PMID- 35422963 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 14 IP - 3 DP - 2022 TI - CDK4/6 inhibitor enhances the radiosensitization of esophageal squamous cell carcinoma (ESCC) by activating autophagy signaling via the suppression of mTOR. PG - 1616-1627 AB - OBJECTIVE: To investigate the radiosensitizing effect of cyclin D-cyclin dependent kinase (CDK) 4/6 inhibitor palbociclib on esophageal squamous cell carcinoma (ESCC) and its underlying mechanisms. METHODS: The effect of palbociclib on ESCC cell radiosensitivity was detected by cell counting kit-8 (CCK-8) and clonogenic assay. gammaH2AX immunofluorescent staining was used to assess the repair of DNA damage induced by radiation. The expression of DNA repair proteins were examined by western blotting. Subsequently, immunoblotting and autophagy inhibitors were used to evaluate the underlying mechanisms of palbociclib triggered radiosensitization. Finally, the xenografts of ESCC were established to study the radiosensitizing effect of palbociclib in vivo. RESULTS: Palbociclib combined with irradiation significantly inhibited the cell viability of ESCC in vitro. The expression level of gammaH2AX showed that radiation induced DNA damage repair was inhibited by palbociclib treatment. Palbociclib also suppressed the expression of RAD51 and phosphorylated DNA-dependent protein kinase catalytic subunit (p-DNA-PKcs) after irradiation. Mechanically, palbociclib enhanced the radiosensitization of ESCC by activating autophagy via suppression of mammalian target of rapamycin (mTOR). Inhibition of autophagy using chloroquine could partially reverse the radiation enhancing effect of palbociclib. Lastly, the xenografted tumor experiment confirmed the radiosensitizing effect of palbociclib in ESCC in vivo. CONCLUSION: Our results showed that palbociclib improved the radiosensitivity of ESCC in vivo and in vitro, and thus it may be a promising radiosensitization agent for the treatment of ESCC. CI - AJTR Copyright (c) 2022. FAU - Qin, Wen-Jun AU - Qin WJ AD - Department of Radiation Oncology, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia, China. AD - Graduate School, Ningxia Medical University Yinchuan 750004, Ningxia, China. AD - Cancer Institute, Ningxia Medical University Yinchuan 750004, Ningxia, China. FAU - Su, Yi-Ge AU - Su YG AD - Graduate School, Ningxia Medical University Yinchuan 750004, Ningxia, China. FAU - Ding, Xiao-Long AU - Ding XL AD - Graduate School, Ningxia Medical University Yinchuan 750004, Ningxia, China. FAU - Zhao, Ren AU - Zhao R AD - Department of Radiation Oncology, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia, China. AD - Cancer Institute, Ningxia Medical University Yinchuan 750004, Ningxia, China. FAU - Zhao, Zhi-Jun AU - Zhao ZJ AD - Department of Laboratory Medicine, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia, China. FAU - Wang, Yan-Yang AU - Wang YY AD - Department of Radiation Oncology, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia, China. AD - Graduate School, Ningxia Medical University Yinchuan 750004, Ningxia, China. AD - Cancer Institute, Ningxia Medical University Yinchuan 750004, Ningxia, China. LA - eng PT - Journal Article DEP - 20220315 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC8991149 OTO - NOTNLM OT - CDK4/6 inhibitor OT - autophagy OT - esophageal squamous cell carcinoma OT - radiosensitization COIS- None. EDAT- 2022/04/16 06:00 MHDA- 2022/04/16 06:01 PMCR- 2022/03/15 CRDT- 2022/04/15 05:24 PHST- 2021/11/08 00:00 [received] PHST- 2022/01/27 00:00 [accepted] PHST- 2022/04/15 05:24 [entrez] PHST- 2022/04/16 06:00 [pubmed] PHST- 2022/04/16 06:01 [medline] PHST- 2022/03/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2022 Mar 15;14(3):1616-1627. eCollection 2022.