Abstract

Genistein (GEN) has been previously reported to enhance the radiosensitivity of cancer cells; however, the detailed mechanisms remain unclear. Here, we report that GEN treatment inhibits the cytoplasmic distribution of Bcl-xL and increases nuclear Bcl-xL in non-small cell lung cancer (NSCLC). Interestingly, our in vitro data show that ionizing radiation IR treatment significantly increases IR-induced DNA damage and apoptosis in a low cytoplasmic Bcl-xL NSCLC cell line compared to that of high cytoplasmic Bcl-xL cell lines. In addition, clinical data also show that the level of cytoplasmic Bcl-xL was negatively associated with radiosensitivity in NSCLC. Furthermore, we demonstrated that GEN treatment enhanced the radiosensitivity of NSCLC cells partially due to increases in Beclin-1-mediated autophagy by promoting the dissociation of Bcl-xL and Beclin-1. Taken together, these findings suggest that GEN can significantly enhance radiosensitivity by increasing apoptosis and autophagy due to inhibition of cytoplasmic Bcl-xL distribution and the interaction of Bcl-xL and Beclin-1 in NSCLC cells, respectively.

Highlights

  • Radiotherapy is an important method for malignant tumor treatment

  • Our study shows that GEN treatment inhibits cytoplasmic translocation of Bcl-xL in non-small cell lung cancer (NSCLC) cells, and the level of cytoplasmic Bcl-xL was negatively correlated with radiosensitivity in NSCLC

  • GEN is an isoflavone isolated from soy, and previous reports have highlighted that GEN can enhance the efficacy of radiotherapy in numerous tumor types

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Summary

Introduction

Radiotherapy is an important method for malignant tumor treatment. radiation therapy often causes normal tissue injury, and many types of cancer show resistance to radiation therapy[1,2]. GEN is the main isoflavone component in soybeans; it can significantly enhance the radiosensitivity of tumor cells[3], and it attenuates inflammatory injuries in normal tissue caused by ionizing radiation (IR)[4] These anti-tumor effects of GEN were identified in both in vitro and in clinical cases of a wide variety of cancer types, including prostate cancer, breast cancer, colon cancer, gastric cancer, lung cancer, pancreatic cancer, and lymphoma[5,6,7,8]. Studies show that a combination treatment of IR and a Bcl-xL inhibitor exerts a synergistic effect by activating the Bak-apoptosis pathway in cancer cells that are resistant to oncotherapy[19,20]. We identified that increased autophagy by GEN is due to the promotion of Bcl-xL dissociation from Beclin-1, thereby activating Beclin-1 induced autophagy

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