Identification of Fangjihuangqi Decoction as a late-stage autophagy inhibitor with an adjuvant anti-tumor effect against non-small cell lung cancer

防己黄芪汤作为晚期自噬抑制剂的鉴定及对非小细胞肺癌的辅助抗肿瘤作用

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作者:Qiugu Chen #, Yuan Liao #, Yujiao Liu #, Yue Song, Junbo Jiang, Zhen Zhang, Anqi Li, Mengyi Zheng, Xiaoyi Chen, Tingxiu Zhao, Jiangyong Gu, Yuhui Tan, Xiaoyi Liu, Yanjun Jiang, Kun Wang, Hua Yi, Jianyong Xiao, Shan Hu

Background

Clinically, although chemotherapy is one of the most commonly used

Conclusion

Collectively, these results demonstrate that FJHQ is a novel late-stage autophagy inhibitor that can amplify the anti-tumor effect of cisplatin and paclitaxel against NSCLC cells.

Methods

We observed the changes of autophagy level in NSCLC cells under the effect of FJHQ, and verified the level of the autophagy marker protein and cathepsin. Apoptosis was detected after the combination of FJHQ with cisplatin or paclitaxel, and NAC (ROS scavenger) was further used to verify the activation of ROS-MAPK pathway by FJHQ.

Results

We observed that FJHQ induced autophagosomes in NSCLC cells and increased the levels of P62 and LC3-II protein expression in a concentration- and time-gradient-dependent manner, indicating that autophagic flux was inhibited. Co-localization experiments further showed that while FJHQ did not inhibit autophagosome and lysosome fusion, it affected the maturation of cathepsin and thus inhibited the autophagic pathway. Finally, we found that the combination of FJHQ with cisplatin or paclitaxel increased the apoptosis rate of NSCLC cells, due to increased ROS accumulation and further activation of the ROS-MAPK pathway. This synergistic effect could be reversed by NAC.

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