Literature DB >> 30211163

Melanoma LAMP-2C Modulates Tumor Growth and Autophagy.

Liliana Pérez1, Anthony L Sinn2, George E Sandusky3, Karen E Pollok2,4,5, Janice S Blum6.   

Abstract

Autophagy plays critical but diverse roles in cellular quality control and homeostasis potentially checking tumor development by removing mutated or damaged macromolecules, while conversely fostering tumor survival by supplying essential nutrients during cancer progression. This report documents a novel inhibitory role for a lysosome-associated membrane protein, LAMP-2C in modulating autophagy and melanoma cell growth in vitro and in vivo. Solid tumors such as melanomas encounter a variety of stresses in vivo including inflammatory cytokines produced by infiltrating lymphocytes directed at limiting tumor growth and spread. Here, we report that in response to the anti-tumor, pro-inflammatory cytokine interferon-gamma, melanoma cell expression of LAMP2C mRNA significantly increased. These results prompted an investigation of whether increased melanoma cell expression of LAMP-2C might represent a mechanism to control or limit human melanoma growth and survival. In this study, enhanced expression of human LAMP-2C in melanoma cells perturbed macroautophagy and chaperone-mediated autophagy in several human melanoma lines. In vitro analysis showed increasing LAMP-2C expression in a melanoma cell line, triggered reduced cellular LAMP-2A and LAMP-2B protein expression. Melanoma cells with enhanced LAMP-2C expression displayed increased cell cycle arrest, increased expression of the cell cycle regulators Chk1 and p21, and greater apoptosis and necrosis in several cell lines tested. The increased abundance of Chk1 protein in melanoma cells with increased LAMP-2C expression was not due to higher CHEK1 mRNA levels, but rather an increase in Chk1 protein abundance including Chk1 molecules phosphorylated at Ser345. Human melanoma cell xenografts with increased LAMP-2C expression, displayed reduced growth in immune compromised murine hosts. Melanomas with high LAMP-2C expression showed increased necrosis and reduced cell density upon histological analysis. These results reveal a novel role for LAMP-2C in negatively regulating melanoma growth and survival.

Entities:  

Keywords:  LAMP-2; LAMP-2C; chaperone-mediated autophagy; macroautophagy; melanoma; tumor

Year:  2018        PMID: 30211163      PMCID: PMC6123356          DOI: 10.3389/fcell.2018.00101

Source DB:  PubMed          Journal:  Front Cell Dev Biol        ISSN: 2296-634X


Introduction

Basal levels of autophagy are critical to cellular homeostasis by eliminating malfunctioning organelles and long-lived proteins (Levine and Kroemer, 2008). Autophagy increases with nutrient deprivation and hypoxia (Levine and Kroemer, 2008). Defects in autophagy impact several diseases, including cancer (Levine and Kroemer, 2008; Morselli et al., 2009; Choi, 2012). However, the role of autophagy in cancer development is complex. While basal autophagy may function as a tumor suppressor, increased or induced autophagy may contribute to tumor survival during cancer progression (Morselli et al., 2009; Choi, 2012). Two forms of autophagy, MA and CMA are detectible in human cells and upregulated in many tumors (Morselli et al., 2009; Kon et al., 2011; Choi, 2012). MA increases with cell nutrient stress and temporally wanes as CMA increases and is sustained. During nutrient or growth factor deprivation, MA and CMA are upregulated to promote cell survival by recycling building blocks, modulating bioenergetics, and shifting metabolism. During MA, cytoplasmic macromolecules and organelles are sequestered inside autophagosomes, which fuse with lysosomes to promote content degradation. Basal levels of MA may prevent tumor development by modulating chromosome stability and removing mutated proteins and damaged mitochondria (Morselli et al., 2009; Choi, 2012). However, with tumor progression and exposure to metabolic stresses, MA is induced to recycle nutrients, favor tumor survival and resistance to anti-cancer therapies (Morselli et al., 2009; Choi, 2012). During CMA HSC70 and HSP90, capture cytoplasmic proteins for selective translocation into lysosomes for degradation (Agarraberes and Dice, 2001). CMA is upregulated in many tumors including melanoma, breast, and lung cancers (Kon et al., 2011; Saha, 2012; Zhou et al., 2016). CMA relies on a LAMP-2A to translocate cytoplasmic proteins into lysosomes (Cuervo and Dice, 1996). Hyper-expression of LAMP-2A is observed in tumors, while disrupting LAMP-2A expression slows tumors growth and metastasis (Kon et al., 2011; Zhou et al., 2016). LAMP-2 is a highly glycosylated protein localized in acidic lysosomal and endosomal compartments. Alternative splicing generates three isoforms LAMP-2A, LAMP-2B, and LAMP-2C, which differ primarily in the sequence of their transmembrane and cytosolic tail (Eskelinen et al., 2005). LAMP-2A and LAMP-2B are constitutively expressed by all cells, while LAMP-2C has a much more limited tissue distribution (Perez et al., 2016). LAMP-2A, the receptor for CMA may modulate aging and tumor growth (Cuervo and Dice, 1996, 2000; Kon et al., 2011; Perez et al., 2016). LAMP-2B is involved in lysosome biogenesis and MA (Nishino et al., 2000). Mutations in LAMP-2B have been reported to disrupt autophagosome maturation. LAMP-2C can facilitate DNA and RNA translocation into lysosomes, while enhanced LAMP-2C expression inhibits CMA in human B lymphoblasts (Fujiwara et al., 2013a,b; Perez et al., 2016). Yet, little is known about LAMP-2C function in tumor cell growth and autophagy. In vivo, tumors such as melanomas encounter infiltrating immune cells producing pro-inflammatory cytokines, which can induce stress and limit tumor growth. While melanoma cells express relatively low levels of LAMP-2C compared to LAMP-2A and LAMP-2B, as shown here exposure of these cells to the cytokine IFN-γ significantly increased LAMP2C mRNA abundance. By contrast, only marginal changes in LAMP2A mRNA expression and no difference in LAMP2B mRNA abundance were detected in IFN-γ treated melanoma cells. These cytokine-induced changes suggested that LAMP-2C could potentially play a role in regulating tumor cell survival and responses to stress. In this study, we explored the role of LAMP-2C in the growth and survival of human melanoma cells using a rodent xenograft model. Human melanoma cells were transfected to increase LAMP-2C protein expression. In the melanoma cell line DM331, ectopic expression of LAMP-2C resulted in decreased expression of LAMP-2A and LAMP-2B proteins. CMA was diminished in cells with increased LAMP-2C, as indicated by the increased abundance of several proteins typically targeted for degradation by CMA including Chk1, IκBα, and p21 (Cuervo et al., 1998; Park et al., 2015; Zhang et al., 2018). Significant reductions in MA were also detected in melanomas with increased LAMP-2C expression based on analysis of MA flux and autophagosome abundance. Ectopic expression of LAMP-2C altered melanoma cell growth in vitro and cell cycle progression with increased apoptosis and necrosis detectable in several melanoma cell lines. These changes in the cell cycle may be related to the greater abundance of Chk1 and phospho-Chk1 as well as p21 in melanomas with increased LAMP-2C. In vivo, human melanoma cells with increased LAMP-2C displayed reduced growth and increased necrosis compared with the parental melanoma cell line. This study demonstrates a novel role for LAMP-2C in melanoma growth and offers innovative strategies for targeting subcutaneous melanoma.

Materials and Methods

Cell Lines and Transfection

The human melanoma cell line DM331 provided by Dr. V. Engelhard (University of Virginia) was maintained in RPMI-1640 with 5% FBS, 50 U/ml penicillin, 50 μg/ml streptomycin, and 1% L-glutamine (Slingluff et al., 2000). The human melanoma cell line SLM2-Mel provided by Dr. W. J. Storkus (University of Pittsburgh School of Medicine) was maintained in the same media with 0.1% β-mercaptoethanol (Haque et al., 2002). Melanoma cell lines were transfected using Xfect Transfection Reagent (Clontech, Mountain View, CA, United States). Control vectors or vectors encoding human LAMP2C have been described (Perez et al., 2016).

Reverse Transcription Polymerase Chain Reaction (RT-PCR)

To detect LAMP2 or GAPDH transcript expression, cellular RNA was extracted using RNeasy Mini Kit (Qiagen, Valencia, CA, United States) and cDNA was generated using the High-Capacity cDNA Reverse Transcription Kit (Applied Biosystems, Foster City, CA, United States). Primers for LAMP2 and GAPDH amplification were described (Perez et al., 2016). LAMP2 cDNA was amplified using 2X ReddyMix PCR Master Mix (Thermo Fisher Scientific, Waltham, MA, United States) for 35 cycles. GAPDH cDNA was amplified for 30 cycles. PCR products were resolved by agarose gel.

Real-Time Quantitative PCR (qPCR)

qPCR was performed using custom Taqman primers for LAMP2A, LAMP2B, and LAMP2C (Perez et al., 2016) or commercial primers CDKN1A, CHEK1, CTSA, CTSB, CTSD, NFKBIA, TP53, ACTB, GAPDH or 18S, and the 7500 Fast RT-PCR System from Applied Biosystems. Gene expression was normalized to ACTB, GAPDH or 18S mRNA levels and presented as a relative fold change compared with control samples or presented as mRNA expression relative to 18S mRNA levels. For analysis of fold changes in mRNA, if differences of less than twofold were detected, trends in expression were noted rather than statistical significance.

Western Blotting

Cells were lysed on ice for 30 min with RIPA buffer, protease inhibitor cocktail ± phosphatase inhibitor cocktail. Cell lysate proteins (80 μg) were resolved on SDS-PAGE and transferred to nitrocellulose for western blots. Blots were quantitated by densitometry using ImageJ (NIH, Bethesda, MD, United States) and normalized to cellular actin. Antibodies against LAMP-2A (Cat #ab18528), LAMP-2B (Cat #ab18529), HSP90 (Cat #ab13494), and cathepsin A (Cat #ab79590) were from Abcam (Cambridge, MA, United States). Chk1 (Cat #2360), phospho-Chk1 (Ser345) (Cat #2341), IκBα (Cat #4814), phospho-IκBα (Ser32/36) (Cat #9246), LC3B (Cat #2775), and histone H3 (Cat #3638) were from Cell Signaling Technology (Danvers, MA, United States). LAMP-2 (Cat #H4B4-c) was from DSHB (Iowa City, IA, United States) and HSC70 (Cat #ADI-SPA-815) from Enzo Life Sciences (Farmingdale, NY, United States). Anti-Myc Tag (Cat #05-724) and cathepsin D (Cat # IM03) were from EMD Millipore (Billerica, MA, United States). Cathepsin B (Cat # sc-13985), p53 (Cat # sc-126), and p21 (Cat # sc-756) were from Santa Cruz Biotechnology (Santa Cruz, CA, United States). Actin (Cat # MS-1295-P0) was from Thermo Fisher Scientific.

Interferon-Gamma Treatment

DM331 cells were incubated 24 h at 37°C with 400 or 2000 units (IU) of recombinant human IFN-γ (R&D Systems, Minneapolis, MN, United States). Cells were harvested and LAMP2 mRNA was measured by qPCR.

MA Analysis

To detect MA flux, cells were incubated for 16 h at 37°C ± 20 μM CQ (Sigma-Aldrich, St. Louis, MO, United States) (Mizushima and Yoshimori, 2007; Mizushima et al., 2010; Klionsky et al., 2012). Western blotting was used to detect cellular LC3I and LC3II. Cellular LC3I and LC3II protein levels were normalized relative to actin protein levels to account for protein sample loading. MA flux was determined by subtracting the relative ratio of LC3II/actin in untreated cells from the relative ratio of LC3II/actin for CQ treated cells. To monitor MA in real time within live cells, melanoma cells were incubated 4 h at 37°C with media ± serum. Vesicles produced during MA in normal or starvation conditions were stained using CYTO-ID Autophagy detection kit (Enzo Life Sciences) and analyzed by flow cytometry (Guo et al., 2015).

Lysosomal Proteases or Calpain Inhibition

To detect changes in LAMP-2A protein levels, cells were incubated 18 h at 37°C ± 20 μM CQ or 10 μM calpeptin (EMD Millipore). Samples were resolved on SDS-PAGE and analyzed by western blotting.

Apoptosis Assay

For detection of apoptotic and necrotic cells, real time analysis of caspase-3 and caspase-7 activity was detected using CellEvent Caspase-3/7 Green Flow Cytometry Assay Kit (Invitrogen, Carlsbad, CA, United States). During apoptosis, caspase-3 and caspase-7 are activated and able to cleave a cell permeable fluorogenic substrate DEVD peptide. The bright fluorogenic signal produced by caspase-3 and caspase-7 activity indicates apoptotic cells. Cells positive for AAD dead cell stain help separate live from dead cells. Samples were analyzed by flow cytometry.

Subcellular Fractionation

Cytoplasmic and nuclear proteins were extracted using NE-PER Nuclear and Cytoplasmic Extraction Reagents (Thermo Fisher Scientific) following manufacturer’s recommended instructions. Samples were resolved on SDS-PAGE and analyzed by western blotting.

Cell Cycle Analysis

Cells were fixed with 70% cold ethanol (-20°C) for 1 h at 4°C, washed with ice-cold PBS, incubated 15 min at 37°C with 100 μg/ml RNase A (Sigma-Aldrich), and then stained 30 min at room temperature with 50 μg/ml of propidium iodide (Sigma-Aldrich). Samples were analyzed by flow cytometry.

[3H] Thymidine Incorporation

Cells were incubated with [3H] thymidine for 8 h at 37°C. Thymidine incorporation was quantified using Wallac 1450 Microbeta Plus liquid scintillation counter (Perkin Elmer, Shelton, CT, United States).

Reactive Oxygen Species Analysis

Basal ROS were measured by incubating cells with 5 μM CellROX Deep Red Reagent (Thermo Fisher Scientific, Waltham, MA, United States) for 30 min at 37°C. This cell-permeant dye is non-fluorescent while in a reduced state, and fluoresces upon oxidation by ROS. Samples were analyzed by flow cytometry.

Proteasome Assay

Proteasome activity was determined using Proteasome-Glo Chymotrypsin-Like Cell-Based Assay (Promega, Madison, WI, United States) (Moravec et al., 2009). Cells were trypsinized and plated according to the manufacturer’s recommended instructions. Cells were incubated with Proteaseome-Glo Cell Based Reagent to deliver the substrate (Succinyl-LLVY-aminoluciferin) into the cytoplasm of the cells. Aminoluciferin, which is the substrate for luciferase, is released following cleavage of this peptide substrate by the proteasome. Luciferase consumption of aminoluciferin results in a luminescent signal that is proportional to the amount of proteasome activity (Moravec et al., 2009). Luminescence was detected using SpectraMax M5 Microplate Reader (Molecular Devices, Sunnyvale, CA, United States). Studies have indicated the specificity of this assay in multiple cultured cell lines in detecting changes in proteasome activity (Moravec et al., 2009).

Xenograft Studies

Female NOD.Cg-Prkdc/SzJ mice 6–8 weeks of age were obtained from the In Vivo Therapeutics Core of the Indiana University and injected in the flanks with 5 × 105 melanoma cells. Animals were monitored two to three times a week following tumor implantation to detect changes in health and weight. Tumor size was measured biweekly as length (mm) × width (mm) × width (mm)/2 to obtain a measure of volume in mm cubed. All animals were terminated 20 days after tumor implantation, and tissues and palpable tumors were collected for analysis.

Ethics Statement

Mice were maintained in specific pathogen-free conditions under conditions approved by the Institutional Animal Care and Use Committee of Indiana University School of Medicine and the Guide for the Care and Use of Laboratory Animals.

Tissue Processing and Staining

Tissues were fixed in 10% neutral-buffered formalin at 4°C for 24 h followed by processing and paraffin embedding. Five-micrometer sections were cut and stained for hematoxylin and eosin (HE) or phospho-Histone H3 (EMD Millipore, Cat #06-570).

Assessment of Necrosis and Phospho-Histone H3 (pH3) Positivity

The Aperio ScanScope CS system whole slide digital imaging system (Leica Biosystems, Buffalo Grove, IL, United States) was used for imaging slides at 20X. Necrosis was determined by quantifying cells with nuclear fragmentation in randomly selected fields of primary tumors. As a measure of mitosis, five hot spots were selected per slide and cells positive for pH3 staining were quantified using the Positive Pixel Count V9 algorithm of Aperio ImageScope software (Leica Biosystems, Buffalo Grove, IL, United States). pH3 positivity represents pH3 positively stained cells divided by the total number of cells in the selected areas.

Statistical Analysis

Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test using GraphPad Prism 6.0 (GraphPad Software, San Diego, CA, United States). A value of p < 0.05 or less was considered significant for all experiments. Error bars indicate SD unless noted otherwise.

Results

Expression of LAMP-2C in Human Melanoma Cells

Therapeutic treatment of many cancers including melanoma with IFN-γ, is well documented (Zaidi and Merlino, 2011). IFN-γ negatively impacts tumor growth and alters the expression of multiple genes (Zaidi and Merlino, 2011). Exposure of tumors to IFN-γ can induce cell stress marked in some cases by increased cellular ROS production, upregulation of the DNA damage response, as well as enhanced cell senescence and death (Hubackova et al., 2016). Prior work had shown that exposure to toll-like receptor ligands, immune mediators often associated with infection, alters LAMP2 isoforms mRNA expression in human B lymphoblasts (Perez et al., 2016). To address whether differential regulation of LAMP2 isoforms is observed in human melanomas, we exposed melanoma cells to IFN-γ. A twofold to threefold induction of LAMP2C mRNA was observed upon melanoma cells exposure to IFN-γ with very modest changes in the more abundant LAMP2A and no induction of LAMP2B (Figure ). These results suggest that LAMP2C expression can be upregulated by cytokine stress in human melanomas. LAMP2 expression in melanomas during IFN-γ treatment. (A) DM331 cells treated for 24 h with 400 or 2000 IU of IFN-γ. Gene expression of LAMP2A, LAMP2B, and LAMP2C were analyzed by qPCR. mRNA levels were normalized to ACTB expression with the expression of each isoform set equal to one for control cells without cytokine exposure. (B) Endogenous mRNA levels of LAMP2 isoforms in DM331 cells were quantitated relative to 18S mRNA levels. (C) Endogenous mRNA levels of LAMP2 isoforms in SLM2-Mel cells. Gene expression was quantitated relative to 18S mRNA levels. Data were analyzed by two-way ANOVA. ∗∗∗∗p < 0.0001 (n = 3). The hierarchy of endogenous LAMP2 mRNA expression (LAMP2B > LAMP2A > LAMP2C) was consistent among two distinct human melanoma cell lines, DM331 and SLM2-Mel (Figures ). Given the low basal levels of LAMP2C mRNA in each melanoma cell line, this isoform was ectopically expressed in each cell line to examine its impact on autophagy, cell growth and survival (Figure ). LAMP-2 isoforms can be detected using commercial antibodies that recognize conserved epitopes, but individual isoform analysis can be challenging given their structural homology. To circumvent the absence of antibodies against LAMP-2C, melanoma cells (DM331 or SLM2-Mel) were transfected with a plasmid encoding C-terminal myc tagged LAMP2C yielding DM331 2C myc or SLM2-Mel 2C myc cells (Figures ). As a control, the parental cell lines were transfected with an empty vector to produce DM331 pCMV or SLM2-Mel pCMV cells (Figures ). As an additional control, DM331 cells were also transfected with a distinct empty vector (DM331 zeo) or a plasmid encoding untagged LAMP2C (DM331 2C) to ensure the myc tag was not impacting function (Figure ). Increased LAMP2C mRNA was detected in melanoma cells transfected with the LAMP2C plasmid (Figure ). Higher levels of ectopic LAMP2C mRNA were detected in DM331 cells compared to the SLM2-Mel cells, regardless of myc tag addition (Figure ). While there was no significant change in LAMP2A mRNA levels with ectopic LAMP-2C expression in cells, a slight reduction was observed in mRNA levels of LAMP2B (Figure ). LAMP-2 expression in human melanoma cell lines transfected with LAMP-2C. (A) DM331 cells were transfected with an empty vector (pCMV) or a plasmid encoding for C-terminal myc tagged LAMP2C. RT-PCR analysis for LAMP2C overexpression was detected in an agarose gel. mRNA levels of LAMP2A, LAMP2B, and LAMP2C transcripts were analyzed by qPCR and normalized to 18S expression. To detect relative changes in the expression of each isoform, the normalized expression of each isoform was set equal to one in DM331 pCMV cells. (B) SLM2-Mel cells were transfected with an empty vector (pCMV) or a plasmid encoding for C-terminal myc tagged LAMP2C. mRNA levels of LAMP2A, LAMP2B, and LAMP2C in these cells were analyzed by qPCR and normalized to ACTB expression. The relative expression of each isoform was set equal to one for SLM2-Mel pCMV control cells. Cell lysates were probed for the c-myc tagged LAMP2C or total LAMP2 protein with actin used as a control for sample loading. Arrow indicates non-specific protein band detected with anti-myc antibody. (C) DM331 cells were transfected with an empty vector (zeo) or a plasmid encoding for LAMP2C with no tag sequence. mRNA levels of LAMP2A, LAMP2B, and LAMP2C in these cells were analyzed by qPCR and normalized to GAPDH expression. To examine relative changes in each isoform, the expression of individual isoforms was set to one for the DM331 zeo control cells. Cell lysates were probed for total LAMP2 protein with actin used as a control for sample loading. Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. ∗∗∗∗p < 0.0001 (n = 2–3). Western blot analysis of melanoma cells revealed similar electrophoretic migration of ectopic LAMP-2C and other LAMP-2 isoforms on SDS-PAGE (Figures ). LAMP-2 isoforms are translated as polypeptides of approximately 42 kDa, with glycosylation of these isoforms yielding proteins which migrate as diffuse bands on SDS-PAGE with an apparent molecular mass of 120 kDa. The diffuse appearance and similar electrophoretic migration of LAMP-2C ectopically expressed with or without a myc tag in melanomas, was consistent with a high degree of glycosylation observed with other LAMP-2 isoforms. Cellular levels of total LAMP-2, detected with an antibody recognizing all isoforms, were increased 1.5- to 4-fold in melanoma cells likely due to the increase in LAMP2C mRNA (Figures ). Notably, the expression of both LAMP-2A and LAMP-2B proteins was reduced about 50% in cells with increased LAMP-2C (Figure ). Cellular levels of CMA chaperones HSC70 and HSP90 were unperturbed by increased LAMP-2C (Figure ). These findings suggest that increased LAMP-2C expression in melanoma cells may affect cellular levels of LAMP-2A and LAMP-2B proteins. LAMP-2C ectopic expression in melanoma cells altered LAMP-2A and LAMP-2B protein expression. LAMP-2C myc, total LAMP-2, LAMP-2A, LAMP-2B, HSC70, HSP90, and actin were detected in DM331 pCMV and DM331 2C myc cells. The normalized expression of each protein was set equal to one for DM331 pCMV cells for relative comparison with protein levels in DM331 2C myc cells. Data were analyzed by two-tailed, unpaired Student’s t-test. ∗p < 0.05 and ∗∗∗p < 0.001 (n = 3). Tumors have been manipulated using molecular approaches to reduce constitutive LAMP2A mRNA expression to impact cell growth (Kon et al., 2011; Saha, 2012; Zhou et al., 2016). Here, the reduction in LAMP-2A protein abundance with ectopic LAMP-2C expression suggested post-translational regulation of this isoform’s expression. A lysosomal serine protease cathepsin A and a cytoplasmic cysteine protease calpain I regulate LAMP-2A protein stability and turnover (Cuervo et al., 2003; Villalpando Rodriguez and Torriglia, 2013). To examine whether melanoma cell LAMP-2C expression impacts proteolytic turnover of LAMP-2A, DM331 2C myc cells were incubated with CQ, a weak base which prevents cathepsin A activation in acidic organelles, or with calpeptin, a cell permeable calpain inhibitor. The addition of these agents to control DM331 pCMV cells, with low endogenous LAMP-2C, slightly increased steady state LAMP-2A protein abundance (Figures ). Yet in melanoma cells with high LAMP-2C expression, treatment with these inhibitors unexpectedly promoted an even greater reduction in cellular LAMP-2A protein levels. CQ treatment neutralizes lysosome, endosome, and autophagosome pH, reducing the activity of multiple enzymes including proteases functional at low pH. We examined several lysosomal cathepsins to determine if LAMP-2C expression increased the abundance and maturation of these enzymes to active proteases, possibly explaining the observed decrease in melanoma cell levels of LAMP-2A protein with ectopic LAMP-2C expression. Cellular levels of mature and precursor forms of lysosomal proteases cathepsin A and cathepsin B were unchanged in melanoma cells by ectopic LAMP-2C. Expression of the mature cathepsin D (30 kDa) protein was also not statistically different with ectopic LAMP-2C expression in cells, while cathepsin D immature precursors (46 kDa and 52 kDa forms) were significantly decreased in cells with high LAMP-2C expression (Figure ). The 30 kDa and 46 kDa forms of cathepsin D are functional aspartyl proteases. Quantitative analysis of transcripts for cathepsin genes CTSA, CTSB, and CTSD corroborated that ectopic expression of LAMP-2C in melanoma cells did not increase the expression of these lysosomal enzyme mRNAs (Figure ). Rather a slight decrease in CTSA and CTSD mRNA was detected in cells with ectopic LAMP-2C. Thus, the decreased abundance of LAMP-2A observed in melanoma cells with high LAMP-2C expression, was not linked to an increased cellular accumulation of these three cathepsin proteases. Together, these results suggest increased LAMP-2C expression in melanoma cells perturbs steady state levels of LAMP-2A and LAMP-2B, each of which has been implicated in regulating autophagy pathways. Changes in LAMP-2A protein expression were not due to increased cathepsin or calpain abundance in melanomas expressing LAMP-2C. DM331 pCMV and DM331 2C myc cells were incubated overnight at 37°C with ±20 μM CQ (A) or 10 μM calpeptin (calp) (B) to inhibit lysosome proteases or calpain activity, respectively. LAMP-2A levels were detected by western blotting, evaluated by densitometry, and normalized to actin protein levels. LAMP-2A levels were calculated relative to DM331 pCMV cells cultured without CQ or calpeptin. (C) Maturation and gene expression of lysosome proteases cathepsin A (CTSA), cathepsin B (CTSB), and cathepsin D (CTSD) was evaluated in cells overexpressing LAMP-2C. Lysates were resolved by SDS-PAGE and probed to detect the precursor (p), intermediate (i), or mature (m) form of cathepsin A, cathepsin B, and cathepsin D. Protein expression was quantified by densitometry and levels were normalized to actin levels. mRNA levels of CTSA, CTSB, and CTSD transcripts were analyzed by qPCR and normalized to 18S expression. Measurements in (A–C) are relative values calculated by setting the results obtained for DM331 pCMV cells equal to one for comparison to DM331 2C myc cells. Data were analyzed by two-way ANOVA. ∗∗p < 0.01, and ∗∗∗p < 0.001 (n = 3).

LAMP-2C Expression Impacts CMA and MA

Impaired CMA can alter intracellular accumulation of select cytoplasmic proteins targeted for degradation by this pathway. Steady state levels of two well-described CMA protein substrates, the cell cycle regulator Chk1 and the inhibitor of NF-κB signaling pathway IκBα, were examined in melanoma cells with ectopic LAMP-2C expression (Cuervo et al., 1998; Park et al., 2015). Elevated levels of Chk1 and total or phosphorylated IκBα were observed in DM331 2C myc melanoma cells, suggesting disruptions in the proteolytic turnover of these proteins via CMA (Figure ). Increased cellular expression of Chk1 and IκBα was not due to higher CHEK1 and NFKBIA mRNA transcripts, again consistent with CMA disruption in melanoma cells with high LAMP-2C expression (Figure ). Changes in autophagy can impact cytoplasmic protein degradation by the proteasome (Park and Cuervo, 2013). CMA substrates Chk1 and IκBα can be diverted to the proteasome in some cell types (Alkalay et al., 1995; Zhang et al., 2005). We quantitated proteasome proteolytic activity in DM331 2C myc cells using a specific proteasome substrate, succinyl-LLVY-aminoluciferin, delivered selectively into the cytoplasm of melanoma cells. Proteasome activity was not reduced in cells with ectopic LAMP-2C expression but rather slightly increased compared to control cells (Figure ). These data suggest that LAMP-2C myc expression in melanoma cells disrupts CMA and increased cellular protein levels of several CMA substrates. Effect of LAMP-2C expression on CMA substrates. (A) Cellular levels of CMA substrates Chk1, IκBα, and p-IκBα in DM331 pCMV and DM331 2C myc cells were examined by western blotting. Relative protein levels were calculated by setting the normalized expression to one for DM331 pCMV cells. (B) mRNA levels of CHEK1 and NFKBIA transcripts were analyzed by qPCR and normalized to ACTB expression. mRNA levels in DM331 pCMV cells were normalized and set to one. (C) Proteasome activity was measured using the Proteasome-Glo Chymotrypsin-Like Cell-Based Assay. Cells were incubated with a substrate succinyl-LLVY-aminoluciferin which penetrates into the cytoplasm. This substrate is cleaved by the proteasome to release aminoluciferin which is released from cells. Luciferase is added to these cells, cleaving aminoluciferin to a luminescent product detectable using a luminometer. Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. ∗p < 0.05, ∗∗∗p < 0.001, and ∗∗∗∗p < 0.0001 (n = 3). LAMP-2B is required for efficient cellular MA, thus changes in MA were examined in melanoma cells with increased LAMP-2C (Nishino et al., 2000). The intracellular abundance and stability of LC3 I and II are used to monitor MA (Mizushima and Yoshimori, 2007; Mizushima et al., 2010; Klionsky et al., 2012). During MA, cytoplasmic LC3I is lipidated, and converted to LC3II, which associates with autophagosomes. LC3II is then proteolyzed upon autophagosome maturation marking a full cycle of MA. An accurate measure of this autophagy pathway can be obtained through analysis of MA progression or flux (Klionsky et al., 2012). Changes in LC3I and LC3II protein levels were detected in each of the melanoma cells with ectopic LAMP-2C in the presence or absence of CQ, the latter which neutralizes autophagosome acidification to slow LC3II degradation during MA. Monitoring the relative LC3II (LC3II/actin) levels in cells treated with CQ and subtracting the relative LC3II (LC3II/actin) abundance in cells without CQ, offers a measure of MA progression or flux (Klionsky et al., 2012). MA flux was diminished in DM331 cells with increased LAMP-2C myc (Figure ). Decreased MA flux was observed in DM331 cells expressing untagged LAMP-2C and a distinct cell line, SLM2-Mel 2C myc (Figures ). Consistent with the flux analysis suggesting disruptions in MA in melanoma cells with ectopic LAMP-2C, the relative levels of LC3I (basal LC3I/actin) were increased in untreated melanoma cells. While relative LC3I abundance in cells does not measure MA, the detected accumulation of LC3I may suggest a slowing or disruption in early stages of MA in the context of reduced flux. As an alternate approach to evaluate cellular MA in these melanoma cells, DM331 2C myc were treated with a dye CYTO-ID that fluoresces upon delivery into autophagosomes. Cellular stresses, such as nutrient starvation, promote an increase in CYTO-ID accumulation in newly forming autophagosomes (Guo et al., 2015). DM331 pCMV and DM331 2C myc cells were incubated ± serum and autophagosomes stained using CYTO-ID to evaluate MA. MA was reduced in melanoma cells with LAMP-2C cultured in serum as detected by flow cytometry (Figure ). Reductions in MA were apparent in serum nutrient starved DM331 cells with increased LAMP-2C expression compared to control cells (Figure ). Tumor cells may encounter a variety of stresses in vivo including limitations in nutrient availability, oxygen deficiency, and inflammatory mediators. Experiments here suggest that ectopic LAMP-2C expression in melanoma cells reduces MA under basal and stress conditions. Thus, increased LAMP-2C expression in melanoma cells results in disruptions in cellular MA. MA was diminished in melanomas with increased LAMP-2C. (A–C) DM331 or SLM2-Mel cells were incubated overnight with ±20 μM CQ, an inhibitor of lysosome acidification, to monitor autophagosome formation and turnover. To measure MA flux, the conversion of LC3I to LC3II was detected and normalized to cellular actin levels. MA flux was quantified to detect changes in cellular LC3II levels ± CQ using the equation MA flux = LC3II/actin in CQ treated cells – LC3II/actin in control cells. The relative levels of LC3I/actin in each cell line grown without CQ provides a measure of basal LC3I protein accumulation prior to its enzymatic conversion to LC3II during MA. (D) DM331 pCMV and DM331 2C myc cells were incubated with media ± serum, stained with CYTO-ID, and MA monitored by flow cytometry. The geometric mean was set equal to one for DM331 pCMV cells for relative comparison to the geometric mean in DM331 2C myc cells. Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, and ∗∗∗∗p < 0.0001 (n = 3).

Ectopic LAMP-2C Expression Perturbs Cell Cycle and Survival

Autophagy pathways control a variety of cellular processes and have been linked to cell cycle regulation and survival (Levine and Kroemer, 2008). Previous reports have shown alterations in cell proliferation and apoptosis of distinct tumors after blocking CMA by LAMP-2A silencing (Kon et al., 2011; Saha, 2012; Zhou et al., 2016). Given LAMP-2A protein levels were reduced in melanoma cells expressing LAMP-2C, this led us to question whether cell proliferation or apoptosis was perturbed in these cells. DM331 2C myc cells exhibited alterations in the cell cycle distribution as monitored by flow cytometric analysis of cellular DNA content (Figure ). While the percentage of melanoma cells in G0/G1 phase decreased with ectopic LAMP-2C expression, an increase was detected in the percentage of these cells in G2/M phase (Figure ). A reduction in thymidine incorporation by DM331 2C myc cells was also detected compared to this cell transfected with vector alone (Figure ). Similarly, fewer DM331 cells expressing untagged LAMP-2C and SLM2-Mel 2C myc cells were at the G0/G1 stage, with these melanoma cells displaying more G2/M phase cells (Figure ). While differences in cell distributions in S phase were observed with altered LAMP-2C expression, these changes were variable among the different melanoma cells. These data suggest that LAMP-2C expression in these melanoma cells may disturb cell division via cell cycle arrest. To complement these studies, an analysis of melanoma cell death and necrosis was carried out using melanoma cells with and without ectopic LAMP-2C expression. Levels of apoptosis and/or necrosis were increased in each melanoma cell line with ectopic LAMP-2C expression compared to cells transfected with vector alone (Figure ). ROS generated by tumor cells can impact cellular autophagy pathways and growth (Poillet-Perez et al., 2015). ROS production was evaluated in melanoma cells with ectopic LAMP-2C and compared to the control melanoma cells with vector alone. There was no consistent increase or decrease in cellular ROS among the three pairs of tumor cell lines tested. Although a slight increase in ROS production was detected with DM331 2C myc cells compared to vector transfected cells, and a reduction in ROS production was observed for SLM2-Mel 2C myc cells compared to the vector transfected cells (Figure ). These results suggest that increased LAMP-2C expression in melanoma cells perturbs cell cycle progression as well as apoptosis and necrosis. Reduced survival and altered cell cycle in melanomas expressing LAMP-2C. (A) Apoptosis and necrosis were examined by incubating DM331 pCMV and DM331 2C myc cells with a fluorogenic substrate specific for activated caspase-3 and caspase-7 in apoptotic cells and AAD dead cell stain to detect necrotic cells. Apoptotic and necrotic cells were detected by flow cytometry. (B) Representative dot plot graph of the cell cycle distribution of DM331 pCMV and DM331 2C myc cells. Cell cycle distribution was evaluated by staining DNA content of DM331 pCMV and DM331 2C myc cells with propidium iodide and quantified by flow cytometry. (C) Cell cycle distribution of DM331 zeo and DM331 2C was evaluated by staining DNA content with propidium iodide and quantified by flow cytometry. (D) Cell cycle distribution was analyzed by staining the DNA content of SLM2-Mel pCMV and SLM2-Mel 2C myc with propidium iodide and detected by flow cytometry. (E) To examine basal ROS production, melanomas with and without ectopic LAMP-2C expression were incubated for 30 min at 37°C with 5 μM CellROX Deep Red Reagent and monitored by flow cytometry. Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, and ∗∗∗∗p < 0.0001 (n = 2–3). Chaperone-mediated autophagy substrate Chk1, a key regulator during DNA replication and DNA damage responses, contributes to all cell cycle checkpoints, including G1/S, intra-S-phase, G2/M, and the mitotic spindle checkpoint (Patil et al., 2013). In response to genotoxic stress, Chk1 is phosphorylated and activates DNA damage responses to bring about cell cycle arrest, activate DNA repair pathways, and induce apoptosis when DNA damage is severe (Patil et al., 2013). Chk1 Ser345 phosphorylation is critical for this activation and function in response to DNA damage (Patil et al., 2013; Goto et al., 2015). Higher cellular levels of Chk1 Ser345 phosphorylation were detected in DM331 2C myc cells compared to control cells, suggesting increased activation of Chk1 in melanoma cells with high LAMP-2C expression (Figure ). Although Chk1 is mainly expressed in the nucleus, following activation Chk1 shuttles between the nucleus and cytoplasm (Patil et al., 2013; Goto et al., 2015). Consistent with the increased phosphorylation of Chk1 in cells with ectopic LAMP-2C, slightly more Chk1 protein was detected in the cytoplasm of these cells (Figure ). The tumor suppressor protein p53 and the cyclin-dependent kinase inhibitor p21 play important roles in G1 and G2 checkpoints (Giono and Manfredi, 2006; Karimian et al., 2016). Furthermore, increased cellular levels of p53 and p21 have been observed in cancer cells with LAMP-2A downregulation (Kon et al., 2011; Zhou et al., 2016). While p53 protein levels were slightly increased compared to control melanoma cells, cellular levels of p21 were markedly increased in DM331 cells with increased LAMP-2C expression (Figure ). Protein levels of p21 were also increased in DM331 cells expressing untagged LAMP-2C and SLM2-Mel 2C myc cells (Figures ). Changes in cellular levels of p53 and p21 were not a direct result of altered levels of p53 and p21 mRNA transcripts in DM331 cells with ectopic LAMP-2C myc expression (Figure ). Thus, enhanced LAMP-2C expression induces cell cycle arrest and affects survival by altering the abundance and activation of key cell cycle regulators. Effect of LAMP-2C on cell cycle regulators. (A) Chk1 activation was examined by detecting cellular levels of Chk1 phosphorylation at Ser345. (B) Chk1 subcellular localization was determined by extracting cytoplasmic and nuclear proteins from DM331 pCMV and DM331 2C myc cells. Protein levels were detected by western blotting. (C) Protein and mRNA levels of cell cycle regulators in DM331 pCMV and DM331 2C myc, p53 and p21, were examined by western blotting and qPCR. (D) Lysates from DM331 zeo and DM331 2C were resolved by SDS-PAGE and probed to detect p21 levels. Protein expression was quantified by densitometry and levels were normalized to actin levels. (E) Protein levels of p21 in SLM2-Mel pCMV and SLM2-Mel 2C myc were detected by western blotting. Protein expression was quantified by densitometry and levels were normalized to actin levels. Measurements in (A–E) represent relative values calculated by setting the results obtained for cells transfected with an empty vector equal to one for comparison to cells with ectopic LAMP-2C. Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. ∗p < 0.05, ∗∗p < 0.01, and ∗∗∗p < 0.001 (n = 3).

LAMP-2C Expression Reduces Melanoma Cells Tumorigenic Potential

LAMP-2A knockdown in cancerous cells has been documented to reduce tumorigenic capability and metastatic capacity (Kon et al., 2011; Zhou et al., 2016). Given that in vitro studies here showed changes in the cell cycle of melanoma cells, the tumorigenicity of melanoma cells with enhanced LAMP-2C expression was examined in vivo. Previous reports have demonstrated NOD.Cg-Prkdc/SzJ (NSG) mouse model provide an excellent in vivo system to assess human melanoma metastasis without the complication of host immune responses to tumor (Quintana et al., 2012). Here, NSG mice were injected in the flanks with DM331 cells with or without ectopic LAMP-2C myc, and animals monitored for tumor growth followed by sacrifice 20 days post tumor implant. Subcutaneous xenografts growth was reduced for tumors with high LAMP-2C myc (Figure ). Histology of primary tumors established differences in anatomy (Figure ). While melanoma cells from control tumor were spindle-shaped, the LAMP-2C myc tumor cells were epithelial-shaped and loosely joined together (Figure ). In addition, HE staining revealed necrotic areas in LAMP-2C myc tumors were three times greater than control tumors (Figure ). To examine tumor cell mitosis, tissue sections from palpable tumors where stained to detect phospho-Histone H3 (Figure ). While differences in cell density were again observed in comparing tumors with ectopic LAMP-2C or vector alone, no significant difference was detected in phospho-Histone H3 staining. Together these results revealed a novel role for LAMP-2C in diminishing melanoma growth in vivo. Ectopic expression of LAMP-2C decreased tumor growth in a xenograft mouse model. NSG mice were implanted subcutaneously in the flanks with 5 × 105 DM331 cells with or without ectopic LAMP-2C myc expression. (A) Tumor growth was monitored biweekly (n = 13 per group). (B) Representative HE staining of primary control tumor or primary tumor with high ectopic expression of LAMP-2C myc. (C) Percentage of necrotic areas of primary tumors were evaluated by HE staining (n = 5 per group). (D) Representative pH3 staining of primary tumor with or without LAMP-2C myc expression. To determine changes in mitosis, pH3 positive cells were quantified in five hot spots areas of primary tumors. pH3 positivity was quantified dividing the number of pH3 positively stained cells by the total number of cells in the selected areas (n = 6 per group). Data were analyzed by two-way ANOVA or by two-tailed, unpaired Student’s t-test. Error bars indicate mean ± SEM. ∗∗p < 0.01 and ∗∗∗∗p < 0.0001.

Discussion

Deregulation of autophagy pathways has been associated with melanoma development and progression. While immunochemistry of normal human melanocytes revealed low expression of LC3 protein, a histological MA marker, focal staining of LC3 molecules increased in spreading subcutaneous melanoma consistent with increased tumor MA (Checinska and Soengas, 2011; Corazzari et al., 2013). Immunohistochemical analysis of early and late stage melanomas revealed that late stage tumors associated with poor prognosis, expressed reduced levels of p62, a protein whose turnover is linked to enhanced MA (Ellis et al., 2014). High levels of LAMP-2A, a marker for CMA were detected in human melanoma biopsies compared with healthy skin, and reductions in LAMP-2A expression slowed murine melanoma growth in vitro (Kon et al., 2011). Such results suggest that pathways or proteins linked to autophagy may influence melanoma cell growth and tumor progression. Here, studies examined the role of a lysosomal membrane protein, LAMP-2C in modulating autophagy as well as cell cycle and growth in several human melanoma cell lines. LAMP-2C is highly homologous to LAMP-2A and LAMP-2B, which regulate CMA and MA respectively (Eskelinen et al., 2005). While the three LAMP-2 isoforms are derived from a common precursor mRNA, differential expression of these isoforms has been observed. LAMP-2A expression levels and basal CMA activity were increased in a variety of human solid tumors, including melanoma, lung, breast, and gastric cancers (Kon et al., 2011; Saha, 2012; Zhou et al., 2016). Inhibition of the proteasome or MA, has been reported to increase LAMP-2A expression in neural cells (Yang et al., 2013). In contrast with LAMP2A and LAMP2B mRNA which are broadly expressed in different tissues, LAMP2C mRNA has a more limited tissue distribution (Perez et al., 2016). The mRNA for all three LAMP2 isoforms increased in B lymphoblasts exposed to toll receptor ligands, which are associated with microbial infection (Perez et al., 2016). In the current study, treatment of melanoma cells with the pro-inflammatory cytokine IFN-γ significantly increased LAMP2C mRNA abundance with only marginal or no change in LAMP2A and LAMP2B mRNA. This may be due to an initial increase in the abundance of the LAMP2 precursor mRNA with selective regulation of mRNA splicing or preferential mRNA stabilization to yield increased LAMP2C mRNA. The results with interferon-treated cells are also consistent with tissue or cell type specific differences in LAMP-2 isoform expression. The molecular mechanisms which control the expression of individual LAMP2 mRNAs have not been well examined. As discussed below, post-transcriptional events can also regulate LAMP-2 protein expression and function. Ectopic expression of LAMP-2C in melanomas disrupted CMA, as indicated by the accumulation of several proteins typically degraded by CMA including Chk1, IκBα, and p21 (Cuervo et al., 1998; Park et al., 2015; Zhang et al., 2018). Studies have described an intricate cross-communication and compensatory mechanisms among the different autophagic pathways and the proteasome (Park and Cuervo, 2013). Furthermore, several CMA protein substrates, including Chk1 and IκBα, can also be targeted for proteasome degradation in some cell types (Alkalay et al., 1995; Zhang et al., 2005). The current study examined whether cellular proteasome activity was decreased with increased LAMP-2C expression in tumors. Proteasome activity analysis revealed a slight increase in the activity of this enzyme in melanoma cells with increased LAMP-2C compared to control cells. Thus, it does not appear that increasing melanoma cell LAMP-2C expression, disrupts proteasome function. These findings are also consistent with previous reports demonstrating upregulation of proteasome activity in cancer cells with compromised CMA (Kon et al., 2011). Decreased LAMP-2A and LAMP-2B protein levels were observed in melanoma cells with ectopic LAMP-2C expression in the current study. Work by others has shown that reductions in cellular LAMP-2A levels blocks CMA and promotes accumulation of CMA substrates (Zhou et al., 2005, 2016; Kon et al., 2011). Levels of LAMP2A mRNA were unchanged in melanoma cells with ectopic LAMP-2C, suggesting alterations in post-transcriptional regulation of LAMP-2A molecules. Studies of several lysosomal and cytoplasmic proteases known to function in the turnover of LAMP-2A, failed to reveal a clear change in these enzymes that might account for the reduction in cellular LAMP-2A. Instead, attempts to stabilize LAMP-2A using protease inhibitors in cells with ectopic LAMP-2C, resulted in greater reductions in LAMP-2A abundance. While not previously linked to LAMP-2 stability, proteasome activity did increase in melanomas with ectopic LAMP-2C. LAMP-2A molecules also form oligomers in lysosomes which regulate CMA, and it is possible that increased LAMP-2C expression may perturb oligomer formation. Attempts to detect a physical association between LAMP-2A and LAMP-2C in melanoma cells, have not been successful to date. Post-translational modifications of LAMP-2 isoforms including glycosylation and phosphorylation have been reported (Tan et al., 2016; Li et al., 2017), and such modifications could be altered in cells with high levels of LAMP-2C. The SDS-PAGE mobility of LAMP-2A protein from cells with or without ectopic LAMP-2C was similar. Further studies will be necessary to examine the mechanisms influencing LAMP-2A protein abundance and structure in melanomas with increased LAMP-2C. Increased expression of LAMP-2C in human melanomas also disrupted basal levels of MA as assessed by reduced autophagic flux and autophagosome abundance. Shifts in cancer cell metabolism coupled with changes in the tumor microenvironment can lead to increased hypoxia, nutrient and growth factor deprivation which induce MA (Morselli et al., 2009; Choi, 2012). Melanomas with increased LAMP-2C expression displayed reduced MA induction compared to control cells in response to serum starvation, a form of nutrient stress which typically upregulates MA in tumors to promote survival. As indicated, ectopic expression of LAMP-2C in melanomas reduced cellular levels of LAMP-2B protein with very modest decreases in LAMP2B mRNA. Little is known regarding the stability, post-translational modification, or turnover of LAMP-2B. Mutations in LAMP-2B were found in patients with Danon disease and associated with disruptions in MA flux (Crotzer et al., 2010). Results in the current study suggest that manipulating melanoma LAMP-2C expression may offer a novel means to disrupt basal and induced MA as well as CMA in melanomas. A common feature in many human cancers is disruption of target genes involved in cell cycle progression and apoptosis. Lung and gastric cancer cells with compromised CMA activity exhibited increased levels of cell senescence regulators, such as p53 and p21 (Kon et al., 2011; Zhou et al., 2016). While reduced cell proliferation in lung cancer cells was not linked to cell cycle arrest, gastric cells with LAMP-2A knockdown displayed cell cycle arrest (Kon et al., 2011; Zhou et al., 2016). For murine LAMP-2A deficient fibroblasts cell cycling appeared unchanged, yet inducing DNA damage in these cells with etoposide or irradiation increased the percentage of cells in G1 and G2 while reducing cells in S phase (Park et al., 2015). In the current study, increased LAMP-2C levels in human melanomas cells induced cell cycle checkpoint and DNA damage responses as suggested by changes in cell cycle distribution (increased G2 and reduced G1 phase cells) with elevated cellular levels of p21 and activated phospho-Chk1 (Ser345). In melanoma cells with ectopic LAMP-2C, Chk1 protein abundance increased twofold while phospho-Chk1 levels were nearly threefold higher compared with cells transfected with vector alone. This may reflect the importance of CMA in the turnover of Chk1 in melanoma cells coupled with stress induced activation of Chk1. By contrast, induction of DNA damage in murine embryonic fibroblasts from Atg7- or Atg5-deficient animals with impaired MA, revealed an increase in proteasome activity, no change in total Chk1 protein levels, and a significant reduction in phospho-Chk1 (Ser345) (Liu et al., 2015). The cell cycle regulator p53 is well known to induce the expression of p21 (Giono and Manfredi, 2006), yet only a slight increase in p53 protein levels was seen in cells with LAMP-2C expression. p53 is targeted for degradation by the proteasome and CMA, dependent on p53 structure and mutations as well as levels of cellular CMA (Vakifahmetoglu-Norberg et al., 2013). Whether elevated protein levels of p21 are induced by a p53-dependent or -independent manner in these melanomas remains to be determined and is beyond the scope of the current study. The detection of increased phospho-Chk1 and p21 in melanoma cells with ectopic LAMP-2C was consistent with increased cell stress, potentially associated with activation of ROS production and/or DNA repair mechanisms. Measurements of ROS levels in melanomas with ectopic LAMP-2C did not reveal a consistent change compared to control cells. In response to DNA damage, Chk1 is phosphorylated at Ser345/Ser317. This activated phospho-Chk1 shifts its localization within the nucleus with some molecules moving into the cytoplasm (Wang et al., 2012). Consistent with this, experiments here revealed increased Chk1 in the cytoplasm of cells with ectopic LAMP-2C compared to the parental melanoma cells. Phospho-Chk1 in the nucleus as well as the cytoplasm appears to modulate distinct cell checkpoint events. Studies by Wang et al. (2012) demonstrated diminished cell viability for Chk1 mutant proteins with increased cytoplasmic residence. Xenograft studies revealed LAMP-2C expression in melanoma cells reduced melanoma growth in vivo. Melanoma xenografts with high LAMP-2C cellular levels also displayed increased necrosis, changes in cell morphology, and less cell density in palpable tumors in stained tissue sections. The increased necrosis detected in vivo in tumors expressing LAMP-2C, was consistent with increased necrosis and apoptosis observed in melanoma cells with ectopic LAMP-2C in vitro. Immunohistochemistry was used to examine levels of mitosis in vivo for tumor cells with and without ectopic LAMP-2C. While no difference in phospho-Histone H3 was detected in this analysis, differences in tumor cell morphology and density were again apparent. An analysis of the effects of LAMP-2A knockdown on lung tumor cells did not reveal consistent increases in cellular apoptosis compared to LAMP-2A sufficient cells in vitro, however necrosis and reduced cell proliferation were noted for xenografts of human lung tumors with LAMP-2A knockdown (Kon et al., 2011). Together, the results in this report demonstrate ectopic expression of LAMP-2C in melanomas disrupted multiple cellular autophagy pathways, as well as cell cycle progression and survival. While the reductions in cell growth and increased p21 levels in these melanoma cells were consistent with decreased CMA and reduced expression of LAMP-2A, the melanoma cells with increased LAMP-2C did exhibit some unique differences. These include minimal changes in p53 protein levels, reduced LAMP-2B expression, reduced MA, cell cycle arrest, and high levels of Chk1 and phospho-Chk1. Increased apoptosis and necrosis were detected for melanomas with increased LAMP-2C expression in vitro and in vivo. In pilot studies, a highly aggressive triple negative breast tumor line TMD-231 was also transfected to increased LAMP-2C expression. No changes in the cell cycle or thymidine incorporation were observed with the breast tumor line with or without ectopic LAMP-2C. Thus, additional studies will be necessary to determine if LAMP-2C expression can modulate tumor growth and survival beyond melanoma lines. Given the complexity of cellular changes associated with LAMP-2C, it may be difficult to definitively pinpoint whether disruptions in autophagy pathways were linked to alterations in cell cycle and survival. These studies do, however, highlight a potential role for LAMP-2C as a tumor suppressor, which might be exploited to halt melanoma progression.

Author Contributions

LP, GS, KP, and JB designed the experiments and interpreted the data. LP, AS, and GS performed the experiments. LP and JB wrote the manuscript. All the authors read and approved the manuscript.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
  48 in total

Review 1.  The p53 tumor suppressor participates in multiple cell cycle checkpoints.

Authors:  Luciana E Giono; James J Manfredi
Journal:  J Cell Physiol       Date:  2006-10       Impact factor: 6.384

2.  Age-related decline in chaperone-mediated autophagy.

Authors:  A M Cuervo; J F Dice
Journal:  J Biol Chem       Date:  2000-10-06       Impact factor: 5.157

Review 3.  The two faces of interferon-γ in cancer.

Authors:  M Raza Zaidi; Glenn Merlino
Journal:  Clin Cancer Res       Date:  2011-06-24       Impact factor: 12.531

4.  Primary LAMP-2 deficiency causes X-linked vacuolar cardiomyopathy and myopathy (Danon disease).

Authors:  I Nishino; J Fu; K Tanji; T Yamada; S Shimojo; T Koori; M Mora; J E Riggs; S J Oh; Y Koga; C M Sue; A Yamamoto; N Murakami; S Shanske; E Byrne; E Bonilla; I Nonaka; S DiMauro; M Hirano
Journal:  Nature       Date:  2000-08-24       Impact factor: 49.962

5.  LAMP-2C Inhibits MHC Class II Presentation of Cytoplasmic Antigens by Disrupting Chaperone-Mediated Autophagy.

Authors:  Liliana Pérez; Shawna McLetchie; Gail J Gardiner; Sarah N Deffit; Delu Zhou; Janice S Blum
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7.  IFNγ induces oxidative stress, DNA damage and tumor cell senescence via TGFβ/SMAD signaling-dependent induction of Nox4 and suppression of ANT2.

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Authors:  Chia-Hsin Hsu; Keng-Jung Lee; Yi-Han Chiu; Kuo-Ching Huang; Guo-Shou Wang; Lei-Po Chen; Kuang-Wen Liao; Chen-Si Lin
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2.  Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition)1.

Authors:  Daniel J Klionsky; Amal Kamal Abdel-Aziz; Sara Abdelfatah; Mahmoud Abdellatif; Asghar Abdoli; Steffen Abel; Hagai Abeliovich; Marie H Abildgaard; Yakubu Princely Abudu; Abraham Acevedo-Arozena; Iannis E Adamopoulos; Khosrow Adeli; Timon E Adolph; Annagrazia Adornetto; Elma Aflaki; Galila Agam; Anupam Agarwal; Bharat B Aggarwal; Maria Agnello; Patrizia Agostinis; Javed N Agrewala; Alexander Agrotis; Patricia V Aguilar; S Tariq Ahmad; Zubair M Ahmed; Ulises Ahumada-Castro; Sonja Aits; Shu Aizawa; Yunus Akkoc; Tonia Akoumianaki; Hafize Aysin Akpinar; Ahmed M Al-Abd; Lina Al-Akra; Abeer Al-Gharaibeh; Moulay A Alaoui-Jamali; Simon Alberti; Elísabet Alcocer-Gómez; Cristiano Alessandri; Muhammad Ali; M Abdul Alim Al-Bari; Saeb Aliwaini; Javad Alizadeh; Eugènia Almacellas; Alexandru Almasan; Alicia Alonso; Guillermo D Alonso; Nihal Altan-Bonnet; Dario C Altieri; Élida M C Álvarez; Sara Alves; Cristine Alves da Costa; Mazen M Alzaharna; Marialaura Amadio; Consuelo Amantini; Cristina Amaral; 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Naïma Belgareh-Touzé; Cristina Bellarosa; Francesca Belleudi; Melissa Belló Pérez; Raquel Bello-Morales; Jackeline Soares de Oliveira Beltran; Sebastián Beltran; Doris Mangiaracina Benbrook; Mykolas Bendorius; Bruno A Benitez; Irene Benito-Cuesta; Julien Bensalem; Martin W Berchtold; Sabina Berezowska; Daniele Bergamaschi; Matteo Bergami; Andreas Bergmann; Laura Berliocchi; Clarisse Berlioz-Torrent; Amélie Bernard; Lionel Berthoux; Cagri G Besirli; Sebastien Besteiro; Virginie M Betin; Rudi Beyaert; Jelena S Bezbradica; Kiran Bhaskar; Ingrid Bhatia-Kissova; Resham Bhattacharya; Sujoy Bhattacharya; Shalmoli Bhattacharyya; Md Shenuarin Bhuiyan; Sujit Kumar Bhutia; Lanrong Bi; Xiaolin Bi; Trevor J Biden; Krikor Bijian; Viktor A Billes; Nadine Binart; Claudia Bincoletto; Asa B Birgisdottir; Geir Bjorkoy; Gonzalo Blanco; Ana Blas-Garcia; Janusz Blasiak; Robert Blomgran; Klas Blomgren; Janice S Blum; Emilio Boada-Romero; Mirta Boban; Kathleen Boesze-Battaglia; Philippe Boeuf; Barry Boland; Pascale Bomont; Paolo Bonaldo; Srinivasa Reddy Bonam; Laura Bonfili; Juan S Bonifacino; Brian A Boone; Martin D Bootman; Matteo Bordi; Christoph Borner; Beat C Bornhauser; Gautam Borthakur; Jürgen Bosch; Santanu Bose; Luis M Botana; Juan Botas; Chantal M Boulanger; Michael E Boulton; Mathieu Bourdenx; Benjamin Bourgeois; Nollaig M Bourke; Guilhem Bousquet; Patricia Boya; Peter V Bozhkov; Luiz H M Bozi; Tolga O Bozkurt; Doug E Brackney; Christian H Brandts; Ralf J Braun; Gerhard H Braus; Roberto Bravo-Sagua; José M Bravo-San Pedro; Patrick Brest; Marie-Agnès Bringer; Alfredo Briones-Herrera; V Courtney Broaddus; Peter Brodersen; Jeffrey L Brodsky; Steven L Brody; Paola G Bronson; Jeff M Bronstein; Carolyn N Brown; Rhoderick E Brown; Patricia C Brum; John H Brumell; Nicola Brunetti-Pierri; Daniele Bruno; Robert J Bryson-Richardson; Cecilia Bucci; Carmen Buchrieser; Marta Bueno; Laura Elisa Buitrago-Molina; Simone Buraschi; Shilpa Buch; J Ross Buchan; Erin M Buckingham; Hikmet Budak; Mauricio Budini; Geert Bultynck; Florin Burada; Joseph R Burgoyne; M Isabel Burón; Victor Bustos; Sabrina Büttner; Elena Butturini; Aaron Byrd; Isabel Cabas; Sandra Cabrera-Benitez; Ken Cadwell; Jingjing Cai; Lu Cai; Qian Cai; Montserrat Cairó; Jose A Calbet; Guy A Caldwell; Kim A Caldwell; Jarrod A Call; Riccardo Calvani; Ana C Calvo; Miguel Calvo-Rubio Barrera; Niels Os Camara; Jacques H Camonis; Nadine Camougrand; Michelangelo Campanella; Edward M Campbell; François-Xavier Campbell-Valois; Silvia Campello; Ilaria Campesi; Juliane C Campos; Olivier Camuzard; Jorge Cancino; Danilo Candido de Almeida; Laura Canesi; Isabella Caniggia; Barbara Canonico; Carles Cantí; Bin Cao; Michele Caraglia; Beatriz Caramés; Evie H Carchman; Elena Cardenal-Muñoz; Cesar Cardenas; Luis Cardenas; Sandra M Cardoso; Jennifer S Carew; Georges F Carle; Gillian Carleton; Silvia Carloni; Didac Carmona-Gutierrez; Leticia A Carneiro; Oliana Carnevali; Julian M Carosi; Serena Carra; Alice Carrier; Lucie Carrier; Bernadette Carroll; A Brent Carter; Andreia Neves Carvalho; Magali Casanova; Caty Casas; Josefina Casas; Chiara Cassioli; Eliseo F Castillo; Karen Castillo; Sonia Castillo-Lluva; Francesca Castoldi; Marco Castori; Ariel F Castro; Margarida Castro-Caldas; Javier Castro-Hernandez; Susana Castro-Obregon; Sergio D Catz; Claudia Cavadas; Federica Cavaliere; Gabriella Cavallini; Maria Cavinato; Maria L Cayuela; Paula Cebollada Rica; Valentina Cecarini; Francesco Cecconi; Marzanna Cechowska-Pasko; Simone Cenci; Victòria Ceperuelo-Mallafré; João J Cerqueira; Janete M Cerutti; Davide Cervia; Vildan Bozok Cetintas; Silvia Cetrullo; Han-Jung Chae; Andrei S Chagin; Chee-Yin Chai; Gopal Chakrabarti; Oishee Chakrabarti; Tapas Chakraborty; Trinad Chakraborty; Mounia Chami; Georgios Chamilos; David W Chan; Edmond Y W Chan; Edward D Chan; H Y Edwin Chan; Helen H Chan; Hung Chan; Matthew T V Chan; Yau Sang Chan; Partha K Chandra; Chih-Peng Chang; Chunmei Chang; Hao-Chun Chang; Kai Chang; Jie Chao; Tracey Chapman; Nicolas Charlet-Berguerand; Samrat Chatterjee; Shail K Chaube; Anu Chaudhary; Santosh Chauhan; Edward Chaum; Frédéric Checler; Michael E Cheetham; Chang-Shi Chen; Guang-Chao Chen; Jian-Fu Chen; Liam L Chen; Leilei Chen; Lin Chen; Mingliang Chen; Mu-Kuan Chen; Ning Chen; Quan Chen; Ruey-Hwa Chen; Shi Chen; Wei Chen; Weiqiang Chen; Xin-Ming Chen; Xiong-Wen Chen; Xu Chen; Yan Chen; Ye-Guang Chen; Yingyu Chen; Yongqiang Chen; Yu-Jen Chen; Yue-Qin Chen; Zhefan Stephen Chen; Zhi Chen; Zhi-Hua Chen; Zhijian J Chen; Zhixiang Chen; Hanhua Cheng; Jun Cheng; Shi-Yuan Cheng; Wei Cheng; Xiaodong Cheng; Xiu-Tang Cheng; Yiyun Cheng; Zhiyong Cheng; Zhong Chen; Heesun Cheong; Jit Kong Cheong; Boris V Chernyak; Sara Cherry; Chi Fai Randy Cheung; Chun Hei Antonio Cheung; King-Ho Cheung; Eric Chevet; Richard J Chi; Alan Kwok Shing Chiang; Ferdinando Chiaradonna; Roberto Chiarelli; Mario Chiariello; Nathalia Chica; Susanna Chiocca; Mario Chiong; Shih-Hwa Chiou; Abhilash I Chiramel; Valerio Chiurchiù; Dong-Hyung Cho; Seong-Kyu Choe; Augustine M K Choi; Mary E Choi; Kamalika Roy Choudhury; Norman S Chow; Charleen T Chu; Jason P Chua; John Jia En Chua; Hyewon Chung; Kin Pan Chung; Seockhoon Chung; So-Hyang Chung; Yuen-Li Chung; Valentina Cianfanelli; Iwona A Ciechomska; Mariana Cifuentes; Laura Cinque; Sebahattin Cirak; Mara Cirone; Michael J Clague; Robert Clarke; Emilio Clementi; Eliana M Coccia; Patrice Codogno; Ehud Cohen; Mickael M Cohen; Tania Colasanti; Fiorella Colasuonno; Robert A Colbert; Anna Colell; Miodrag Čolić; Nuria S Coll; Mark O Collins; María I Colombo; Daniel A Colón-Ramos; Lydie Combaret; Sergio Comincini; Márcia R Cominetti; Antonella Consiglio; Andrea Conte; Fabrizio Conti; Viorica Raluca Contu; Mark R Cookson; Kevin M Coombs; Isabelle Coppens; Maria Tiziana Corasaniti; Dale P Corkery; Nils Cordes; Katia Cortese; Maria do Carmo Costa; Sarah Costantino; Paola Costelli; Ana Coto-Montes; Peter J Crack; Jose L Crespo; Alfredo Criollo; Valeria Crippa; Riccardo Cristofani; Tamas Csizmadia; Antonio Cuadrado; Bing Cui; Jun Cui; Yixian Cui; Yong Cui; Emmanuel Culetto; Andrea C Cumino; Andrey V Cybulsky; Mark J Czaja; Stanislaw J Czuczwar; Stefania D'Adamo; Marcello D'Amelio; Daniela D'Arcangelo; Andrew C D'Lugos; Gabriella D'Orazi; James A da Silva; Hormos Salimi Dafsari; Ruben K Dagda; Yasin Dagdas; Maria Daglia; Xiaoxia Dai; Yun Dai; Yuyuan Dai; Jessica Dal Col; Paul Dalhaimer; Luisa Dalla Valle; Tobias Dallenga; Guillaume Dalmasso; Markus Damme; Ilaria Dando; Nico P Dantuma; April L Darling; Hiranmoy Das; Srinivasan Dasarathy; Santosh K Dasari; Srikanta Dash; Oliver Daumke; Adrian N Dauphinee; Jeffrey S Davies; Valeria A Dávila; Roger J Davis; Tanja Davis; Sharadha Dayalan Naidu; Francesca De Amicis; Karolien De Bosscher; Francesca De Felice; Lucia De Franceschi; Chiara De Leonibus; Mayara G de Mattos Barbosa; Guido R Y De Meyer; Angelo De Milito; Cosimo De Nunzio; Clara De Palma; Mauro De Santi; Claudio De Virgilio; Daniela De Zio; Jayanta Debnath; Brian J DeBosch; Jean-Paul Decuypere; Mark A Deehan; Gianluca Deflorian; James DeGregori; Benjamin Dehay; Gabriel Del Rio; Joe R Delaney; Lea M D Delbridge; Elizabeth Delorme-Axford; M Victoria Delpino; Francesca Demarchi; Vilma Dembitz; Nicholas D Demers; Hongbin Deng; Zhiqiang Deng; Joern Dengjel; Paul Dent; Donna Denton; Melvin L DePamphilis; Channing J Der; Vojo Deretic; Albert Descoteaux; Laura Devis; Sushil Devkota; Olivier Devuyst; Grant Dewson; Mahendiran Dharmasivam; Rohan Dhiman; Diego di Bernardo; Manlio Di Cristina; Fabio Di Domenico; Pietro Di Fazio; Alessio Di Fonzo; Giovanni Di Guardo; Gianni M Di Guglielmo; Luca Di Leo; Chiara Di Malta; Alessia Di Nardo; Martina Di Rienzo; Federica Di Sano; George Diallinas; Jiajie Diao; Guillermo Diaz-Araya; Inés Díaz-Laviada; Jared M Dickinson; Marc Diederich; Mélanie Dieudé; Ivan Dikic; Shiping Ding; Wen-Xing Ding; Luciana Dini; Jelena Dinić; Miroslav Dinic; Albena T Dinkova-Kostova; Marc S Dionne; Jörg H W Distler; Abhinav Diwan; Ian M C Dixon; Mojgan Djavaheri-Mergny; Ina Dobrinski; Oxana Dobrovinskaya; Radek Dobrowolski; Renwick C J Dobson; Jelena Đokić; Serap Dokmeci Emre; Massimo Donadelli; Bo Dong; Xiaonan Dong; Zhiwu Dong; Gerald W Dorn Ii; Volker Dotsch; Huan Dou; Juan Dou; Moataz Dowaidar; Sami Dridi; Liat Drucker; Ailian Du; Caigan Du; Guangwei Du; Hai-Ning Du; Li-Lin Du; André du Toit; Shao-Bin Duan; Xiaoqiong Duan; Sónia P Duarte; Anna Dubrovska; Elaine A Dunlop; Nicolas Dupont; Raúl V Durán; Bilikere S Dwarakanath; Sergey A Dyshlovoy; Darius Ebrahimi-Fakhari; Leopold Eckhart; Charles L Edelstein; Thomas Efferth; Eftekhar Eftekharpour; Ludwig Eichinger; Nabil Eid; Tobias Eisenberg; N Tony Eissa; Sanaa Eissa; Miriam Ejarque; Abdeljabar El Andaloussi; Nazira El-Hage; Shahenda El-Naggar; Anna Maria Eleuteri; Eman S El-Shafey; Mohamed Elgendy; Aristides G Eliopoulos; María M Elizalde; Philip M Elks; Hans-Peter Elsasser; Eslam S Elsherbiny; Brooke M Emerling; N C Tolga Emre; Christina H Eng; Nikolai Engedal; Anna-Mart Engelbrecht; Agnete S T Engelsen; Jorrit M Enserink; Ricardo Escalante; Audrey Esclatine; Mafalda Escobar-Henriques; Eeva-Liisa Eskelinen; Lucile Espert; Makandjou-Ola Eusebio; Gemma Fabrias; Cinzia Fabrizi; Antonio Facchiano; Francesco Facchiano; Bengt Fadeel; Claudio Fader; Alex C Faesen; W Douglas Fairlie; Alberto Falcó; Bjorn H Falkenburger; Daping Fan; Jie Fan; Yanbo Fan; Evandro F Fang; Yanshan Fang; Yognqi Fang; Manolis Fanto; Tamar Farfel-Becker; Mathias Faure; Gholamreza Fazeli; Anthony O Fedele; Arthur M Feldman; Du Feng; Jiachun Feng; Lifeng Feng; Yibin Feng; Yuchen Feng; Wei Feng; Thais Fenz Araujo; Thomas A Ferguson; Álvaro F Fernández; Jose C Fernandez-Checa; Sonia Fernández-Veledo; Alisdair R Fernie; Anthony W Ferrante; Alessandra Ferraresi; Merari F Ferrari; Julio C B Ferreira; Susan Ferro-Novick; Antonio Figueras; Riccardo Filadi; Nicoletta Filigheddu; Eduardo Filippi-Chiela; Giuseppe Filomeni; Gian Maria Fimia; Vittorio Fineschi; Francesca Finetti; Steven Finkbeiner; Edward A Fisher; Paul B Fisher; Flavio Flamigni; Steven J Fliesler; Trude H Flo; Ida Florance; Oliver Florey; Tullio Florio; Erika Fodor; Carlo Follo; Edward A Fon; Antonella Forlino; Francesco Fornai; Paola Fortini; Anna Fracassi; Alessandro Fraldi; Brunella Franco; Rodrigo Franco; Flavia Franconi; Lisa B Frankel; Scott L Friedman; Leopold F Fröhlich; Gema Frühbeck; Jose M Fuentes; Yukio Fujiki; Naonobu Fujita; Yuuki Fujiwara; Mitsunori Fukuda; Simone Fulda; Luc Furic; Norihiko Furuya; Carmela Fusco; Michaela U Gack; Lidia Gaffke; Sehamuddin Galadari; Alessia Galasso; Maria F Galindo; Sachith Gallolu Kankanamalage; Lorenzo Galluzzi; Vincent Galy; Noor Gammoh; Boyi Gan; Ian G Ganley; Feng Gao; Hui Gao; Minghui Gao; Ping Gao; Shou-Jiang Gao; Wentao Gao; Xiaobo Gao; Ana Garcera; Maria Noé Garcia; Verónica E Garcia; Francisco García-Del Portillo; Vega Garcia-Escudero; Aracely Garcia-Garcia; Marina Garcia-Macia; Diana García-Moreno; Carmen Garcia-Ruiz; Patricia García-Sanz; Abhishek D Garg; Ricardo Gargini; Tina Garofalo; Robert F Garry; Nils C Gassen; Damian Gatica; Liang Ge; Wanzhong Ge; Ruth Geiss-Friedlander; Cecilia Gelfi; Pascal Genschik; Ian E Gentle; Valeria Gerbino; Christoph Gerhardt; Kyla Germain; Marc Germain; David A Gewirtz; Elham Ghasemipour Afshar; Saeid Ghavami; Alessandra Ghigo; Manosij Ghosh; Georgios Giamas; Claudia Giampietri; Alexandra Giatromanolaki; Gary E Gibson; Spencer B Gibson; Vanessa Ginet; Edward Giniger; Carlotta Giorgi; Henrique Girao; Stephen E Girardin; Mridhula Giridharan; Sandy Giuliano; Cecilia Giulivi; Sylvie Giuriato; Julien Giustiniani; Alexander Gluschko; Veit Goder; Alexander Goginashvili; Jakub Golab; David C Goldstone; Anna Golebiewska; Luciana R Gomes; Rodrigo Gomez; Rubén Gómez-Sánchez; Maria Catalina Gomez-Puerto; Raquel Gomez-Sintes; Qingqiu Gong; Felix M Goni; Javier González-Gallego; Tomas Gonzalez-Hernandez; Rosa A Gonzalez-Polo; Jose A Gonzalez-Reyes; Patricia González-Rodríguez; Ing Swie Goping; Marina S Gorbatyuk; Nikolai V Gorbunov; Kıvanç Görgülü; Roxana M Gorojod; Sharon M Gorski; Sandro Goruppi; Cecilia Gotor; Roberta A Gottlieb; Illana Gozes; Devrim Gozuacik; Martin Graef; Markus H Gräler; Veronica Granatiero; Daniel Grasso; Joshua P Gray; Douglas R Green; Alexander Greenhough; Stephen L Gregory; Edward F Griffin; Mark W Grinstaff; Frederic Gros; Charles Grose; Angelina S Gross; Florian Gruber; Paolo Grumati; Tilman Grune; Xueyan Gu; Jun-Lin Guan; Carlos M Guardia; Kishore Guda; Flora Guerra; Consuelo Guerri; Prasun Guha; Carlos Guillén; Shashi Gujar; Anna Gukovskaya; Ilya Gukovsky; Jan Gunst; Andreas Günther; Anyonya R Guntur; Chuanyong Guo; Chun Guo; Hongqing Guo; Lian-Wang Guo; Ming Guo; Pawan Gupta; Shashi Kumar Gupta; Swapnil Gupta; Veer Bala Gupta; Vivek Gupta; Asa B Gustafsson; David D Gutterman; Ranjitha H B; Annakaisa Haapasalo; James E Haber; Aleksandra Hać; Shinji Hadano; Anders J Hafrén; Mansour Haidar; Belinda S Hall; Gunnel Halldén; Anne Hamacher-Brady; Andrea Hamann; Maho Hamasaki; Weidong Han; Malene Hansen; Phyllis I Hanson; Zijian Hao; Masaru Harada; Ljubica Harhaji-Trajkovic; Nirmala Hariharan; Nigil Haroon; James Harris; Takafumi Hasegawa; Noor Hasima Nagoor; Jeffrey A Haspel; Volker Haucke; Wayne D Hawkins; Bruce A Hay; Cole M Haynes; Soren B Hayrabedyan; Thomas S Hays; Congcong He; Qin He; Rong-Rong He; You-Wen He; Yu-Ying He; Yasser Heakal; Alexander M Heberle; J Fielding Hejtmancik; Gudmundur Vignir Helgason; Vanessa Henkel; Marc Herb; Alexander Hergovich; Anna Herman-Antosiewicz; Agustín Hernández; Carlos Hernandez; Sergio Hernandez-Diaz; Virginia Hernandez-Gea; Amaury Herpin; Judit Herreros; Javier H Hervás; Daniel Hesselson; Claudio Hetz; Volker T Heussler; Yujiro Higuchi; Sabine Hilfiker; Joseph A Hill; William S Hlavacek; Emmanuel A Ho; Idy H T Ho; Philip Wing-Lok Ho; Shu-Leong Ho; Wan Yun Ho; G Aaron Hobbs; Mark Hochstrasser; Peter H M Hoet; Daniel Hofius; Paul Hofman; Annika Höhn; Carina I Holmberg; Jose R Hombrebueno; Chang-Won Hong Yi-Ren Hong; Lora V Hooper; Thorsten Hoppe; Rastislav Horos; Yujin Hoshida; I-Lun Hsin; Hsin-Yun Hsu; Bing Hu; Dong Hu; Li-Fang Hu; Ming Chang Hu; Ronggui Hu; Wei Hu; Yu-Chen Hu; Zhuo-Wei Hu; Fang Hua; Jinlian Hua; Yingqi Hua; Chongmin Huan; Canhua Huang; Chuanshu Huang; Chuanxin Huang; Chunling Huang; Haishan Huang; Kun Huang; Michael L H Huang; Rui Huang; Shan Huang; Tianzhi Huang; Xing Huang; Yuxiang Jack Huang; Tobias B Huber; Virginie Hubert; Christian A Hubner; Stephanie M Hughes; William E Hughes; Magali Humbert; Gerhard Hummer; James H Hurley; Sabah Hussain; Salik Hussain; Patrick J Hussey; Martina Hutabarat; Hui-Yun Hwang; Seungmin Hwang; Antonio Ieni; Fumiyo Ikeda; Yusuke Imagawa; Yuzuru Imai; Carol Imbriano; Masaya Imoto; Denise M Inman; Ken Inoki; Juan Iovanna; Renato V Iozzo; Giuseppe Ippolito; Javier E Irazoqui; Pablo Iribarren; Mohd Ishaq; Makoto Ishikawa; Nestor Ishimwe; Ciro Isidoro; Nahed Ismail; Shohreh Issazadeh-Navikas; Eisuke Itakura; Daisuke Ito; Davor Ivankovic; Saška Ivanova; Anand Krishnan V Iyer; José M Izquierdo; Masanori Izumi; Marja Jäättelä; Majid Sakhi Jabir; William T Jackson; Nadia Jacobo-Herrera; Anne-Claire Jacomin; Elise Jacquin; Pooja Jadiya; Hartmut Jaeschke; Chinnaswamy Jagannath; Arjen J Jakobi; Johan Jakobsson; Bassam Janji; Pidder Jansen-Dürr; Patric J Jansson; Jonathan Jantsch; Sławomir Januszewski; Alagie Jassey; Steve Jean; Hélène Jeltsch-David; Pavla Jendelova; Andreas Jenny; Thomas E Jensen; Niels Jessen; Jenna L Jewell; Jing Ji; Lijun Jia; Rui Jia; Liwen Jiang; Qing Jiang; Richeng Jiang; Teng Jiang; Xuejun Jiang; Yu Jiang; Maria Jimenez-Sanchez; Eun-Jung Jin; Fengyan Jin; Hongchuan Jin; Li Jin; Luqi Jin; Meiyan Jin; Si Jin; Eun-Kyeong Jo; Carine Joffre; Terje Johansen; Gail V W Johnson; Simon A Johnston; Eija Jokitalo; Mohit Kumar Jolly; Leo A B Joosten; Joaquin Jordan; Bertrand Joseph; Dianwen Ju; Jeong-Sun Ju; Jingfang Ju; Esmeralda Juárez; Delphine Judith; Gábor Juhász; Youngsoo Jun; Chang Hwa Jung; Sung-Chul Jung; Yong Keun Jung; Heinz Jungbluth; Johannes Jungverdorben; Steffen Just; Kai Kaarniranta; Allen Kaasik; Tomohiro Kabuta; Daniel Kaganovich; Alon Kahana; Renate Kain; Shinjo Kajimura; Maria Kalamvoki; Manjula Kalia; Danuta S Kalinowski; Nina Kaludercic; Ioanna Kalvari; Joanna Kaminska; Vitaliy O Kaminskyy; Hiromitsu Kanamori; Keizo Kanasaki; Chanhee Kang; Rui Kang; Sang Sun Kang; Senthilvelrajan Kaniyappan; Tomotake Kanki; Thirumala-Devi Kanneganti; Anumantha G Kanthasamy; Arthi Kanthasamy; Marc Kantorow; Orsolya Kapuy; Michalis V Karamouzis; Md Razaul Karim; Parimal Karmakar; Rajesh G Katare; Masaru Kato; Stefan H E Kaufmann; Anu Kauppinen; Gur P Kaushal; Susmita Kaushik; Kiyoshi Kawasaki; Kemal Kazan; Po-Yuan Ke; Damien J Keating; Ursula Keber; John H Kehrl; Kate E Keller; Christian W Keller; Jongsook Kim Kemper; Candia M Kenific; Oliver Kepp; Stephanie Kermorgant; Andreas Kern; Robin Ketteler; Tom G Keulers; Boris Khalfin; Hany Khalil; Bilon Khambu; Shahid Y Khan; Vinoth Kumar Megraj Khandelwal; Rekha Khandia; Widuri Kho; Noopur V Khobrekar; Sataree Khuansuwan; Mukhran Khundadze; Samuel A Killackey; Dasol Kim; Deok Ryong Kim; Do-Hyung Kim; Dong-Eun Kim; Eun Young Kim; Eun-Kyoung Kim; Hak-Rim Kim; Hee-Sik Kim; Jeong Hun Kim; Jin Kyung Kim; Jin-Hoi Kim; Joungmok Kim; Ju Hwan Kim; Keun Il Kim; Peter K Kim; Seong-Jun Kim; Scot R Kimball; Adi Kimchi; Alec C Kimmelman; Tomonori Kimura; Matthew A King; Kerri J Kinghorn; Conan G Kinsey; Vladimir Kirkin; Lorrie A Kirshenbaum; Sergey L Kiselev; Shuji Kishi; Katsuhiko Kitamoto; Yasushi Kitaoka; Kaio Kitazato; Richard N Kitsis; Josef T Kittler; Ole Kjaerulff; Peter S Klein; Thomas Klopstock; Jochen Klucken; Helene Knævelsrud; Roland L Knorr; Ben C B Ko; Fred Ko; Jiunn-Liang Ko; Hotaka Kobayashi; Satoru Kobayashi; Ina Koch; Jan C Koch; Ulrich Koenig; Donat Kögel; Young Ho Koh; Masato Koike; Sepp D Kohlwein; Nur M Kocaturk; Masaaki Komatsu; Jeannette König; Toru Kono; Benjamin T Kopp; Tamas Korcsmaros; Gözde Korkmaz; Viktor I Korolchuk; Mónica Suárez Korsnes; Ali Koskela; Janaiah Kota; Yaichiro Kotake; Monica L Kotler; Yanjun Kou; Michael I Koukourakis; Evangelos Koustas; Attila L Kovacs; Tibor Kovács; Daisuke Koya; Tomohiro Kozako; Claudine Kraft; Dimitri Krainc; Helmut Krämer; Anna D Krasnodembskaya; Carole Kretz-Remy; Guido Kroemer; Nicholas T Ktistakis; Kazuyuki Kuchitsu; Sabine Kuenen; Lars Kuerschner; Thomas Kukar; Ajay Kumar; Ashok Kumar; Deepak Kumar; Dhiraj Kumar; Sharad Kumar; Shinji Kume; Caroline Kumsta; Chanakya N Kundu; Mondira Kundu; Ajaikumar B Kunnumakkara; Lukasz Kurgan; Tatiana G Kutateladze; Ozlem Kutlu; SeongAe Kwak; Ho Jeong Kwon; Taeg Kyu Kwon; Yong Tae Kwon; Irene Kyrmizi; Albert La Spada; Patrick Labonté; Sylvain Ladoire; Ilaria Laface; Frank Lafont; Diane C Lagace; Vikramjit Lahiri; Zhibing Lai; Angela S Laird; Aparna Lakkaraju; Trond Lamark; Sheng-Hui Lan; Ane Landajuela; Darius J R Lane; Jon D Lane; Charles H Lang; Carsten Lange; Ülo Langel; Rupert Langer; Pierre Lapaquette; Jocelyn Laporte; Nicholas F LaRusso; Isabel Lastres-Becker; Wilson Chun Yu Lau; Gordon W Laurie; Sergio Lavandero; Betty Yuen Kwan Law; Helen Ka-Wai Law; Rob Layfield; Weidong Le; Herve Le Stunff; Alexandre Y Leary; Jean-Jacques Lebrun; Lionel Y W Leck; Jean-Philippe Leduc-Gaudet; Changwook Lee; Chung-Pei Lee; Da-Hye Lee; Edward B Lee; Erinna F Lee; Gyun Min Lee; He-Jin Lee; Heung Kyu Lee; Jae Man Lee; Jason S Lee; Jin-A Lee; Joo-Yong Lee; Jun Hee Lee; Michael Lee; Min Goo Lee; Min Jae Lee; Myung-Shik Lee; Sang Yoon Lee; Seung-Jae Lee; Stella Y Lee; Sung Bae Lee; Won Hee Lee; Ying-Ray Lee; Yong-Ho Lee; Youngil Lee; Christophe Lefebvre; Renaud Legouis; Yu L Lei; Yuchen Lei; Sergey Leikin; Gerd Leitinger; Leticia Lemus; Shuilong Leng; Olivia Lenoir; Guido Lenz; Heinz Josef Lenz; Paola Lenzi; Yolanda León; Andréia M Leopoldino; Christoph Leschczyk; Stina Leskelä; Elisabeth Letellier; Chi-Ting Leung; Po Sing Leung; Jeremy S Leventhal; Beth Levine; Patrick A Lewis; Klaus Ley; Bin Li; Da-Qiang Li; Jianming Li; Jing Li; Jiong Li; Ke Li; Liwu Li; Mei Li; Min Li; Min Li; Ming Li; Mingchuan Li; Pin-Lan Li; Ming-Qing Li; Qing Li; Sheng Li; Tiangang Li; Wei Li; Wenming Li; Xue Li; Yi-Ping Li; Yuan Li; Zhiqiang Li; Zhiyong Li; Zhiyuan Li; Jiqin Lian; Chengyu Liang; Qiangrong Liang; Weicheng Liang; Yongheng Liang; YongTian Liang; Guanghong Liao; Lujian Liao; Mingzhi Liao; Yung-Feng Liao; Mariangela Librizzi; Pearl P Y Lie; Mary A Lilly; Hyunjung J Lim; Thania R R Lima; Federica Limana; Chao Lin; Chih-Wen Lin; Dar-Shong Lin; Fu-Cheng Lin; Jiandie D Lin; Kurt M Lin; Kwang-Huei Lin; Liang-Tzung Lin; Pei-Hui Lin; Qiong Lin; Shaofeng Lin; Su-Ju Lin; Wenyu Lin; Xueying Lin; Yao-Xin Lin; Yee-Shin Lin; Rafael Linden; Paula Lindner; Shuo-Chien Ling; Paul Lingor; Amelia K Linnemann; Yih-Cherng Liou; Marta M Lipinski; Saška Lipovšek; Vitor A Lira; Natalia Lisiak; Paloma B Liton; Chao Liu; Ching-Hsuan Liu; Chun-Feng Liu; Cui Hua Liu; Fang Liu; Hao Liu; Hsiao-Sheng Liu; Hua-Feng Liu; Huifang Liu; Jia Liu; Jing Liu; Julia Liu; Leyuan Liu; Longhua Liu; Meilian Liu; Qin Liu; Wei Liu; Wende Liu; Xiao-Hong Liu; Xiaodong Liu; Xingguo Liu; Xu Liu; Xuedong Liu; Yanfen Liu; Yang Liu; Yang Liu; Yueyang Liu; Yule Liu; J Andrew Livingston; Gerard Lizard; Jose M Lizcano; Senka Ljubojevic-Holzer; Matilde E LLeonart; David Llobet-Navàs; Alicia Llorente; Chih Hung Lo; Damián Lobato-Márquez; Qi Long; Yun Chau Long; Ben Loos; Julia A Loos; Manuela G López; Guillermo López-Doménech; José Antonio López-Guerrero; Ana T López-Jiménez; Óscar López-Pérez; Israel López-Valero; Magdalena J Lorenowicz; Mar Lorente; Peter Lorincz; Laura Lossi; Sophie Lotersztajn; Penny E Lovat; Jonathan F Lovell; Alenka Lovy; Péter Lőw; Guang Lu; Haocheng Lu; Jia-Hong Lu; Jin-Jian Lu; Mengji Lu; Shuyan Lu; Alessandro Luciani; John M Lucocq; Paula Ludovico; Micah A Luftig; Morten Luhr; Diego Luis-Ravelo; Julian J Lum; Liany Luna-Dulcey; Anders H Lund; Viktor K Lund; Jan D Lünemann; Patrick Lüningschrör; Honglin Luo; Rongcan Luo; Shouqing Luo; Zhi Luo; Claudio Luparello; Bernhard Lüscher; Luan Luu; Alex Lyakhovich; Konstantin G Lyamzaev; Alf Håkon Lystad; Lyubomyr Lytvynchuk; Alvin C Ma; Changle Ma; Mengxiao Ma; Ning-Fang Ma; Quan-Hong Ma; Xinliang Ma; Yueyun Ma; Zhenyi Ma; Ormond A MacDougald; Fernando Macian; Gustavo C MacIntosh; Jeffrey P MacKeigan; Kay F Macleod; Sandra Maday; Frank Madeo; Muniswamy Madesh; Tobias Madl; Julio Madrigal-Matute; Akiko Maeda; Yasuhiro Maejima; Marta Magarinos; Poornima Mahavadi; Emiliano Maiani; Kenneth Maiese; Panchanan Maiti; Maria Chiara Maiuri; Barbara Majello; Michael B Major; Elena Makareeva; Fayaz Malik; Karthik Mallilankaraman; Walter Malorni; Alina Maloyan; Najiba Mammadova; Gene Chi Wai Man; Federico Manai; Joseph D Mancias; Eva-Maria Mandelkow; Michael A Mandell; Angelo A Manfredi; Masoud H Manjili; Ravi Manjithaya; Patricio Manque; Bella B Manshian; Raquel Manzano; Claudia Manzoni; Kai Mao; Cinzia Marchese; Sandrine Marchetti; Anna Maria Marconi; Fabrizio Marcucci; Stefania Mardente; Olga A Mareninova; Marta Margeta; Muriel Mari; Sara Marinelli; Oliviero Marinelli; Guillermo Mariño; Sofia Mariotto; Richard S Marshall; Mark R Marten; Sascha Martens; Alexandre P J Martin; Katie R Martin; Sara Martin; Shaun Martin; Adrián Martín-Segura; Miguel A Martín-Acebes; Inmaculada Martin-Burriel; Marcos Martin-Rincon; Paloma Martin-Sanz; José A Martina; Wim Martinet; Aitor Martinez; Ana Martinez; Jennifer Martinez; Moises Martinez Velazquez; Nuria Martinez-Lopez; Marta Martinez-Vicente; Daniel O Martins; Joilson O Martins; Waleska K Martins; Tania Martins-Marques; Emanuele Marzetti; Shashank Masaldan; Celine Masclaux-Daubresse; Douglas G Mashek; Valentina Massa; Lourdes Massieu; Glenn R Masson; Laura Masuelli; Anatoliy I Masyuk; Tetyana V Masyuk; Paola Matarrese; Ander Matheu; Satoaki Matoba; Sachiko Matsuzaki; Pamela Mattar; Alessandro Matte; Domenico Mattoscio; José L Mauriz; Mario Mauthe; Caroline Mauvezin; Emanual Maverakis; Paola Maycotte; Johanna Mayer; Gianluigi Mazzoccoli; Cristina Mazzoni; Joseph R Mazzulli; Nami McCarty; Christine McDonald; Mitchell R McGill; Sharon L McKenna; BethAnn McLaughlin; Fionn McLoughlin; Mark A McNiven; Thomas G McWilliams; Fatima Mechta-Grigoriou; Tania Catarina Medeiros; Diego L Medina; Lynn A Megeney; Klara Megyeri; Maryam Mehrpour; Jawahar L Mehta; Alfred J Meijer; Annemarie H Meijer; Jakob Mejlvang; Alicia Meléndez; Annette Melk; Gonen Memisoglu; Alexandrina F Mendes; Delong Meng; Fei Meng; Tian Meng; Rubem Menna-Barreto; Manoj B Menon; Carol Mercer; Anne E Mercier; Jean-Louis Mergny; Adalberto Merighi; Seth D Merkley; Giuseppe Merla; Volker Meske; Ana Cecilia Mestre; Shree Padma Metur; Christian Meyer; Hemmo Meyer; Wenyi Mi; Jeanne Mialet-Perez; Junying Miao; Lucia Micale; Yasuo Miki; Enrico Milan; Małgorzata Milczarek; Dana L Miller; Samuel I Miller; Silke Miller; Steven W Millward; Ira Milosevic; Elena A Minina; Hamed Mirzaei; Hamid Reza Mirzaei; Mehdi Mirzaei; Amit Mishra; Nandita Mishra; Paras Kumar Mishra; Maja Misirkic Marjanovic; Roberta Misasi; Amit Misra; Gabriella Misso; Claire Mitchell; Geraldine Mitou; Tetsuji Miura; Shigeki Miyamoto; Makoto Miyazaki; Mitsunori Miyazaki; Taiga Miyazaki; Keisuke Miyazawa; Noboru Mizushima; Trine H Mogensen; Baharia Mograbi; Reza Mohammadinejad; Yasir Mohamud; Abhishek Mohanty; Sipra Mohapatra; Torsten Möhlmann; Asif Mohmmed; Anna Moles; Kelle H Moley; Maurizio Molinari; Vincenzo Mollace; Andreas Buch Møller; Bertrand Mollereau; Faustino Mollinedo; Costanza Montagna; Mervyn J Monteiro; Andrea Montella; L Ruth Montes; Barbara Montico; Vinod K Mony; Giacomo Monzio Compagnoni; Michael N Moore; Mohammad A Moosavi; Ana L Mora; Marina Mora; David Morales-Alamo; Rosario Moratalla; Paula I Moreira; Elena Morelli; Sandra Moreno; Daniel Moreno-Blas; Viviana Moresi; Benjamin Morga; Alwena H Morgan; Fabrice Morin; Hideaki Morishita; Orson L Moritz; Mariko Moriyama; Yuji Moriyasu; Manuela Morleo; Eugenia Morselli; Jose F Moruno-Manchon; Jorge Moscat; Serge Mostowy; Elisa Motori; Andrea Felinto Moura; Naima Moustaid-Moussa; Maria Mrakovcic; Gabriel Muciño-Hernández; Anupam Mukherjee; Subhadip Mukhopadhyay; Jean M Mulcahy Levy; Victoriano Mulero; 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Siegfried Reipert; Rokeya Sultana Rekha; Hongmei Ren; Jun Ren; Weichao Ren; Tristan Renault; Giorgia Renga; Karen Reue; Kim Rewitz; Bruna Ribeiro de Andrade Ramos; S Amer Riazuddin; Teresa M Ribeiro-Rodrigues; Jean-Ehrland Ricci; Romeo Ricci; Victoria Riccio; Des R Richardson; Yasuko Rikihisa; Makarand V Risbud; Ruth M Risueño; Konstantinos Ritis; Salvatore Rizza; Rosario Rizzuto; Helen C Roberts; Luke D Roberts; Katherine J Robinson; Maria Carmela Roccheri; Stephane Rocchi; George G Rodney; Tiago Rodrigues; Vagner Ramon Rodrigues Silva; Amaia Rodriguez; Ruth Rodriguez-Barrueco; Nieves Rodriguez-Henche; Humberto Rodriguez-Rocha; Jeroen Roelofs; Robert S Rogers; Vladimir V Rogov; Ana I Rojo; Krzysztof Rolka; Vanina Romanello; Luigina Romani; Alessandra Romano; Patricia S Romano; David Romeo-Guitart; Luis C Romero; Montserrat Romero; Joseph C Roney; Christopher Rongo; Sante Roperto; Mathias T Rosenfeldt; Philip Rosenstiel; Anne G Rosenwald; Kevin A Roth; Lynn Roth; Steven Roth; Kasper M A Rouschop; 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Laura Segatori; Nava Segev; Per O Seglen; Iban Seiliez; Ekihiro Seki; Scott B Selleck; Frank W Sellke; Joshua T Selsby; Michael Sendtner; Serif Senturk; Elena Seranova; Consolato Sergi; Ruth Serra-Moreno; Hiromi Sesaki; Carmine Settembre; Subba Rao Gangi Setty; Gianluca Sgarbi; Ou Sha; John J Shacka; Javeed A Shah; Dantong Shang; Changshun Shao; Feng Shao; Soroush Sharbati; Lisa M Sharkey; Dipali Sharma; Gaurav Sharma; Kulbhushan Sharma; Pawan Sharma; Surendra Sharma; Han-Ming Shen; Hongtao Shen; Jiangang Shen; Ming Shen; Weili Shen; Zheni Shen; Rui Sheng; Zhi Sheng; Zu-Hang Sheng; Jianjian Shi; Xiaobing Shi; Ying-Hong Shi; Kahori Shiba-Fukushima; Jeng-Jer Shieh; Yohta Shimada; Shigeomi Shimizu; Makoto Shimozawa; Takahiro Shintani; Christopher J Shoemaker; Shahla Shojaei; Ikuo Shoji; Bhupendra V Shravage; Viji Shridhar; Chih-Wen Shu; Hong-Bing Shu; Ke Shui; Arvind K Shukla; Timothy E Shutt; Valentina Sica; Aleem Siddiqui; Amanda Sierra; Virginia Sierra-Torre; Santiago Signorelli; Payel Sil; 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Motomasa Tanaka; Daolin Tang; Jingfeng Tang; Tie-Shan Tang; Isei Tanida; Zhipeng Tao; Mohammed Taouis; Lars Tatenhorst; Nektarios Tavernarakis; Allen Taylor; Gregory A Taylor; Joan M Taylor; Elena Tchetina; Andrew R Tee; Irmgard Tegeder; David Teis; Natercia Teixeira; Fatima Teixeira-Clerc; Kumsal A Tekirdag; Tewin Tencomnao; Sandra Tenreiro; Alexei V Tepikin; Pilar S Testillano; Gianluca Tettamanti; Pierre-Louis Tharaux; Kathrin Thedieck; Arvind A Thekkinghat; Stefano Thellung; Josephine W Thinwa; V P Thirumalaikumar; Sufi Mary Thomas; Paul G Thomes; Andrew Thorburn; Lipi Thukral; Thomas Thum; Michael Thumm; Ling Tian; Ales Tichy; Andreas Till; Vincent Timmerman; Vladimir I Titorenko; Sokol V Todi; Krassimira Todorova; Janne M Toivonen; Luana Tomaipitinca; Dhanendra Tomar; Cristina Tomas-Zapico; Sergej Tomić; Benjamin Chun-Kit Tong; Chao Tong; Xin Tong; Sharon A Tooze; Maria L Torgersen; Satoru Torii; Liliana Torres-López; Alicia Torriglia; Christina G Towers; Roberto Towns; Shinya Toyokuni; 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Bo Wang; Chao-Yung Wang; Chen Wang; Chenran Wang; Chenwei Wang; Cun-Yu Wang; Dong Wang; Fangyang Wang; Feng Wang; Fengming Wang; Guansong Wang; Han Wang; Hao Wang; Hexiang Wang; Hong-Gang Wang; Jianrong Wang; Jigang Wang; Jiou Wang; Jundong Wang; Kui Wang; Lianrong Wang; Liming Wang; Maggie Haitian Wang; Meiqing Wang; Nanbu Wang; Pengwei Wang; Peipei Wang; Ping Wang; Ping Wang; Qing Jun Wang; Qing Wang; Qing Kenneth Wang; Qiong A Wang; Wen-Tao Wang; Wuyang Wang; Xinnan Wang; Xuejun Wang; Yan Wang; Yanchang Wang; Yanzhuang Wang; Yen-Yun Wang; Yihua Wang; Yipeng Wang; Yu Wang; Yuqi Wang; Zhe Wang; Zhenyu Wang; Zhouguang Wang; Gary Warnes; Verena Warnsmann; Hirotaka Watada; Eizo Watanabe; Maxinne Watchon; Anna Wawrzyńska; Timothy E Weaver; Grzegorz Wegrzyn; Ann M Wehman; Huafeng Wei; Lei Wei; Taotao Wei; Yongjie Wei; Oliver H Weiergräber; Conrad C Weihl; Günther Weindl; Ralf Weiskirchen; Alan Wells; Runxia H Wen; Xin Wen; Antonia Werner; Beatrice Weykopf; Sally P Wheatley; J Lindsay Whitton; Alexander J Whitworth; Katarzyna Wiktorska; Manon E Wildenberg; Tom Wileman; Simon Wilkinson; Dieter Willbold; Brett Williams; Robin S B Williams; Roger L Williams; Peter R Williamson; Richard A Wilson; Beate Winner; Nathaniel J Winsor; Steven S Witkin; Harald Wodrich; Ute Woehlbier; Thomas Wollert; Esther Wong; Jack Ho Wong; Richard W Wong; Vincent Kam Wai Wong; W Wei-Lynn Wong; An-Guo Wu; Chengbiao Wu; Jian Wu; Junfang Wu; Kenneth K Wu; Min Wu; Shan-Ying Wu; Shengzhou Wu; Shu-Yan Wu; Shufang Wu; William K K Wu; Xiaohong Wu; Xiaoqing Wu; Yao-Wen Wu; Yihua Wu; Ramnik J Xavier; Hongguang Xia; Lixin Xia; Zhengyuan Xia; Ge Xiang; Jin Xiang; Mingliang Xiang; Wei Xiang; Bin Xiao; Guozhi Xiao; Hengyi Xiao; Hong-Tao Xiao; Jian Xiao; Lan Xiao; Shi Xiao; Yin Xiao; Baoming Xie; Chuan-Ming Xie; Min Xie; Yuxiang Xie; Zhiping Xie; Zhonglin Xie; Maria Xilouri; Congfeng Xu; En Xu; Haoxing Xu; Jing Xu; JinRong Xu; Liang Xu; Wen Wen Xu; Xiulong Xu; Yu Xue; Sokhna M S Yakhine-Diop; Masamitsu Yamaguchi; Osamu Yamaguchi; Ai Yamamoto; Shunhei Yamashina; Shengmin Yan; Shian-Jang Yan; Zhen Yan; Yasuo Yanagi; Chuanbin Yang; Dun-Sheng Yang; Huan Yang; Huang-Tian Yang; Hui Yang; Jin-Ming Yang; Jing Yang; Jingyu Yang; Ling Yang; Liu Yang; Ming Yang; Pei-Ming Yang; Qian Yang; Seungwon Yang; Shu Yang; Shun-Fa Yang; Wannian Yang; Wei Yuan Yang; Xiaoyong Yang; Xuesong Yang; Yi Yang; Ying Yang; Honghong Yao; Shenggen Yao; Xiaoqiang Yao; Yong-Gang Yao; Yong-Ming Yao; Takahiro Yasui; Meysam Yazdankhah; Paul M Yen; Cong Yi; Xiao-Ming Yin; Yanhai Yin; Zhangyuan Yin; Ziyi Yin; Meidan Ying; Zheng Ying; Calvin K Yip; Stephanie Pei Tung Yiu; Young H Yoo; Kiyotsugu Yoshida; Saori R Yoshii; Tamotsu Yoshimori; Bahman Yousefi; Boxuan Yu; Haiyang Yu; Jun Yu; Jun Yu; Li Yu; Ming-Lung Yu; Seong-Woon Yu; Victor C Yu; W Haung Yu; Zhengping Yu; Zhou Yu; Junying Yuan; Ling-Qing Yuan; Shilin Yuan; Shyng-Shiou F Yuan; Yanggang Yuan; Zengqiang Yuan; Jianbo Yue; Zhenyu Yue; Jeanho Yun; Raymond L Yung; David N Zacks; Gabriele Zaffagnini; Vanessa O Zambelli; Isabella Zanella; Qun S Zang; Sara Zanivan; Silvia Zappavigna; Pilar Zaragoza; Konstantinos S Zarbalis; Amir Zarebkohan; Amira Zarrouk; Scott O Zeitlin; Jialiu Zeng; Ju-Deng Zeng; Eva Žerovnik; Lixuan Zhan; Bin Zhang; Donna D Zhang; Hanlin Zhang; Hong Zhang; Hong Zhang; Honghe Zhang; Huafeng Zhang; Huaye Zhang; Hui Zhang; Hui-Ling Zhang; Jianbin Zhang; Jianhua Zhang; Jing-Pu Zhang; Kalin Y B Zhang; Leshuai W Zhang; Lin Zhang; Lisheng Zhang; Lu Zhang; Luoying Zhang; Menghuan Zhang; Peng Zhang; Sheng Zhang; Wei Zhang; Xiangnan Zhang; Xiao-Wei Zhang; Xiaolei Zhang; Xiaoyan Zhang; Xin Zhang; Xinxin Zhang; Xu Dong Zhang; Yang Zhang; Yanjin Zhang; Yi Zhang; Ying-Dong Zhang; Yingmei Zhang; Yuan-Yuan Zhang; Yuchen Zhang; Zhe Zhang; Zhengguang Zhang; Zhibing Zhang; Zhihai Zhang; Zhiyong Zhang; Zili Zhang; Haobin Zhao; Lei Zhao; Shuang Zhao; Tongbiao Zhao; Xiao-Fan Zhao; Ying Zhao; Yongchao Zhao; Yongliang Zhao; Yuting Zhao; Guoping Zheng; Kai Zheng; Ling Zheng; Shizhong Zheng; Xi-Long Zheng; Yi Zheng; Zu-Guo Zheng; Boris Zhivotovsky; Qing Zhong; Ao Zhou; Ben Zhou; Cefan Zhou; Gang Zhou; Hao Zhou; Hong Zhou; Hongbo Zhou; Jie Zhou; Jing Zhou; Jing Zhou; Jiyong Zhou; Kailiang Zhou; Rongjia Zhou; Xu-Jie Zhou; Yanshuang Zhou; Yinghong Zhou; Yubin Zhou; Zheng-Yu Zhou; Zhou Zhou; Binglin Zhu; Changlian Zhu; Guo-Qing Zhu; Haining Zhu; Hongxin Zhu; Hua Zhu; Wei-Guo Zhu; Yanping Zhu; Yushan Zhu; Haixia Zhuang; Xiaohong Zhuang; Katarzyna Zientara-Rytter; Christine M Zimmermann; Elena Ziviani; Teresa Zoladek; Wei-Xing Zong; Dmitry B Zorov; Antonio Zorzano; Weiping Zou; Zhen Zou; Zhengzhi Zou; Steven Zuryn; Werner Zwerschke; Beate Brand-Saberi; X Charlie Dong; Chandra Shekar Kenchappa; Zuguo Li; Yong Lin; Shigeru Oshima; Yueguang Rong; Judith C Sluimer; Christina L Stallings; Chun-Kit Tong
Journal:  Autophagy       Date:  2021-02-08       Impact factor: 13.391

3.  Melanoma in a patient with previously unrecognized Birt-Hogg-Dubé syndrome.

Authors:  Somaira Nowsheen; Jennifer L Hand; Lawrence E Gibson; Rokea A El-Azhary
Journal:  JAAD Case Rep       Date:  2019-10-24

4.  Loss of chaperone-mediated autophagy is associated with low vertebral cancellous bone mass.

Authors:  Nisreen Akel; Ryan S MacLeod; Stuart B Berryhill; Dominique J Laster; Milena Dimori; Julie A Crawford; Qiang Fu; Melda Onal
Journal:  Sci Rep       Date:  2022-02-24       Impact factor: 4.379

5.  Germline FOXJ2 overexpression causes male infertility via aberrant autophagy activation by LAMP2A upregulation.

Authors:  Fu-Rong Bai; Qi-Qian Wu; Yu-Jie Wu; Yan-Qin Hu; Zhi-Xuan Jiang; Hao Lv; Wen-Zhe Qian; Chang Cai; Jing-Wen Wu
Journal:  Cell Death Dis       Date:  2022-07-30       Impact factor: 9.685

Review 6.  Autophagy in the Immunosuppressive Perivascular Microenvironment of Glioblastoma.

Authors:  Maria L Molina; David García-Bernal; Salvador Martinez; Rut Valdor
Journal:  Cancers (Basel)       Date:  2019-12-31       Impact factor: 6.639

  6 in total

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