Table 1 Examples of autophagy inhibitors and activators for colitis/CRC therapy

From: The role of autophagy in colitis-associated colorectal cancer

Drugs

Mechanism

Effects

Ref.

Autophagy inhibitors

   

 3-MA

Prevents autophagosome formation

Enhances the apoptosis effect of 5-FU (5-fluorouracil) in CRC

104

 CQ

Inhibits lysosomal acidification and prevents fusion with autophagosomes

1. Enhances the apoptosis effect of 5-FU in CRC

35, 105,106,107,– 108

  

2. Augments sunitinib-induced apoptosis and enhances the antiangiogenic capacity of sunitinib

 
  

3. Enhances trichostatin A-induced apoptosis in radiotherapy-treated colon cancer cells

 
  

4. Enhances sensitivity to oxaliplatin and bevacizumab

 
  

5. Triggers apoptosis of CSCs and decreases colonosphere formation ability combined with PDT (photodynamic therapy) in vitro and tumorigenicity in vivo

 

 Lys05

Deacidifies the lysosome

Displays single-agent antitumor activity in vivo

109

 Bafilomycin-A1

Inhibits fusion between autophagosomes and lysosomes

Enhances pyrrolo-1,5-benzoxazepine-6-induced apoptosis

110

 Vitexin

Downregulates ATG5, beclin-1, LC3-II

Induces apoptosis and suppresses tumor growth in an HCT116 xenograft model

111

Autophagy activators

   

 Andrographolide

Suppresses the PIK3CA-AKT1-MTOR-RPS6KB1 pathway

Attenuates colitis progression and tumor burden

54

 AZD-2014

Inhibits mTOR

Inhibits the growth of HT-29 cell xenografts in SCID mice and improves mice survival

112

 Silibinin

Induces autophagic death mediated by endoplasmic reticulum stress

Induces autophagic death of colon cancer cells and CRC xenograft

113

 Temsirolimus

Inhibits mTOR

Inhibits cell growth via anti-angiogenesis activity and enhances apoptosis

114

 Resveratrol

Induces autophagy-mediated through ROS

Induces apoptosis

115

 Bufalin

Induces autophagy-mediated through ROS

Induces autophagic cell death

116

 BIX-01294

Induces autophagy via EHMT2 (euchromatic histone-lysine N-methyltransferase 2) dysfunction and intracellular ROS accumulation

Induces autophagy cell death

117

 Celastrol

Suppresses the PI3K/Akt/mTOR signaling pathway

Ameliorates experimental colitis in IL-10-deficient mice

118

 BCG/CWS (Mycobacterium bovis Bacille Calmette–Guerin cell wall skeleton)

Induces autophagy-mediated through ROS

Enhances radiotherapy effect in colon cancer cells

119