Reversal of Cisplatin Resistance in Non-small Cell Lung Cancer through Autophagy Modulation by Ailanthone
刊名 Medicinal Plant
作者 Yan CHEN, Xianglin LI, Lei LIU, Xueyuan FENG, Yuxuan HU, Zhengxin ZHANG, Long CHEN, Xiujun LIANG, Qian XU
作者单位 Institute of Basic Medical Research, Chengde Medical University; Clinical Laboratory, The Affiliated Hospital of Chengde Medical University; Department of Immunology, Chengde Medical University
DOI 10.19601/j.cnki.issn2152-3924.2025.04.001
年份 2025
刊期 4
页码 1-5,11
关键词 Ailanthone, Non-small cell lung cancer, Cisplatin resistance, Autophagy
摘要 [Objectives] To investigate whether Ailanthone (AIL) could reverse cisplatin resistance in non-small cell lung cancer (NSCLC) by modulating autophagy pathways in A549/DDP cells. [Methods] Cisplatin-resistant A549/DDP cells were treated with AIL (0.6 μmol/L), cisplatin (50 μg/mL), or their combination. Cell proliferation was assessed by MTT, EdU and colony formation assays; migration by Transwell and wound healing assays; autophagy markers (P62, LC3B, Beclin1, ATG5) by Western blot; LC3B puncta by immunofluorescence; with rescue experiments using rapamycin. [Results] The AIL-cisplatin combination synergistically inhibited proliferation and migration, while downregulating P-gp and MVP. AIL significantly increased P62 accumulation while decreasing LC3B-II, Beclin1 and ATG5. Rapamycin reversed these effects, restoring viability and resistance markers. [Conclusions] AIL reverses cisplatin resistance in NSCLC by inhibiting autophagy through P62/LC3B regulation, offering a promising therapeutic strategy for refractory NSCLC.