PMID- 28197628 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20211204 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 50 IP - 3 DP - 2017 Mar TI - Resveratrol-induced autophagy and apoptosis in cisplatin-resistant human oral cancer CAR cells: A key role of AMPK and Akt/mTOR signaling. PG - 873-882 LID - 10.3892/ijo.2017.3866 [doi] AB - Resveratrol is known to be an effective chemo-preventive phytochemical against multiple tumor cells. However, the increasing drug resistance avoids the cancer treatment in oral cavity cancer. In this study, we investigated the oral antitumor activity of resveratrol and its mechanism in cisplatin-resistant human oral cancer CAR cells. Our results demonstrated that resveratrol had an extremely low toxicity in normal oral cells and provoked autophagic cell death to form acidic vesicular organelles (AVOs) and autophagic vacuoles in CAR cells by acridine orange (AO) and monodansylcadaverine (MDC) staining. Either DNA fragmentation or DNA condensation occurred in resveratrol-triggered CAR cell apoptosis. These inhibitors of PI3K class III (3-MA) and AMP-activated protein kinase (AMPK) (compound c) suppressed the autophagic vesicle formation, LC3-II protein levels and autophagy induced by resveratrol. The pan-caspase inhibitor Z-VAD-FMK attenuated resveratrol-triggered cleaved caspase-9, cleaved caspase-3 and cell apoptosis. Resveratrol also enhanced phosphorylation of AMPK and regulated autophagy- and pro-apoptosis-related signals in resveratrol-treated CAR cells. Importantly, resveratrol also stimulated the autophagic mRNA gene expression, including Atg5, Atg12, Beclin-1 and LC3-II in CAR cells. Overall, our findings indicate that resveratrol is likely to induce autophagic and apoptotic death in drug-resistant oral cancer cells and might become a new approach for oral cancer treatment in the near future. FAU - Chang, Chao-Hsiang AU - Chang CH AD - School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei 110, Taiwan, R.O.C. FAU - Lee, Chao-Ying AU - Lee CY AD - School of Pharmacy, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Lu, Chi-Cheng AU - Lu CC AD - Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Tsai, Fuu-Jen AU - Tsai FJ AD - Human Genetic Center, China Medical University Hospital, Taichung 404, Taiwan, R.O.C. FAU - Hsu, Yuan-Man AU - Hsu YM AD - Department of Biological Science and Technology, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Tsao, Je-Wei AU - Tsao JW AD - Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Juan, Yu-Ning AU - Juan YN AD - Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Chiu, Hong-Yi AU - Chiu HY AD - Department of Pharmacy, Buddhist Tzu Chi General Hospital, Hualien 970, Taiwan, R.O.C. FAU - Yang, Jai-Sing AU - Yang JS AD - Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan, R.O.C. FAU - Wang, Ching-Chiung AU - Wang CC AD - School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei 110, Taiwan, R.O.C. LA - eng PT - Journal Article DEP - 20170130 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (ATG12 protein, human) RN - 0 (ATG5 protein, human) RN - 0 (Amino Acid Chloromethyl Ketones) RN - 0 (Antineoplastic Agents) RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Autophagy-Related Protein 12) RN - 0 (Autophagy-Related Protein 5) RN - 0 (Beclin-1) RN - 0 (MAP1LC3A protein, human) RN - 0 (Microtubule-Associated Proteins) RN - 0 (RNA, Messenger) RN - 0 (Stilbenes) RN - 0 (benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone) 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) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.22.- (Caspase 9) RN - Q20Q21Q62J (Cisplatin) RN - Q369O8926L (Resveratrol) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Amino Acid Chloromethyl Ketones/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Antineoplastic Agents, Phytogenic/*pharmacology MH - Apoptosis/*drug effects MH - Autophagy/*drug effects MH - Autophagy-Related Protein 12/genetics MH - Autophagy-Related Protein 5/genetics MH - Beclin-1/genetics MH - Caspase 3/metabolism MH - Caspase 9/metabolism MH - Cell Line, Tumor MH - Cisplatin/pharmacology MH - DNA Fragmentation/drug effects MH - Drug Resistance, Neoplasm MH - Humans MH - Microtubule-Associated Proteins/genetics MH - Mouth Neoplasms/*pathology MH - Phosphorylation/drug effects MH - Proto-Oncogene Proteins c-akt/*metabolism MH - RNA, Messenger/genetics MH - Resveratrol MH - Signal Transduction/drug effects MH - Stilbenes/*pharmacology MH - TOR Serine-Threonine Kinases/*metabolism EDAT- 2017/02/16 06:00 MHDA- 2017/06/14 06:00 CRDT- 2017/02/16 06:00 PHST- 2016/12/01 00:00 [received] PHST- 2017/01/23 00:00 [accepted] PHST- 2017/02/16 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] PHST- 2017/02/16 06:00 [entrez] AID - 10.3892/ijo.2017.3866 [doi] PST - ppublish SO - Int J Oncol. 2017 Mar;50(3):873-882. doi: 10.3892/ijo.2017.3866. Epub 2017 Jan 30.