Abstract

RCE-4, a steroidal saponin isolated from Reineckia carnea, has been studied previously and has exhibited promising anti-cervical cancer properties by inducing programmed cell death (PCD) of Ca Ski cells. Considering the cancer cells developed various pathways to evade chemotherapy-induced PCD, there is, therefore, an urgent need to further explore the potential mechanisms underlying its actions. The present study focused on targeting the Bcl-2–Beclin 1 complex, which is known as the key regulator of PCD, to deeply elucidate the molecular mechanism of RCE-4 against cervical cancer. The effects of RCE-4 on the Bcl-2–Beclin 1 complex were investigated by using the co-immunoprecipitation assay. In addition, autophagy-related genes (ATG) were also analyzed due to their special roles in PCD. The results demonstrated that RCE-4 inhibited the formation of the Bcl-2–Beclin 1 complex in Ca Ski cells via various pathways, and ATG 4B proteins involved in this process served as a key co-factor. Furthermore, based on the above, the sensitivity of RCE-4 to Ca Ski cells was significantly enhanced by inhibiting the expression of the ATG 4B by applying the ATG 4B siRNA plasmid.

Highlights

  • Cervical cancer is the third most common gynecological malignant tumor [1]

  • Ski Cells of the other competitive Beclin 1‐related complexes [23,24], and these could lead to the RCE-4 was found to induce programmed cell death (PCD) of cervical cancer Ca Ski cells in our previous studies

  • Bcl-2 was reduced but IP Beclin 1 was increased. These results indicated that RCE-4 promoted the expression of autophagy-related genes (ATG) 14; the increased ATG 14 molecules did not participate in the formation of the Bcl-2–Beclin 1 complex, whereas they were competitively bound to Beclin 1 and formed the Beclin 1–ATG 14–Vps34–Vps15 complex (p < 0.001)

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Summary

Introduction

Cervical cancer is the third most common gynecological malignant tumor [1]. Clinically, chemotherapy remains the primary therapeutic regime, but the drug resistance and serious side effects often lead to poor treatment expectations. The tumor inhibition rate for a human cervical cancer xenograft in nude mice attained 69.1% with the extremely low toxicity to normal tissues [6]. These discoveries highlighted the tremendous value of RCE-4 for treating cervical cancer. Most current anticancer chemotherapy drugs primarily act by activating programmed cell death (PCD) pathways including apoptosis and autophagy in cancer cells [8]. Tumor cells have developed novel mechanisms for evading chemotherapy-induced PCD, this could be associated with both the autophagy and inhibition of the more common apoptosis cell death pathways [11]. Evasion of apoptosis can be part of a cellular stress response to ensure the cell’s survival

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