2019
DOI: 10.21873/anticanres.13877
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Duloxetine Enhances TRAIL-mediated Apoptosis via AMPK-mediated Inhibition of Autophagy Flux in Lung Cancer Cells

Abstract: Background/Aim: The antidepressant duloxetine is known as a serotonin-norepinephrine reuptake inhibitor, used for treating depression and anxiety. TRAIL selectively induces cell death in a variety of tumor cells by binding to its membrane death receptor (DR). The aim of the study was to examine whether duloxetine affects TRAIL-mediated apoptosis. Materials and Methods: Cell viability and apoptosis was measured by morphological image, crystal violet staining, MTT and LDH assay. Immunocytochemistry and western b… Show more

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Cited by 16 publications
(7 citation statements)
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“…The levels of LDH secretion detected in the groups treated with TRAIL and MIX indicated that TRAIL induced apoptosis significantly. These results were also observed in lung cancer cells (lines A549, HCC-15) in which there was a greater release of LDH in the groups treated with TRAIL, showing that there was induction of apoptosis by this protein [56]. The same pattern was demonstrated in another study with 2 isoforms of TRAIL in the treatment against 3 human bladder cancer strains [57].…”
Section: Discussionsupporting
confidence: 73%
“…The levels of LDH secretion detected in the groups treated with TRAIL and MIX indicated that TRAIL induced apoptosis significantly. These results were also observed in lung cancer cells (lines A549, HCC-15) in which there was a greater release of LDH in the groups treated with TRAIL, showing that there was induction of apoptosis by this protein [56]. The same pattern was demonstrated in another study with 2 isoforms of TRAIL in the treatment against 3 human bladder cancer strains [57].…”
Section: Discussionsupporting
confidence: 73%
“…LC3-II is a well-known marker indicating the formation of a complete autophagosome, while p62 is involved in the lysosome-and proteasome-dependent degradation of proteins. Inhibition of autophagy results in the accumulation of cellular p62 (51). The findings of the present study suggested that sertraline increases the number of autophagosomes, as evident from the enlarged volume of Lc3-II, and triggers the degradation of lysosomes, consistent with the accumulation of p62.…”
Section: Discussionsupporting
confidence: 69%
“…Since HDACs are associated with changes in glycosylation patterns, O-glycosylation, N-glycosylation, and fucosylation in DR4 and DR5 receptors are necessary to improve TRAIL signaling. Thus, HDAC inhibitors have been proposed as another strategy against cancer since they maintain glycosylation in TRAIL receptors [ 107 ]. In addition, HDAC inhibitors act in synergy with TRAIL by upregulating the mitochondrial pathway; downregulating NF-kβ and its gene products, such as cyclin D1, Bcl-2, Bcl-XL, VEGF, HIF-1a, IL6, IL8, MMP-2, and MMP-9; and upregulating the pro-apoptotic proteins Bax, Bak, and p21/CIP1 and TRAIL receptors DR4 and DR5 in cancer cells [ 108 ].…”
Section: Mechanism Against Trail Resistancementioning
confidence: 99%