholar]
- 4.Yu JH, Cui Q, Jiang YY, Yang W, Tashiro S, Onodera S, Ikejima T. Pseudolaric acid B induces apoptosis, senescence, and mitotic arrest in human breast cancer MCF-7. Acta Pharmacol Sin. 2007;28:1975–83. doi: 10.1111/j.1745-7254.2007.00706.x. [DOI] [PubMed] [Google Scholar]
- 5.Yu J, Li X, Tashiro S, Onodera S, Ikejima T. Bcl-2 family proteins were involved in pseudolaric acid B-induced autophagy in murine fibrosarcoma L929 cells. J Pharmacol Sci. 2008;107:295–302. doi: 10.1254/jphs.08091FP. [DOI] [PubMed] [Google Scholar]
- 6.Yu JH, Wang HJ, Li XR, Tashiro S, Onodera S, Ikejima T. Protein tyrosine kinase, JNK, and ERK involvement in pseudolaric acid B-induced apoptosis of human breast cancer MCF-7 cells. Acta Pharmacol Sin. 2008;29:1069–1076. doi: 10.1111/j.1745-7254.2008.00835.x. [DOI] [PubMed] [Google Scholar]
- 7.Wong VK, Chiu P, Chung SS, Chow LM, Zhao YZ, Yang BB, Ko BC. Pseudolaric acid B, a novel microtubule-destabilizing agent that circumvents multidrug resistance phenotype and exhibits antitumor activity in vivo. Clin Cancer Res. 2005;11:6002–6011. doi: 10.1158/1078-0432.CCR-05-0209. [DOI] [PubMed] [Google Scholar]
- 8.Sarkar T, Nguyen TL, Su ZW, Hao J, Bai R, Gussio R, Qiu SX, Hamel E. Interaction of pseudolaric acid B with the colchicine site of tubulin. Biochem Pharmacol. 2012;84:444–450. doi: 10.1016/j.bcp.2012.05.014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Tong YG, Zhang XW, Geng MY, Yue JM, Xin XL, Tian F, Shen X, Tong LJ, Li MH, Zhang C, et al. Pseudolarix acid B, a new tubulinbinding agent, inhibits angiogenesis by interacting with a novel binding site on tubulin. Mol Pharmacol. 2006;69:1226–1233. doi: 10.1124/mol.105.020537. [DOI] [PubMed] [Google Scholar]
- 10.Blagosklonny MV, Fojo T. Molecular effects of paclitaxel: Myths and reality (a critical review) Int J Cancer. 1999;83:151–156. doi: 10.1002/(SICI)1097-0215(19991008)83:2<151::AID-IJC1>3.0.CO;2-5. [DOI] [PubMed] [Google Scholar]
- 11.Horwitz SB. Mechanism of action of taxol. Trends Pharmacol Sci. 1992;13:134–136. doi: 10.1016/0165-6147(92)90048-B. [DOI] [PubMed] [Google Scholar]
- 12.Jordan MA, Wilson L. Microtubules as a target for anticancer drugs. Nat Rev Cancer. 2004;4:253–265. doi: 10.1038/nrc1317. [DOI] [PubMed] [Google Scholar]
- 13.Li FF, Yi S, Wen L, He J, Yang LJ, Zhao J, Zhang BP, Cui GH, Chen Y. Oridonin induces NPM mutant protein translocation and apoptosis in NPM1c+ acute myeloid leukemia cells in vitro. Acta Pharmacol Sin. 2014;35:806–813. doi: 10.1038/aps.2014.25. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Qi M, Yao G, Fan S, Cheng W, Tashiro S, Onodera S, Ikejima T. Pseudolaric acid B induces mitotic catastrophe followed by apoptotic cell death in murine fibrosarcoma L929 cells. Eur J Pharmacol. 2012;683:16–26. doi: 10.1016/j.ejphar.2012.02.035. [DOI] [PubMed] [Google Scholar]
- 15.Han Y, Yang YN, Yuan HH, Zhang TT, Sui H, Wei XL, Liu L, Huang P, Zhang WJ, Bai YX. UCA1, a long non-coding RNA up-regulated in colorectal cancer influences cell proliferation, apoptosis and cell cycle distribution. Pathology. 2014;46:396–401. doi: 10.1097/PAT.0000000000000125. [DOI] [PubMed] [Google Scholar]
- 16.Lee H, Lee H, Chin H, Kim K, Lee D. ERBB3 knockdown induces cell cycle arrest and activation of Bak and Bax-dependent apoptosis in colon cancer cells. Oncotarget. 2014;5:5138–5152. doi: 10.18632/oncotarget.2094. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Ahn JH, Lee YW, Ahn SK, Lee M. Oncogenic BRAF inhibitor UAI-201 induces cell cycle arrest and autophagy in BRAF mutant glioma cells. Life Sci. 2014;104:38–46. doi: 10.1016/j.lfs.2014.03.026. [DOI] [PubMed] [Google Scholar]
- 18.Wang R, Xiao X, Wang PY, Wang L, Guan Q, Du C, Wang XJ. Stimulation of autophagic activity in human glioma cells by anti-proliferative ardipusilloside I isolated from Ardisia pusilla. Life Sci. 2014;110:15–22. doi: 10.1016/j.lfs.2014.06.016. [DOI] [PubMed] [Google Scholar]
- 19.Lee YJ, Won AJ, Lee J, Jung JH, Yoon S, Lee BM, Kim HS. Molecular mechanism of SAHA on regulation of autophagic cell death in tamoxifen-resistant MCF-7 breast cancer cells. Int J Med Sci. 2012;9:881–893. doi: 10.7150/ijms.5011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Lee YZ, Yang CW, Chang HY, Hsu HY, Chen IS, Chang HS, Lee CH, Lee JC, Kumar CR, Qiu YQ, et al. Discovery of selective inhibitors of Glutaminase-2, which inhibit mTORC1, activate autophagy and inhibit proliferation in cancer cells. Oncotarget. 2014;5:6087–6101. doi: 10.18632/oncotarget.2173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.He H, Feng YS, Zang LH, Liu WW, Ding LQ, Chen LX, Kang N, Hayashi T, Tashiro S, Onodera S, et al. Nitric oxide induces apoptosis and autophagy; autophagy down-regulates NO synthesis in physalin A-treated A375-S2 human melanoma cells. Food Chem Toxicol. 2014;71:128–135. doi: 10.1016/j.fct.2014.06.007. [DOI] [PubMed] [Google Scholar]
- 22.Liu F, Xuan A, Chen Y, Zhang J, Xu L, Yan Q, Long D. Combined effect of nerve growth factor and brain-derived neurotrophic factor on neuronal differentiation of neural stem cells and the potential molecular mechanisms. Mol Med Rep. 2014;10:1739–1745. doi: 10.3892/mmr.2014.2393. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Santi SA, Lee H. Ablation of Akt2 induces autophagy through cell cycle arrest, the downregulation of p70S6K, and the deregulation of mitochondria in MDA-MB231 cells. PLoS One. 2011;6:e14614. doi: 10.1371/journal.pone.0014614. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Xu LF, Wu ZP, Chen Y, Zhu QS, Hamidi S, Navab R. MicroRNA-21 (miR-21) regulates cellular proliferation, invasion, migration, and apoptosis by targeting PTEN, RECK and Bcl-2 in lung squamous carcinoma, Gejiu City, China. PLoS One. 2014;9:e103698. doi: 10.1371/journal.pone.0103698. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Lee YJ, Park IS, Lee YJ, Shim JH, Cho MK, Nam HS, Park JW, Oh MH, Lee SH. Resveratrol contributes to chemosensitivity of malignant mesothelioma cells with activation of p53. Food Chem Toxicol. 2014;63:153–160. doi: 10.1016/j.fct.2013.11.004. [DOI] [PubMed] [Google Scholar]