PMID- 22123175 OWN - NLM STAT- MEDLINE DCOM- 20120601 LR - 20211021 IS - 1555-8576 (Electronic) IS - 1538-4047 (Print) IS - 1538-4047 (Linking) VI - 12 IP - 11 DP - 2011 Dec 1 TI - The combination of tephrosin with 2-deoxy-D-glucose enhances the cytotoxicity via accelerating ATP depletion and blunting autophagy in human cancer cells. PG - 989-96 LID - 10.4161/cbt.12.11.18364 [doi] AB - 2-Deoxy-D-glucose (2-DG), a synthetic glucose analog that acts as a glycolytic inhibitor, is currently under clinical evaluation for targeting tumor cells. Tephrosin (TSN), a plant rotenoid, is known as an anticancer agent. In this study, we describe that the addition of TSN to 2-DG enhanced the cytotoxic activity of 2-DG against various types of cancer cells by accelerating ATP depletion and blunting autophagy. TSN increased the sensitivity of cancer cells to the cytotoxic effect of 2-DG. The combination of TSN and 2-DG induced acceleration of intracellular ATP depletion and the drastic activation of AMP-activated protein kinase (AMPK), which resulted in the inactivation of the mammalian target of rapamycin (mTOR) pathway. Of particular interest, TSN suppressed 2-DG-induced autophagy, a cell survival process in response to nutrient deprivation. We also showed that TSN inhibited 2-DG-induced activation of elongation factor-2 kinase (eEF-2K), which has been known to regulate 2-DG-induced autophagy. Inhibition of eEF-2K by RNA interference blunted 2-DG-induced autophagy and increased the sensitivity of cancer cells to the cytotoxic effect of 2-DG. The addition of TSN to 2-DG, however, did not enhance the cytotoxic activity of 2-DG by knockdown of eEF-2K, suggesting that inhibition of eEF-2K by tephrsoin could be a critical role in the potentiating effect of TSN on the cytotoxicity of 2-DG. Furthermore, we showed that the blunted autophagy and enhanced cytotoxicity of 2-DG was accompanied by the augmentation of apoptosis. These results show that TSN may be valuable for augmenting the therapeutic efficacy of 2-DG. FAU - Choi, Yunjin AU - Choi Y AD - Department of Biochemistry, College of Natural Sciences, Kangwon National University, Chuncheon, Gangwon-Do, South Korea. FAU - Lee, Jeong-Hyung AU - Lee JH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111201 PL - United States TA - Cancer Biol Ther JT - Cancer biology & therapy JID - 101137842 RN - 03L9OT429T (Rotenone) RN - 76-80-2 (tephrosin) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 9G2MP84A8W (Deoxyglucose) RN - EC 2.7.11.20 (Elongation Factor 2 Kinase) SB - IM MH - Adenosine Triphosphate/*metabolism MH - Antineoplastic Combined Chemotherapy Protocols/*toxicity MH - Apoptosis/drug effects MH - Autophagy/*drug effects MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Deoxyglucose/*toxicity MH - Elongation Factor 2 Kinase/metabolism MH - Enzyme Activation/drug effects MH - Humans MH - Intracellular Space/drug effects/metabolism MH - Neoplasms/*metabolism MH - Rotenone/*analogs & derivatives/toxicity PMC - PMC3280917 EDAT- 2011/11/30 06:00 MHDA- 2012/06/02 06:00 PMCR- 2012/12/01 CRDT- 2011/11/30 06:00 PHST- 2011/11/30 06:00 [entrez] PHST- 2011/11/30 06:00 [pubmed] PHST- 2012/06/02 06:00 [medline] PHST- 2012/12/01 00:00 [pmc-release] AID - 18364 [pii] AID - 2011CBT5061R [pii] AID - 10.4161/cbt.12.11.18364 [doi] PST - ppublish SO - Cancer Biol Ther. 2011 Dec 1;12(11):989-96. doi: 10.4161/cbt.12.11.18364. Epub 2011 Dec 1.