PMID- 26702616 OWN - NLM STAT- MEDLINE DCOM- 20160907 LR - 20211122 IS - 1478-6362 (Electronic) IS - 1478-6354 (Print) IS - 1478-6354 (Linking) VI - 17 DP - 2015 Dec 23 TI - Autophagy induction contributes to the resistance to methotrexate treatment in rheumatoid arthritis fibroblast-like synovial cells through high mobility group box chromosomal protein 1. PG - 374 LID - 10.1186/s13075-015-0892-y [doi] LID - 374 AB - BACKGROUND: Rheumatoid arthritis fibroblast-like synovial cells (RA-FLS) show resistance to methotrexate (MTX) treatment. To better understand the mechanisms of this resistance, RA-FLS and osteoarthritis fibroblast-like synovial cells (OA-FLS) were isolated and exposed to MTX. We analyzed the autophagy induced by MTX in vitro and its relationship to apoptosis. METHODS: Cell viability was evaluated using a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, and apoptosis was detected by flow cytometry and Western blot analysis. Autophagy was determined by transmission electron microscopy as well as Western blot analysis. The expression levels of Beclin-1, LC3, Akt, p-Akt, mammalian target of rapamycin (mTOR), p-mTOR, high mobility group box chromosomal protein 1 (HMGB1), and an 85 kDa caspase cleaved fragment of poly(ADP-ribose) polymerase were measured by Western blotting. RESULTS: MTX-induced apoptosis was increased in OA-FLS compared with RA-FLS. However, MTX stimulated the autophagy response in RA-FLS by inducing autophagosome formation, but not in OA-FLS. In RA-FLS, transfection with Beclin-1 small interfering RNA inhibited autophagy and increased susceptibility to MTX, which induces cell death. MTX upregulated autophagy through its ability to enhance the expression of HMGB1 and Beclin-1 rather than through the Akt/mTOR pathway. CONCLUSIONS: Autophagy induction contributes to resistance to MTX treatment in fibroblasts from patients with rheumatoid arthritis. FAU - Xu, Ke AU - Xu K AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. santxuke1986@126.com. FAU - Cai, Yong-song AU - Cai YS AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. cys3568@163.com. FAU - Lu, She-Min AU - Lu SM AD - Department of Genetics and Molecular Biology, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China. lushemin@mail.xjtu.edu.cn. FAU - Li, Xiao-Li AU - Li XL AD - Department of Internal Medicine, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China. xili666@126.com. FAU - Liu, Lin AU - Liu L AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. liulin183092@163.com. FAU - Li, Zhong AU - Li Z AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. lizhong0607@126.com. FAU - Liu, Hui AU - Liu H AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. 1q2we3@163.com. FAU - Xu, Peng AU - Xu P AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, 710054, Shaanxi Province, China. sousou369@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151223 PL - England TA - Arthritis Res Ther JT - Arthritis research & therapy JID - 101154438 RN - 0 (Antirheumatic Agents) RN - 0 (HMGB1 Protein) RN - 0 (HMGB1 protein, human) RN - 0 (RNA, Small Interfering) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Aged MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/*drug therapy MH - Autophagy/*drug effects MH - Blotting, Western MH - Cell Survival/physiology MH - Drug Resistance/*physiology MH - Female MH - Fibroblasts/drug effects/metabolism MH - Flow Cytometry MH - HMGB1 Protein/*biosynthesis MH - Humans MH - Male MH - Methotrexate/*therapeutic use MH - Microscopy, Electron, Transmission MH - Middle Aged MH - RNA, Small Interfering MH - Synovial Membrane/cytology MH - Transfection PMC - PMC4718027 EDAT- 2015/12/26 06:00 MHDA- 2016/09/08 06:00 PMCR- 2015/12/23 CRDT- 2015/12/26 06:00 PHST- 2015/10/01 00:00 [received] PHST- 2015/12/08 00:00 [accepted] PHST- 2015/12/26 06:00 [entrez] PHST- 2015/12/26 06:00 [pubmed] PHST- 2016/09/08 06:00 [medline] PHST- 2015/12/23 00:00 [pmc-release] AID - 10.1186/s13075-015-0892-y [pii] AID - 892 [pii] AID - 10.1186/s13075-015-0892-y [doi] PST - epublish SO - Arthritis Res Ther. 2015 Dec 23;17:374. doi: 10.1186/s13075-015-0892-y.