PMID- 34499759 OWN - NLM STAT- MEDLINE DCOM- 20220502 LR - 20220524 IS - 1098-2299 (Electronic) IS - 0272-4391 (Linking) VI - 83 IP - 2 DP - 2022 Apr TI - Astragaloside IV enhances the sensibility of lung adenocarcinoma cells to bevacizumab by inhibiting autophagy. PG - 461-469 LID - 10.1002/ddr.21878 [doi] AB - Bevacizumab (BV) has an inhibitory effect on tumor growth including lung adenocarcinoma. However, its efficacy is greatly affected by drug resistance. Astragaloside IV (AST-IV) is effective in combination with other drugs is effective to treat cancer. This study aimed to investigate the effect of AST-IV on enhancing the sensibility of lung adenocarcinoma cells to BV. A549 cells were treated by different concentrations of BV and AST-IV. Cell viability, cell cycle, and apoptosis were detected by thiazolyl blue tetrazolium bromide (MTT) and flow cytometry, respectively. Quantitative reverse transcription-polymerase chain reaction (qRT-PCR) and western blotting were performed to detect the expression levels of autophagy- and apoptosis-related proteins, protein kinase B (AKT), and mammalian target of rapamycin (mTOR). The results showed that BV or AST-IV could inhibit the viability and promote the apoptosis of A549 cells in a concentration-dependent manner. Moreover, BV or AST-IV inhibited Bcl-2 expression and increased the expressions of Bax and Cleaved caspase-3, and promoted apoptosis. BV and AST-IV in combination acted synergistically on viability and apoptosis of A549 cells. However, BV alone down-regulated P62 expression, LC3I/LC3II level, the number of cells arrested at S phase and the phosphorylation levels of AKT and mTOR, but upregulated the number of cells arrested at G0/G1 phase and Beclin1 expression, whereas AST-IV alone could reverse the effect of BV on autophagy-related proteins, the phosphorylation levels of AKT and mTOR. This paper demonstrates that AST-IV enhances the effect of BV on inhibiting proliferation and promoting apoptosis of lung adenocarcinoma cells through inhibiting autophagy pathway. CI - (c) 2021 Wiley Periodicals, LLC. FAU - Li, Liang AU - Li L AD - Department of Thoracic Surgery, Hainan General Hospital, Haikou, China. FAU - Li, Gao AU - Li G AD - Department of Thoracic Surgery, Hainan General Hospital, Haikou, China. FAU - Chen, Minbiao AU - Chen M AD - Department of Thoracic Surgery, Hainan General Hospital, Haikou, China. FAU - Cai, Renzhong AU - Cai R AUID- ORCID: 0000-0001-5564-3079 AD - Department of Thoracic Surgery, Hainan General Hospital, Haikou, China. LA - eng PT - Journal Article DEP - 20210909 PL - United States TA - Drug Dev Res JT - Drug development research JID - 8204468 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Saponins) RN - 0 (Triterpenes) RN - 2S9ZZM9Q9V (Bevacizumab) RN - 3A592W8XKE (astragaloside A) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - *Adenocarcinoma of Lung/drug therapy MH - Apoptosis MH - Apoptosis Regulatory Proteins MH - Autophagy MH - Bevacizumab/pharmacology MH - Cell Line, Tumor MH - Cell Proliferation MH - Humans MH - *Lung Neoplasms/drug therapy MH - Proto-Oncogene Proteins c-akt/metabolism MH - Saponins MH - TOR Serine-Threonine Kinases/metabolism MH - Triterpenes OTO - NOTNLM OT - apoptosis OT - astragaloside OT - autophagy OT - bevacizumab OT - proliferation EDAT- 2021/09/10 06:00 MHDA- 2022/05/03 06:00 CRDT- 2021/09/09 17:25 PHST- 2021/08/24 00:00 [revised] PHST- 2020/11/16 00:00 [received] PHST- 2021/08/24 00:00 [accepted] PHST- 2021/09/10 06:00 [pubmed] PHST- 2022/05/03 06:00 [medline] PHST- 2021/09/09 17:25 [entrez] AID - 10.1002/ddr.21878 [doi] PST - ppublish SO - Drug Dev Res. 2022 Apr;83(2):461-469. doi: 10.1002/ddr.21878. Epub 2021 Sep 9.