2018
DOI: 10.7150/jca.27943
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Autophagy Plays a Critical Role in Insulin Resistance- Mediated Chemoresistance in Hepatocellular Carcinoma Cells by Regulating the ER Stress

Abstract: The high mortality of hepatocellular carcinoma (HCC) patients is associated with several independent risk factors including type 2 diabetes mellitus (T2DM) and insulin resistance (IR), which could be caused by various pathological processes such as tumorigenesis and inflammation in the liver. In previous report, we declared that IR contributes to multidrug resistance in HCC by activation of endoplasmic reticulum (ER) stress. Here, our study revealed that the enhanced autophagy induced by IR significantly promp… Show more

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Cited by 16 publications
(14 citation statements)
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“…Moreover, the conversion of LC3BI (the soluble LC3B isoform) into LC3BII was enhanced in resistant cells ( Figure 2D and Figure 2—figure supplement 1E ), as evidenced by the increased LC3BII:LC3BI ratio ( Barth et al, 2010 ; McLeland et al, 2011 ; Zhang et al, 2016 ). The magnitude of this effect is consistent with other studies demonstrating autophagy induction ( Klionsky et al, 2016 ; Li et al, 2018 ; Rouschop et al, 2010 ; Sannino et al, 2018 ).…”
Section: Resultssupporting
confidence: 92%
“…Moreover, the conversion of LC3BI (the soluble LC3B isoform) into LC3BII was enhanced in resistant cells ( Figure 2D and Figure 2—figure supplement 1E ), as evidenced by the increased LC3BII:LC3BI ratio ( Barth et al, 2010 ; McLeland et al, 2011 ; Zhang et al, 2016 ). The magnitude of this effect is consistent with other studies demonstrating autophagy induction ( Klionsky et al, 2016 ; Li et al, 2018 ; Rouschop et al, 2010 ; Sannino et al, 2018 ).…”
Section: Resultssupporting
confidence: 92%
“…PERK-mediated ATF4 activation can up-regulate autophagy-related genes such as LC3, BECN1, Atg3, Atg12 and Atg16L1. Although ER stress and autophagy work independently, they share many common features, including protecting cells by reducing stress and inducing cell death under extreme conditions 20 , 21 .…”
Section: Introductionmentioning
confidence: 99%
“…Basic results obtained so far on this topic have suggested ( Avril et al, 2017 ; Bahar et al, 2019 ) that ERS-mediated tumor cell survival is gradually becoming the key factor in solid tumor drug resistance. In the past years, with the increasing application of drugs and the deepening of research in this domain, many basic reports have been published ( Cubillos-Ruiz et al, 2017 ; Jin et al, 2017 ; Li L. et al, 2018 ) on drug resistance mediated by drug-induced ERS, such as intrinsic apoptosis inhibition, protective autophagy, ABC transporters, and extrinsic immunosuppression. However, a systemic report on drug resistance in solid tumor cells has not yet been published.…”
Section: Introductionmentioning
confidence: 99%