PMID- 35530150 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2211-3835 (Print) IS - 2211-3843 (Electronic) IS - 2211-3835 (Linking) VI - 12 IP - 3 DP - 2022 Mar TI - c-MYC-mediated TRIB3/P62(+) aggresomes accumulation triggers paraptosis upon the combination of everolimus and ginsenoside Rh2. PG - 1240-1253 LID - 10.1016/j.apsb.2021.09.014 [doi] AB - The mammalian target of rapamycin (mTOR) pathway is abnormally activated in lung cancer. However, the anti-lung cancer effect of mTOR inhibitors as monotherapy is modest. Here, we identified that ginsenoside Rh2, an active component of Panax ginseng C. A. Mey., enhanced the anti-cancer effect of the mTOR inhibitor everolimus both in vitro and in vivo. Moreover, ginsenoside Rh2 alleviated the hepatic fat accumulation caused by everolimus in xenograft nude mice models. The combination of everolimus and ginsenoside Rh2 (labeled Eve-Rh2) induced caspase-independent cell death and cytoplasmic vacuolation in lung cancer cells, indicating that Eve-Rh2 prevented tumor progression by triggering paraptosis. Eve-Rh2 up-regulated the expression of c-MYC in cancer cells as well as tumor tissues. The increased c-MYC mediated the accumulation of tribbles homolog 3 (TRIB3)/P62(+) aggresomes and consequently triggered paraptosis, bypassing the classical c-MYC/MAX pathway. Our study offers a potential effective and safe strategy for the treatment of lung cancer. Moreover, we have identified a new mechanism of TRIB3/P62(+) aggresomes-triggered paraptosis and revealed a unique function of c-MYC. CI - (c) 2022 Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. Production and hosting by Elsevier B.V. FAU - Su, Min-Xia AU - Su MX AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Xu, Yu-Lian AU - Xu YL AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Jiang, Xiao-Ming AU - Jiang XM AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Huang, Mu-Yang AU - Huang MY AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Zhang, Le-Le AU - Zhang LL AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Yuan, Luo-Wei AU - Yuan LW AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Xu, Xiao-Huang AU - Xu XH AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Zhu, Qi AU - Zhu Q AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Gao, Jian-Li AU - Gao JL AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou 310000, China. FAU - Lu, Jia-Hong AU - Lu JH AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Chen, Xiuping AU - Chen X AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Huang, Ming-Qing AU - Huang MQ AD - College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350000, China. FAU - Wang, Yitao AU - Wang Y AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. FAU - Lu, Jin-Jian AU - Lu JJ AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao 999078, China. AD - MoE Frontiers Science Center for Precision Oncology, University of Macau, Macao 999078, China. LA - eng PT - Journal Article DEP - 20210922 PL - Netherlands TA - Acta Pharm Sin B JT - Acta pharmaceutica Sinica. B JID - 101600560 PMC - PMC9072243 OTO - NOTNLM OT - Aggresomes OT - Everolimus OT - Ginsenoside Rh2 OT - Lung cancer OT - P62 OT - Paraptosis OT - TRIB3 OT - c-MYC EDAT- 2022/05/10 06:00 MHDA- 2022/05/10 06:01 PMCR- 2021/09/22 CRDT- 2022/05/09 04:19 PHST- 2021/06/17 00:00 [received] PHST- 2021/08/30 00:00 [revised] PHST- 2021/08/31 00:00 [accepted] PHST- 2022/05/09 04:19 [entrez] PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/05/10 06:01 [medline] PHST- 2021/09/22 00:00 [pmc-release] AID - S2211-3835(21)00356-7 [pii] AID - 10.1016/j.apsb.2021.09.014 [doi] PST - ppublish SO - Acta Pharm Sin B. 2022 Mar;12(3):1240-1253. doi: 10.1016/j.apsb.2021.09.014. Epub 2021 Sep 22.