The number of GFP-LC3 dots was subsequently scored in 100 transfe

The number of GFP-LC3 dots was subsequently scored in 100 transfected cells. *P < 0.05. Discussion The association between apoptosis and autophagy remains controversial. Experimental evidences suggest that autophagy can mediate apoptosis, and that autophagy would be one of the three forms of cell death, together with apoptosis and necrosis [34]. However, several studies demonstrated that autophagy would also be critical for cell survival [35–37]. Our

research group has extensively studied the effect of the antiNirogacestat cancer agent Stattic DHA on pancreatic cancer cells, and we showed that DHA significantly inhibited cell growth and induced apoptosis in pancreatic cancer cells [38]. Interestingly, DHA treatment also induces autophagy in pancreatic cancer cells. Therefore, in the present study, we explored the role of autophagy induced by DHA and its mechanisms in pancreatic cancer cells. Autophagy may be used by some cancer cells types as a mean to adapt to the stressful environment observed within solid tumors (i.e. hypoxic, nutrient-limiting, and metabolically stressful), as well as in artificial conditions induced by cytotoxic

agents [39]. Studies in human cancer cell lines showed that a number of anticancer therapy modalities, including radiations and chemotherapy induced autophagy as a protective mechanism aiming toward survival [30, 31]. Moreover, in cancer cell lines, inhibition of autophagy may be a therapeutic target under some circumstances. Indeed, Dapagliflozin inhibiting autophagy has been shown to enhance click here cancer cells’ therapies such as DNA-damaging agents, hormone therapies for breast and ovarian cancer, and radiations [40–43]. In the present study, we used 3MA (an autophagy inhibitor) to inhibit DHA-induced autophagy and rapamycin (an autophagy activator) to enhance it. The data clearly demonstrated that DHA can induce autophagy and that inhibition of autophagy can enhance the sensitivity of pancreatic cancer cells to DHA. These findings showed that DHA therapy induced a kind of protective autophagy in pancreatic cancer cells, increasing their resistance to DHA

and hence their survival, and that inhibiting autophagy may led to increased apoptosis. Such enhanced apoptosis should normally reduce tumor growth. The excessive production of ROS can overcome cells’ defenses against ROS, thus leading to oxidative stress, which is involved in cell injury and apoptosis. Studies showed that DHA led to ROS generation in papilloma virus-expressing cell lines, inducing oxidative stress and, ultimately, apoptosis [25]. Recent studies in models of hepatocyte oxidative stress emphasized that the superoxide generator menadione mediated the activation of MAPK/JNK and c-Jun [44, 45]. ROS is known to increase JNK by activating upstream kinases or by inactivating phosphatases, but other unknown mechanisms might contribute to DHA- and ROS-induced increases in JNK.

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