PMID- 32901853 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20231213 IS - 1791-244X (Electronic) IS - 1107-3756 (Print) IS - 1107-3756 (Linking) VI - 46 IP - 5 DP - 2020 Nov TI - Autophagy inhibition enhances the inhibitory effects of ursolic acid on lung cancer cells. PG - 1816-1826 LID - 10.3892/ijmm.2020.4714 [doi] AB - The aim of the present study was to identify natural compounds that bear significant anti‑tumor activity. Thus, the effects of 63 small molecules that were isolated from traditional Chinese medicinal herbs on A549 human non‑small cell lung cancer (NSCLC) and MCF‑7 breast cancer cells were examined. It was found that ursolic acid (UA), a natural pentacyclic triterpenoid, exerted significant inhibitory effect on these cells. Further experiments revealed that UA inhibited the proliferation of various lung cancer cells, including the NSCLC cells, H460, H1975, A549, H1299 and H520, the human small cell lung cancer (SCLC) cells, H82 and H446, and murine Lewis lung carcinoma (LLC) cells. UA induced the apoptosis and autophagy of NSCLC cells. The inhibition of the mammalian target of rapamycin (mTOR) signaling pathway, but not the activation of the extracellular signal‑regulated kinase 1/2 (ERK1/2) signaling pathway contributed to the UA‑induced autophagy of NSCLC cells. Moreover, the inhibition of autophagy by chloroquine (CQ) or siRNA for autophagy‑related gene 5 (ATG5) enhanced the UA‑induced inhibition of cell proliferation and promotion of apoptosis, indicating that UA‑induced autophagy is a pro‑survival mechanism in NSCLC cells. On the whole, these findings suggest that combination treatment with autophagy inhibitors may be a novel strategy with which enhance the antitumor activity of UA in lung cancer. FAU - Wang, Min AU - Wang M AD - State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P.R. China. FAU - Yu, Hong AU - Yu H AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 100029, P.R. China. FAU - Wu, Ran AU - Wu R AD - Guizhou University School of Medicine, Guiyang, Guizhou 550025, P.R. China. FAU - Chen, Zhen-Yin AU - Chen ZY AD - Guizhou University School of Medicine, Guiyang, Guizhou 550025, P.R. China. FAU - Hu, Qian AU - Hu Q AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 100029, P.R. China. FAU - Zhang, Yan-Fei AU - Zhang YF AD - State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P.R. China. FAU - Gao, San-Hui AU - Gao SH AD - State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P.R. China. FAU - Zhou, Guang-Biao AU - Zhou GB AD - State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P.R. China. LA - eng PT - Journal Article DEP - 20200828 PL - Greece TA - Int J Mol Med JT - International journal of molecular medicine JID - 9810955 RN - 0 (Autophagy-Related Protein 5) RN - 0 (Triterpenes) RN - 886U3H6UFF (Chloroquine) SB - IM MH - A549 Cells MH - Animals MH - Apoptosis/drug effects MH - Autophagy/*drug effects MH - Autophagy-Related Protein 5/metabolism MH - Carcinoma, Non-Small-Cell Lung/drug therapy/metabolism MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Chloroquine/pharmacology MH - Humans MH - Lung Neoplasms/*drug therapy/metabolism MH - MCF-7 Cells MH - Mice MH - Mice, Inbred C57BL MH - Signal Transduction/drug effects MH - Triterpenes/*pharmacology MH - Ursolic Acid PMC - PMC7521584 EDAT- 2020/09/10 06:00 MHDA- 2021/07/01 06:00 PMCR- 2020/08/28 CRDT- 2020/09/09 08:47 PHST- 2019/10/06 00:00 [received] PHST- 2020/07/16 00:00 [accepted] PHST- 2020/09/10 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2020/09/09 08:47 [entrez] PHST- 2020/08/28 00:00 [pmc-release] AID - ijmm-46-05-1816 [pii] AID - 10.3892/ijmm.2020.4714 [doi] PST - ppublish SO - Int J Mol Med. 2020 Nov;46(5):1816-1826. doi: 10.3892/ijmm.2020.4714. Epub 2020 Aug 28.