Abstract. Athough it is well known that apoptosis contributes to cancer cell death, the role of autophagy in cancer cell death has remained in dispute. Atorvastatin has been suggested to exhibit anti-cancer effects. The present study aimed to examine atorvastatin-induced autophagy-associated cell death and the autophagy-associated gene expression profile in the PC3 prostate carcinoma cell line. The atorvastatin-induced process of autophagy in PC3 cells was determined via evaluation of the cellular expression levels of autophagosomal marker light-chain-3 (LC3)-II, using immunoblotting and counting of green fluorescent protein (GFP)-LC3-transfected autophagic cells. Apoptosis was examined by terminal deoxynucleotidyl transferase dUTP nick end labeling assay and an MTT assay was used to evaluate cell viability. Total RNA of PC3 cells was isolated for characterization of the gene expression profile following atorvastatin treatment. Atorvastatin treatment of PC3 cells for 24 h increased the expression of green fluorescent protein-LC3-II by >25%, and expression continued for >72 h, while apoptosis was not significantly induced within this time period. Four genes associated with the autophagy machinery were also significantly upregulated. In the presence of atorvastatin, autophagy may be unable to abrogate cell damage and may therefore contribute to cellular dysfunction, leading to autophagic/type II programmed cell death. In response to atorvastatin treatment, the expression of genes involved in autophagic mediating pathways may have a role in tumor suppression.
IntroductionProstate cancer is the most frequently diagnosed non-cutaneous malignancy and the second leading cause of death due to cancer amongst males worldwide (1). Treatment options for localized disease include watchful waiting, surgery and radiotherapy (2). However, in terms of a definitive treatment, despite developments in systemic chemotherapy strategies, minimal improvements in the quality of life and overall survival have been achieved amongst patients with prostate cancer (3). The development of novel treatment strategies for patients with advanced metastatic prostate cancers remains a challenge.The PC3 human prostate cancer cell line [p53-and phosphatase and tensin homolog (PTEN)-] was established from a prostatic adenocarcinoma, which was metastatic to bone. It has been extensively used as a cell model for the study of prostate cancer and is generally assumed to model an advanced stage of prostate cancer (4). PC3 cells are resistant to numerous chemotherapy drugs and apoptosis inducers (5,6).At o r va s t a t i n, a 3 -hyd r ox y-3 -m e t hylg lu t a r yl (HMG)-coenzyme A reductase inhibitor, is among the widely prescribed drugs used to lower cholesterol and prevent cardiovascular diseases (7). In addition to its cholesterol-lowering effect, atorvastatin has pro-apoptotic and anti-metastatic effects on prostate cancer cells (8,9). Parikh et al (10) hypothesized that atorvastatin may induce autophagy-associated cell death in PC3 cells. However, the...