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2015 ; 14
(ä): 179
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Blockade of autophagy reduces pancreatic cancer stem cell activity and
potentiates the tumoricidal effect of gemcitabine
#MMPMID26458814
Yang MC
; Wang HC
; Hou YC
; Tung HL
; Chiu TJ
; Shan YS
Mol Cancer
2015[Oct]; 14
(ä): 179
PMID26458814
show ga
BACKGROUND: Cancer stem cells (CSCs) are considered responsible for the
recurrence and chemoresistance of cancer. Dysregulated autophagy is highly
prevalent in many types of cancer including pancreatic cancer and has been
implicated in cytoprotection and tumor promotion. This study aimed to investigate
the role of autophagy in regulating cancer stemness and chemoresistance of
pancreatic cancer. METHODS: The correlation between autophagy and CSCs and its
clinical significance were analyzed using pancreatic cancer tissue microarrays.
Genetic and pharmacological approaches were applied to explore the function of
autophagy on CSC activity and gemcitabine resistance of pancreatic cancer cells
in vitro and in vivo. RESULTS: LC3 expression positively correlated with the
expression of CSC markers aldehyde dehydrogenase 1 (ALDH1), CD44, and CD133 in
pancreatic cancer tissues. High coexpression of LC3/ALDH1 was associated with
both poor overall survival and progression-free survival. In pancreatic cancer
cell lines, higher LC3-II expression was observed in the sphere-forming cells
than in the bulk cells. Blockade of autophagy by silencing ATG5, ATG7, and BECN1
or the administration of autophagy inhibitor chloroquine markedly reduced the CSC
populations, ALDH1 activity, sphere formation, and resistance to gemcitabine in
vitro and in vivo. Furthermore, osteopontin (OPN) was found to stimulate LC3-II,
ALDH1, CD44, and CD133 expression in PANC-1 cells, whereas this effect could be
prevented by OPN knockdown and autophagy blockade. After treatment with various
inhibitors against the major signaling pathways downstream of OPN, only the
inhibitor of NF-?B activation, BAY 1170-82, could effectively counteract
OPN-induced autophagy and CSC activity. According to the histochemical results,
pancreatic cancer patients manifesting high levels of OPN/LC3/ALDH1 and
OPN/CD44/CD133 had poor survival. CONCLUSIONS: Induction of autophagy mediated by
OPN/NF-?B signaling is required for maintenance of pancreatic CSC activity.
Combination of gemcitabine with pharmacological autophagy inhibitors is a
promising therapeutic strategy for pancreatic cancer.