PMID- 24639013 OWN - NLM STAT- MEDLINE DCOM- 20141118 LR - 20231213 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 9 IP - 5 DP - 2014 May TI - Autophagy prevents doxorubicin‑induced apoptosis in osteosarcoma. PG - 1975-81 LID - 10.3892/mmr.2014.2055 [doi] AB - Autophagy is a process of selective degradation of cellular components. Autophagy is an adaptive process in the majority of tumor cells; it provides sufficient nutrients by degrading cellular components to enhance the survival of tumors. Osteosarcoma is the most common type of primary malignant bone tumor in children and adolescents. Identification of an improved therapeutic strategy for the treatment of osteosarcoma is urgently required. Osteosarcoma has been primarily treated by chemotherapy and the phenomena of resistance to the therapy has become increasingly common. Doxorubicin (Dox) is a classic chemotherapeutic drug for the treatment of osteosarcoma, and certain studies have suggested that Dox induces autophagy. On the basis of the protective effect of autophagy for tumors, the present study investigated whether U2OS and Saos-2 osteosarcoma cells activate autophagy to reduce Dox-induced apoptosis. Dox was observed to inhibit the growth of U2OS and Saos-2 osteosarcoma cells in a concentration-dependent manner. The results of the western blot analysis demonstrated that Dox induced increased expression levels of the apoptosis-related proteins cleaved caspase-3 and cytochrome c and loss of mitochondrial membrane potential (MMP) in the U2OS and Saos-2 osteosarcoma cells. Furthermore, the results of the western blot analysis also revealed that Dox increased the expression levels of the autophagy-related protein microtubule-associated protein 1 light chain 3 and reduced those of p62 in the U2OS and Saos-2 osteosarcoma cells. In order to determine the effect of autophagy on the apoptosis induced by Dox in the U2OS and Saos-2 osteosarcoma cells, autophagy-related protein (Atg)7 small interfering (si) RNA or the autophagy inhibitor 3-methyladenine (3-MA) alone or combined with Dox was used in U2OS and Saos-2 osteosarcoma cells. The results identified that Atg7 siRNA and the autophagy inhibitor 3-MA significantly elevated the levels of growth inhibition by Dox and markedly increased the expression levels of the apoptosis‑related proteins cleaved caspase-3 and cytochrome c, and reduced the levels of MMP in the U2OS and Saos-2 osteosarcoma cells, which were treated with Dox. These results indicated that autophagy was the protective mechanism used by U2OS and Saos-2 osteosarcoma against Dox-induced apoptosis. The inhibition of autophagy notably increases the levels of apoptosis induced by Dox. This suggested that Dox used in combination with autophagy inhibitors may effectively treat osteosarcoma. FAU - Zhao, Dongxu AU - Zhao D AD - Department of Spine Surgery, The First Bethune Hospital, Jilin University, Changchun, Jilin 130021, P.R. China. FAU - Yuan, Hongping AU - Yuan H AD - Department of Nephrology, The Fourth Bethune Hospital, Jilin University, Changchun, Jilin 130021, P.R. China. FAU - Yi, Fei AU - Yi F AD - Department of Spine Surgery, The First Bethune Hospital, Jilin University, Changchun, Jilin 130021, P.R. China. FAU - Meng, Chunyang AU - Meng C AD - Department of Spine Surgery, The First Bethune Hospital, Jilin University, Changchun, Jilin 130021, P.R. China. FAU - Zhu, Qingsan AU - Zhu Q AD - Department of Spine Surgery, The First Bethune Hospital, Jilin University, Changchun, Jilin 130021, P.R. China. LA - eng PT - Journal Article DEP - 20140314 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (RNA, Small Interfering) RN - 80168379AG (Doxorubicin) RN - EC 6.2.1.45 (ATG7 protein, human) RN - EC 6.2.1.45 (Autophagy-Related Protein 7) RN - EC 6.2.1.45 (Ubiquitin-Activating Enzymes) SB - IM MH - Antibiotics, Antineoplastic/*pharmacology MH - Apoptosis/*drug effects/genetics MH - Autophagy/*drug effects/genetics MH - Autophagy-Related Protein 7 MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Dose-Response Relationship, Drug MH - Doxorubicin/*pharmacology MH - Humans MH - Osteosarcoma/genetics/*metabolism MH - RNA, Small Interfering/genetics MH - Ubiquitin-Activating Enzymes/genetics EDAT- 2014/03/19 06:00 MHDA- 2014/11/19 06:00 CRDT- 2014/03/19 06:00 PHST- 2013/11/03 00:00 [received] PHST- 2014/02/10 00:00 [accepted] PHST- 2014/03/19 06:00 [entrez] PHST- 2014/03/19 06:00 [pubmed] PHST- 2014/11/19 06:00 [medline] AID - 10.3892/mmr.2014.2055 [doi] PST - ppublish SO - Mol Med Rep. 2014 May;9(5):1975-81. doi: 10.3892/mmr.2014.2055. Epub 2014 Mar 14.