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. 2019 Dec 31;12(1):109. doi: 10.3390/cancers12010109

Table 1.

Mechanisms of HDACi-induced autophagy and potential mechanisms of resistance.

Autophagic Regulation HDACi Cancer Cell Type Ref. Mechanisms of Resistance Ref.
mTOR Inhibition SAHA ESS-1 [49,153] Constitutive PI3K-AKT signaling
-AKToverexpression
-PI3K mutations
-Loss of PTEN, ARHI, LKB-1
-other upstream factors
Beclin-1 deficiency
Bcl-2 overexpression
SAHA Glioblastoma [136]
Butyrate, SAHA HelaS3 [135,154]
SAHA, OSU-HAD, C42 HCC, Hep3B, HepG2 [139] [155,156,157,158]
SAHA Jurkat T-cells [137]
SAHA Gliobastoma SC [138]
Apicidin Salivary MEC [134,159] [160,161,162,163]
* MGCD0103 Primary CLL [151,152]
* SAHA, TSA, VPA, MS-275, JQ2 DS-AMKL cells [64]
ROS Accumulation SAHA Jurkat T-cells [137] Increased levels of ROS scavengers/antioxidant enzymes (TRX) [164,165]
SAHA CMLL [58]
FK228 Gastric carcinoma [165]
M-275 HCT116 [166]
VPA, SAHA AML (Kasumi-1) [62]
VPA, TSA PaCa44, Panc1 [130]
p53 Acetylation & Deficiency Sirtinol MCF-7 [131] Overexpression/GOF
of mutant p53
Decreased degradation of p53 (MDM2, HSP90)
[167,168,169,170,171]
MHY2256 MCF-7 [132]
MHY2256 Endometrial [133]
SAHA ESS-1 [49]
VPA, TSA PaCa44, Panc1 [130]
p21 Upregulation SAHA, H40 PC-3M, HL-60 [142] Deregulated phosphorylation by Akt1
Deregulation by p53
(p53R2; cytoplasmic p21)
[172,173,174,175]
MRJF4 PC3 [128]
Apicidin Salivary MEC [134,159]
VPA, TSA PaCa44, Panc1 [130]
NF-κB Hyper-acetylation SAHA, MS-275 PC3 [141] (Constitutive) NF-κB upregulation [176]
FOXO1 Transcription LBH589 HepG2, HCT116 [145] MDR1 upregulation
Anti-oxidative enzyme upregulation
[177,178,179]
DAPK Upregulation SAHA, TSA, LBH589, JQ2 HCT116 [147] DAPK hypermethylation & ubiquitination [180,181]
NRF2 upregulation SAHA, TSA Huh-7, MGC-803 [146] Aberrant NRF2
expression
[182,183,184]

* Suppression of autophagy due to mTOR activation; HDACi, histone deacetylase inhibitor; SAHA, suberoylanilide hydroxamic acid; VPA, valproic acid; TSA, trichostatin A; MGCD0103, mocetinostat; MS-275, etinostat; FK228, romidepsin; LBH589, panobinostat; SC, stem cells; MEC, Mucoepidermoid carcinoma; CLL, chronic lymphocytic leukemia;; DS-AMKL, down syndrome associated acute myeloid leukemia; AML, acute myeloid leukemia; MDM2, mouse double minute 2; TRX, thioredoxin; HSP90, heat shock protein 90.