PMID- 30430397 OWN - NLM STAT- MEDLINE DCOM- 20200420 LR - 20211115 IS - 1573-675X (Electronic) IS - 1360-8185 (Linking) VI - 24 IP - 1-2 DP - 2019 Feb TI - Molecular mechanisms of apoptosis and autophagy elicited by combined treatment with oridonin and cetuximab in laryngeal squamous cell carcinoma. PG - 33-45 LID - 10.1007/s10495-018-1497-0 [doi] AB - Combined oridonin (ORI), a natural and safe kaurene diterpenoid isolated from Rabdosia rubescens, and cetuximab (Cet), an anti-EGFR monoclonal antibody, have been reported to exert synergistic anti-tumor effects against laryngeal squamous cell carcinoma (LSCC) both in vitro and in vivo by our group. In the present study, we further found that ORI/Cet treatment not only resulted in apoptosis but also induced autophagy. AMPK/mTOR signaling pathway was found to be involved in the activation of autophagy in ORI/Cet-treated LSCC cells, which is independent of p53 status. Additionally, chromatin immunoprecipitation (ChIP) assay showed that ORI/Cet significantly increased the binding NF-kappaB family member p65 with the promotor of BECN 1, and p65-mediated up-regulation of BECN 1 caused by ORI/Cet is coupled to increased autophagy. On the other hand, we demonstrated that either Beclin 1 SiRNA or autophagy inhibitors could increase ORI/Cet induced-apoptosis, indicating that autophagy induced by combination of the two agents plays a cytoprotective role. Interestingly, 48 h after the combined treatment, autophagy began to decrease but apoptosis was significantly elevated. Our findings suggest that autophagy might be strongly associated with the antitumor efficacy of ORI/Cet, which may be beneficial to the clinical application of ORI/Cet in LSCC treatment. FAU - Cao, Shijie AU - Cao S AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China. FAU - Huang, Yiyuan AU - Huang Y AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, 312 Anshanxi Road, Tianjin, 300193, People's Republic of China. AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China. FAU - Zhang, Qiang AU - Zhang Q AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, 312 Anshanxi Road, Tianjin, 300193, People's Republic of China. FAU - Lu, Fangjin AU - Lu F AD - School of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China. FAU - Donkor, Paul Owusu AU - Donkor PO AD - School of Pharmacy, University of Health and Allied Sciences, Ho, PMB 31, Ghana. FAU - Zhu, Yan AU - Zhu Y AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China. FAU - Qiu, Feng AU - Qiu F AD - School of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China. FAU - Kang, Ning AU - Kang N AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, 312 Anshanxi Road, Tianjin, 300193, People's Republic of China. kangndd@163.com. LA - eng GR - 81373797/National Natural Science Foundation of China/International GR - 81102855/National Natural Science Foundation of China/International GR - 2014T70224/China postdoctoral Science Special Foundation/International GR - 2013M541192/China Postdoctoral Science Foundation/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Apoptosis JT - Apoptosis : an international journal on programmed cell death JID - 9712129 RN - 0 (Diterpenes, Kaurane) RN - 0 (Reactive Oxygen Species) RN - 0APJ98UCLQ (oridonin) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/metabolism/pharmacology/*therapeutic use MH - Apoptosis/*drug effects/genetics MH - Autophagy/*drug effects/genetics MH - Carcinoma, Squamous Cell/*drug therapy/metabolism/pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cetuximab/*administration & dosage/pharmacology MH - Diterpenes, Kaurane/*administration & dosage/pharmacology MH - Drug Synergism MH - Humans MH - Laryngeal Neoplasms/*drug therapy/pathology MH - Mice MH - Mice, Nude MH - Reactive Oxygen Species/metabolism MH - Signal Transduction/drug effects/genetics MH - Xenograft Model Antitumor Assays OTO - NOTNLM OT - Apoptosis OT - Autophagy OT - Cetuximab OT - Laryngeal squamous cell carcinoma OT - Oridonin EDAT- 2018/11/16 06:00 MHDA- 2020/04/21 06:00 CRDT- 2018/11/16 06:00 PHST- 2018/11/16 06:00 [pubmed] PHST- 2020/04/21 06:00 [medline] PHST- 2018/11/16 06:00 [entrez] AID - 10.1007/s10495-018-1497-0 [pii] AID - 10.1007/s10495-018-1497-0 [doi] PST - ppublish SO - Apoptosis. 2019 Feb;24(1-2):33-45. doi: 10.1007/s10495-018-1497-0.