Abstract Short-chain fatty acids (SCFAs) are the major by-products of the bacterial fermentation of undigested dietary fiber in the human large intestine. The role of SCFAs, mostly propionate and butyrate, in colon cancer apoptotic cell death and cell proliferation inhibition has been well studied. Herein we demonstrate that, in addition to apoptotic cell death, propionate and butyrate induce another type of cell death termed “autophagy” in human colon cancer cells. Propionate-treated cells exhibited extensive characteristics of autophagic proteolysis: increased LC3-I to LC3-II conversion and reduced expression of p62/SQSTM1; increased acidic vesicular organelle development as manifested by dramatic increase in punctate GFPLC3, LysoTracker and MDC staining. Propionate-induced autophagy was associated with decreased mTOR activity and enhanced AMP kinase activity, two events known to be linked to autophagy. The elevated AMPKa phosphorylation is believed to have been caused by cellular ATP depletion due to mitochondrial dysfunction involving induction of mitochondrial permeability transition, as evidenced by the loss of mitochondrial membrane potential and overproduction of reactive oxygen species. In this context, mitochondria biogenesis was initiated to recover cellular energy homeostasis. Importantly, when autophagy was prevented at an early stage by 3-methyladenine, or when autophagic degradation was inhibited at a late stage by Chloroquine, the colon cancer cells became sensitized toward propionate induced apoptosis through activation of caspase 7 and its downstream effector caspase-3. Potentiation of cell death was also observed when autophagy was abolished using shRNA against the autophagic gene ATG5. These observations indicate that propionate-triggered autophagy serves as an adaptive strategy for retarding mitochondria-mediated apoptotic cell death. As SCFAs widely exist in the human large intestine, application of an autophagy inhibitor, such as Chloroquine, is expected to enhance the therapeutic efficacy of SCFAs in inducing tumor cell apoptosis. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 4837.