PMID- 27572899 OWN - NLM STAT- MEDLINE DCOM- 20170405 LR - 20211204 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 14 IP - 4 DP - 2016 Oct TI - Cabazitaxel-induced autophagy via the PI3K/Akt/mTOR pathway contributes to A549 cell death. PG - 3013-20 LID - 10.3892/mmr.2016.5648 [doi] AB - Cabazitaxel has been used to treat castration-resistant prostate cancer since its approval by the US Food and Drug Administration in 2010. However, whether cabazitaxel may inhibit the proliferation of other tissue‑derived cancer cells, and its underlying mechanism, remains unknown. In the present study, the A549 lung adenocarcinoma cancer cell line was exposed to cabazitaxel, in order to investigate its cytotoxic effect and determine the underlying mechanism. The results demonstrated that cabazitaxel was able to induce autophagy in A549 cells, as evidenced by the formation of autophagosomes, upregulated LC3‑II expression and increased LC3 puncta. Cabazitaxel‑induced autophagy had a cytotoxic effect on A549 cells, as evidenced by the induction of cell death and cell cycle arrest at G2/M phase, which was independent of the apoptotic pathway. Furthermore, transfection with Beclin1 small interfering RNA and treatment with the autophagy inhibitor 3‑methyladenine protected cells from cabazitaxel‑induced cell death, thus confirming that cabazitaxel‑induced autophagy contributed to A549 cell death. In addition, cabazitaxel targeted the phosphoinositide 3‑kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway to induce autophagy, as indicated by reduced phosphorylation of Akt and mTOR. In conclusion, the present study demonstrated that cabazitaxel exerts a cytotoxic effect on A549 cells by acting on the PI3K/Akt/mTOR pathway to promote autophagic cell death. This result supports the potential use of cabazitaxel as a chemotherapeutic agent for the treatment of lung cancer. FAU - Huo, Ruichao AU - Huo R AD - College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi 712100, P.R. China. FAU - Wang, Lili AU - Wang L AD - College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi 712100, P.R. China. FAU - Liu, Peijuan AU - Liu P AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Zhao, Yong AU - Zhao Y AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Zhang, Caiqin AU - Zhang C AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Bai, Bing AU - Bai B AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Liu, Xueying AU - Liu X AD - Department of Medicinal Chemistry, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Shi, Changhong AU - Shi C AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Wei, Sanhua AU - Wei S AD - Department of Laboratory and Research Center, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710038, P.R. China. FAU - Zhang, Hai AU - Zhang H AD - Laboratory Animal Center, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. LA - eng PT - Journal Article DEP - 20160819 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Antineoplastic Agents) RN - 0 (Taxoids) RN - 51F690397J (cabazitaxel) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - A549 Cells MH - Adenocarcinoma/*drug therapy/metabolism/pathology MH - Adenocarcinoma of Lung MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Autophagy/*drug effects MH - Humans MH - Lung/drug effects/metabolism/pathology MH - Lung Neoplasms/*drug therapy/metabolism/pathology MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*metabolism MH - Taxoids/*pharmacology PMC - PMC5042750 EDAT- 2016/08/31 06:00 MHDA- 2017/04/06 06:00 PMCR- 2016/08/19 CRDT- 2016/08/31 06:00 PHST- 2015/07/15 00:00 [received] PHST- 2016/07/28 00:00 [accepted] PHST- 2016/08/31 06:00 [entrez] PHST- 2016/08/31 06:00 [pubmed] PHST- 2017/04/06 06:00 [medline] PHST- 2016/08/19 00:00 [pmc-release] AID - mmr-14-04-3013 [pii] AID - 10.3892/mmr.2016.5648 [doi] PST - ppublish SO - Mol Med Rep. 2016 Oct;14(4):3013-20. doi: 10.3892/mmr.2016.5648. Epub 2016 Aug 19.