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Inhibition of Autophagy with Chloroquine Enhanced Sinoporphyrin Sodium Mediated Photodynamic Therapy-induced Apoptosis in Human Colorectal Cancer Cells

DOI:10.7150/ijbs.27156 期刊:International Journal of Biological Sciences 出版年份:2019 更新时间:2025-09-19 17:15:36
摘要: To evaluate the antitumor effect of sinoporphyrin sodium mediated photodynamic therapy (DVDMS-PDT) against human colorectal cancer (CRC) and to investigate the role of autophagy in its effect. Shrunken cells, condensed nuclei and increased levels of cleaved caspase-3 and Bax were observed in DVDMS-PDT treated HCT116 cells, reminiscent of apoptosis. DVDMS-PDT showed better antitumor efficiency in HCT116 cells than Photofrin mediated photodynamic therapy (PF-PDT) both in vitro and in vivo. And DVDMS-PDT caused autophagic characteristics: double membrane autophagosome structures and changes in autophagy-related protein expression (ATG7, P62, Bcl-2 and LC3-Ⅱ). In addition, inhibition of autophagy by chloroquine (CQ) promoted apoptosis, suggesting a possible protective role of autophagy in DVDMS-PDT-treated HCT116 cells, which was proved by flow cytometry and western blotting. The results of xenograft mouse model showed markedly increased apoptosis and significantly reduced tumor size in DVDMS-PDT treated group than Control, and DVDMS-PDT exhibited better antitumor efficiency than PF-PDT. Further, no visible tumor was observed in the CQ+DVDMS-PDT group at the end of the xenograft mouse experiment, which confirmed the hypothesis that autophagy was protective to DVDMS-PDT treated HCT116 cells. Our findings suggest that DVDMS is a promising photosensitizer and the combined use of autophagy inhibitor can remarkably enhance the DVDMS-PDT mediated anti-cancer efficiency in HCT116 cells both in vitro and in vivo.
作者: Bing Zhu,Shanxin Li,Lei Yu,Wei Hu,Dandan Sheng,Jing Hou,Naping Zhao,Xiaojuan Hou,Yechen Wu,Zhipeng Han,Lixin Wei,Li Zhang
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To evaluate the antitumor effect of sinoporphyrin sodium mediated photodynamic therapy (DVDMS-PDT) against human colorectal cancer (CRC) and to investigate the role of autophagy in its effect.

DVDMS-PDT is more effective than PF-PDT in inhibiting HCT116 cells, inducing both apoptosis and autophagy. Autophagy inhibition with chloroquine enhances antitumor efficiency, suggesting a protective role of autophagy. DVDMS is a promising photosensitizer, and combined therapy could be feasible for CRC treatment.

The study is limited to HCT116 colorectal cancer cells and may not generalize to other cancer types. The in vivo model uses nude mice, which might not fully replicate human physiology. Autophagy mechanisms and long-term effects require further investigation.

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