Hinokitiol induces DNA damage and autophagy followed by cell cycle arrest and senescence in gefitinib-resistant lung adenocarcinoma cells

PLoS One. 2014 Aug 8;9(8):e104203. doi: 10.1371/journal.pone.0104203. eCollection 2014.

Abstract

Despite good initial responses, drug resistance and disease recurrence remain major issues for lung adenocarcinoma patients with epidermal growth factor receptor (EGFR) mutations taking EGFR-tyrosine kinase inhibitors (TKI). To discover new strategies to overcome this issue, we investigated 40 essential oils from plants indigenous to Taiwan as alternative treatments for a wide range of illnesses. Here, we found that hinokitiol, a natural monoterpenoid from the heartwood of Calocedrus formosana, exhibited potent anticancer effects. In this study, we demonstrated that hinokitiol inhibited the proliferation and colony formation ability of lung adenocarcinoma cells as well as the EGFR-TKI-resistant lines PC9-IR and H1975. Transcriptomic analysis and pathway prediction algorithms indicated that the main implicated pathways included DNA damage, autophagy, and cell cycle. Further investigations confirmed that in lung cancer cells, hinokitiol inhibited cell proliferation by inducing the p53-independent DNA damage response, autophagy (not apoptosis), S-phase cell cycle arrest, and senescence. Furthermore, hinokitiol inhibited the growth of xenograft tumors in association with DNA damage and autophagy but exhibited fewer effects on lung stromal fibroblasts. In summary, we demonstrated novel mechanisms by which hinokitiol, an essential oil extract, acted as a promising anticancer agent to overcome EGFR-TKI resistance in lung cancer cells via inducing DNA damage, autophagy, cell cycle arrest, and senescence in vitro and in vivo.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acridine Orange
  • Adenocarcinoma / drug therapy*
  • Adenocarcinoma of Lung
  • Annexin A5
  • Antineoplastic Agents, Phytogenic / pharmacology*
  • Autophagy / drug effects*
  • Blotting, Western
  • Cell Cycle Checkpoints / drug effects
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cellular Senescence / drug effects
  • Cupressaceae / chemistry*
  • DNA Damage / drug effects*
  • Drug Resistance, Neoplasm*
  • ErbB Receptors / genetics
  • Gas Chromatography-Mass Spectrometry
  • Gefitinib
  • Gene Expression Profiling
  • Humans
  • Lung Neoplasms / drug therapy*
  • Monoterpenes
  • Oils, Volatile / analysis
  • Oils, Volatile / isolation & purification*
  • Quinazolines
  • Real-Time Polymerase Chain Reaction
  • Taiwan
  • Tropolone / analogs & derivatives
  • Tumor Stem Cell Assay

Substances

  • Annexin A5
  • Antineoplastic Agents, Phytogenic
  • Monoterpenes
  • Oils, Volatile
  • Quinazolines
  • Tropolone
  • ErbB Receptors
  • Acridine Orange
  • Gefitinib
  • beta-thujaplicin

Grants and funding

This work was supported by the grants from Ministry of Science and Technology (102-2325-B-002-046-) and National Taiwan University Cutting-Edge Steering Research Project (NTU CESRP-10R71602C2 and 100R705057). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.