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A Switch Between Cytoprotective and Cytotoxic Autophagy in the Radiosensitization of Breast Tumor Cells by Chloroquine and Vitamin D

Overview of attention for article published in Discover Oncology, September 2011
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Title
A Switch Between Cytoprotective and Cytotoxic Autophagy in the Radiosensitization of Breast Tumor Cells by Chloroquine and Vitamin D
Published in
Discover Oncology, September 2011
DOI 10.1007/s12672-011-0081-7
Pubmed ID
Authors

Eden N. Wilson, Molly L. Bristol, Xu Di, William A. Maltese, Kristen Koterba, Matthew J. Beckman, David A. Gewirtz

Abstract

Calcitriol or 1,25-dihydroxyvitamin D3, the hormonally active form of vitamin D, as well as vitamin D analogs, has been shown to increase sensitivity to ionizing radiation in breast tumor cells. The current studies indicate that the combination of 1,25-dihydroxyvitamin D3 with radiation appears to kill p53 wild-type, estrogen receptor-positive ZR-75-1 breast tumor cells through autophagy. Minimal apoptosis was observed based on cell morphology by DAPI and TUNEL staining, annexin/PI analysis, caspase-3, and PARP cleavage as well as cell cycle analysis. Induction of autophagy was indicated by increased acridine orange staining, RFP-LC3 redistribution, and detection of autophagic vesicles by electron microscopy, while autophagic flux was monitored based on p62 degradation. The autophagy inhibitors, chloroquine and bafilomycin A1, as well as genetic suppression of the autophagic signaling proteins Atg5 or Atg 7 attenuated the impact of the combination treatment of 1,25 D3 with radiation. In contrast to autophagy mediating the effects of the combination treatment, the autophagy induced by radiation alone was apparently cytoprotective in that either pharmacological or genetic inhibition increased sensitivity to radiation. These studies support the potential utility of vitamin D for improving the impact of radiation for breast cancer therapy, support the feasibility of combining chloroquine with radiation for the treatment of breast cancer, and demonstrate the existence of an "autophagic switch" from cytoprotective autophagy with radiation alone to cytotoxic autophagy with the 1,25 D3-radiation combination.

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The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Netherlands 1 1%
Brazil 1 1%
Unknown 65 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 12 18%
Researcher 10 15%
Student > Master 9 13%
Student > Doctoral Student 7 10%
Student > Bachelor 5 7%
Other 13 19%
Unknown 12 18%
Readers by discipline Count As %
Medicine and Dentistry 17 25%
Agricultural and Biological Sciences 12 18%
Biochemistry, Genetics and Molecular Biology 10 15%
Pharmacology, Toxicology and Pharmaceutical Science 2 3%
Nursing and Health Professions 1 1%
Other 6 9%
Unknown 20 29%