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Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline

Corrigendum in: /10.3892/or.2025.8920
  • Authors:
    • K. M.A. Zinnah
    • Sang-Youel Park
  • View Affiliations / Copyright

    Affiliations: Biosafety Research Institute, College of Veterinary Medicine, Jeonbuk National University, Iksan, Jeonbuk 54596, Republic of Korea
    Copyright: © Zinnah et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 144
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    Published online on: May 28, 2021
       https://doi.org/10.3892/or.2021.8095
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Abstract

Tumor necrosis factor‑related apoptosis‑inducing ligand (TRAIL) is a cytokine with the potential to induce cancer cell‑specific apoptosis with minimal toxicity to normal cells. Therefore, the resistance of certain cancer cells to TRAIL is a major concern and agents that can either enhance TRAIL capabilities or overcome TRAIL resistance are necessary for the development of cancer treatments. The present study investigated whether the antidepressant drug amitriptyline could sensitize TRAIL‑resistant A549 lung cancer cells and enhance TRAIL‑induced apoptosis. Antidepressants are usually prescribed to cancer patients to relieve emotional distress, such as depression or dysthymia. The present study revealed for the first time, to the best of our knowledge, that amitriptyline increased death receptor (DR) 4 and 5 expression, a requirement for TRAIL‑induced cell death. Genetic inhibitors of DR4 and DR5 significantly reduced amitriptyline‑enhanced TRAIL‑mediated apoptosis. Additionally, the present study explored whether blocking autophagy increased DR4 and DR5 expression. Blocking autophagy flux with the final stage autophagy inhibitor chloroquine (CQ) also upregulated DR4 and DR5 expression. TRAIL in combination with amitriptyline or CQ significantly increased the expression of apoptosis‑indicator proteins cleaved caspase‑8 and caspase‑3. The expression levels of LC3‑II and p62 were significantly higher in amitriptyline‑treated cells, which confirmed that amitriptyline blocks autophagy by inhibiting the fusion of autophagosomes with lysosomes. Overall, the present results contributed to understanding the mechanism responsible for the synergistic anticancer effect of amitriptyline and TRAIL and also presented a novel mechanism involved in DR4 and DR5 upregulation.
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Copy and paste a formatted citation
Spandidos Publications style
Zinnah KM and Park S: Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920. Oncol Rep 46: 144, 2021.
APA
Zinnah, K.M., & Park, S. (2021). Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920. Oncology Reports, 46, 144. https://doi.org/10.3892/or.2021.8095
MLA
Zinnah, K. M., Park, S."Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920". Oncology Reports 46.1 (2021): 144.
Chicago
Zinnah, K. M., Park, S."Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920". Oncology Reports 46, no. 1 (2021): 144. https://doi.org/10.3892/or.2021.8095
Copy and paste a formatted citation
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Spandidos Publications style
Zinnah KM and Park S: Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920. Oncol Rep 46: 144, 2021.
APA
Zinnah, K.M., & Park, S. (2021). Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920. Oncology Reports, 46, 144. https://doi.org/10.3892/or.2021.8095
MLA
Zinnah, K. M., Park, S."Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920". Oncology Reports 46.1 (2021): 144.
Chicago
Zinnah, K. M., Park, S."Sensitizing TRAIL‑resistant A549 lung cancer cells and enhancing TRAIL‑induced apoptosis with the antidepressant amitriptyline Corrigendum in /10.3892/or.2025.8920". Oncology Reports 46, no. 1 (2021): 144. https://doi.org/10.3892/or.2021.8095
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