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Autosis is a Na + ,K + -ATPase–regulated form of cell death triggered by autophagy-inducing peptides, starvation, and hypoxia–ischemia
Open accessAbstract
Significance: We show that the selective overactivation of autophagy can cause cell death with unique morphological features distinct from apoptosis or necrosis. This unique type of autophagic cell death, termed “autosis,” occurs not only in vitro but also in vivo in cerebral hypoxia–ischemia. Moreover, autosis is inhibited both in vitro and in vivo by cardiac glycosides, which are Na + ,K + -ATPase antagonists used in clinical medicine. Our findings contribute to the basic understanding of cell-death mechanisms and suggest strategies for protecting cells against stresses such as hypoxia–ischemia.
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“Corroborating the physiological relevance of this process, the administration of Na+/K+-ATPase inhibitors such as cardiac glycosides, confers neuroprotection in a rat model of neonatal hypoxia-ischemia [851].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [851]
In the citing paper
“Autosis is a specific variant of autophagy-dependent cell death that relies on the plasma membrane Na+/K+-ATPase [851].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [851]
In the citing paper
“On the one hand, RCD constitutes a primary etiological determinant in diseases associated with the irreversible loss of post-mitotic tissues (e.g., myocardial infarction, neurodegeneration) [687, 752, 851, 869, 1035, 1036].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [851]
In the citing paper
“We found that GC reduced the autophagic gene expression including key genes associated with autophagy induction, such as Atg7 and Beclin 1[45], by 1-5 folds”
From Prevention of glucocorticoid induced bone changes with beta-ecdysone (2015) · cites this paper as [45]
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Paraptosis and Other Types of Nonapoptotic Regulated Cell Death
Solovieva, M. E., Shatalin, Y. V., & Акатов, В. С. (2024) · BIOPHYSICS · doi:10.1134/s0006350924700763 · Cited by 3
Tang, D., & Kang, R. (2015) · InTech eBooks · doi:10.5772/61208 · Cited by 3
Chu, T., Dai, C., Li, X., Gao, L., Yin, H., & Ge, J. (2022) · Biomaterials Advances · doi:10.1016/j.bioadv.2022.212836 · Cited by 3
Autophagy Inhibition as a Strategy for Cancer Therapy
Ma, X., Piao, S., Mcafee, Q. W., & Amaravadi, R. K. (2016) · Wiley eBooks · doi:10.1002/9781118978320.ch13 · Cited by 3
Biological Impacts of Essential Amino Acid Deficiency on Human Gingival Fibroblast
Yoshimura, K., Kato, H., Azuma, H., Nakata, T., Takahashi, T., & Umeda, M. (2025) · Journal of Hard Tissue Biology · doi:10.2485/jhtb.34.29 · Cited by 2
Wang, M., ら左結腸曲にかけての挿入法を重点的に, S. 状., Wang, T., Sun, M., Wu, Q., Wu, X., Lu, G., Su, P., Gao, Z., & Chen, Q. (2025) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2025.1599746 · Cited by 2
Boaru, D. L., Castro-Martinez, P. D., García-Montero, C., Fraile‐Μartinez, O., Alhaddadin, M. N. M., Barrena-Blázquez, S., López-González, L., Tasende, C., Hurtado, R. A., Giménez, T. R., et al. (2026) · MedComm · doi:10.1002/mco2.70844 · Cited by 2
Krishna, S., & Overholtzer, M. (2014) · Nature Cell Biology · doi:10.1038/ncb3059 · Cited by 2
Amer, E. I., El‐Azzouni, M. Z., El-Bannan, R. T., Shalaby, T. I. A., Achy, S. E., & Gomaa, M. M. (2021) · Acta Tropica · doi:10.1016/j.actatropica.2021.106231 · Cited by 2
Expression levels of ROS and Atg proteins in the vitreous in rhegmatogenous retinal detachment
Huang, N., Li, J., Lü, X., Zhu, H.-M., & Dong, K. (2023) · International Journal of Ophthalmology · doi:10.18240/ijo.2023.03.03 · Cited by 2
Banjac, K., Obradovic, M. M., Zafirovic, S. S., & Isenović, E. R. (2024) · Archives of Medical Science · doi:10.5114/aoms/177618 · Cited by 2
“Some evidence points to the essential role of sodium/potassium-adenosine triphosphates (Na + /K + -ATPase) in autosis because, along with autophagy inhibitors, Na + /K + -ATPase antagonists prevent autosis [2, 4].”
BackgroundInfluentialAuddy, S. S., Gupta, S., Mandi, S., Sharma, H., Sinha, S., & Goswami, R. K. (2024) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.4c00237 · Cited by 2
The Role of Autophagy in the Pathogenesis of Atherosclerosis
Hur, S.-K., Park, S., & Oh, G. T. (2016) · Journal of Lipid and Atherosclerosis · doi:10.12997/jla.2016.5.1.1 · Cited by 2
“오토파지의 지나친 활성은 보호 작용이 아닌 세포 자살(apoptosis), 세포 괴사(necrosis)와는 다른 독특 한 형태를 가진 오토시스(autosis) 혹은 오토파지에 의한 세포 사멸(autophagic cell death)이라 불리는 세포 사멸(cell death) 을 유발한다.(16,17) 하지만 아직까지 이러한 용어는 오토파지와 세포 사멸(cell death)간의 관계에 대한 증거가 부족하고 설득력이 없어 논란이 많다.”
Inflammation from the Standpoint of Leukocytes
Maru, Y. (2016) · Springer eBooks · doi:10.1007/978-4-431-56024-1_2 · Cited by 2
Cell Death in Alcohol-Induced Liver Injury
Chao, X., Wang, S., & Ding, W. (2017) · Springer eBooks · doi:10.1007/978-3-319-53774-0_6 · Cited by 2
Goncalves, S., Perez, E. R., Bas, E., Dinh, C. T., & Water, T. R. V. D. (2018) · Springer eBooks · doi:10.1007/978-3-319-92507-3_9 · Cited by 2
Shi, Z., Xu, T., Hu, C., Zan, R., Zhang, Y., Jia, G., & Jin, L. (2023) · Medicine · doi:10.1097/md.0000000000035961 · Cited by 2
Galluzzi, L., Pedro, J. M. B., & Kroemer, G. (2017) · Methods in enzymology on CD-ROM/Methods in enzymology · doi:10.1016/s0076-6879(17)30062-9 · Cited by 2
A Balance Between Autophagy and Other Cell Death Modalities in Cancer
Gorbunova, A. S., Kopeina, G. S., & Zhivotovsky, B. (2022) · Methods in molecular biology · doi:10.1007/978-1-0716-2071-7_1 · Cited by 1
Modes of Chemically Induced Cell Death
Aki, T., Unuma, K., Funakoshi, T., & Uemura, K. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-95488-4.00013-9 · Cited by 1
Autophagy and Intracellular Membrane Dynamics in Aging and Age-Related Diseases
Minami, S., Nakamura, S., & Yoshimori, T. (2025) · Learning materials in biosciences · doi:10.1007/978-3-031-88121-3_7 · Cited by 1
Visualizing and mapping cell death: Biochemical tools, techniques and assays
Soni, S., Tiwari, A. K., Singh, A. P., & Upadhyay, A. (2025) · Progress in molecular biology and translational science · doi:10.1016/bs.pmbts.2025.06.018 · Cited by 1
Metadata
- Authors
- Liu, Y., Shoji-Kawata, S., Sumpter, R. M., Wei, Y., Ginet, V., Zhang, L., Posner, B., Tran, K. A., Green, D. R., Xavier, R. J., Shaw, S. Y., Clarke, P. G. H., Puyal, J., & Levine, B.
- Affiliations
- Center for Autophagy Research,
- Howard Hughes Medical Institute (US)
- University of Lausanne (CH)
- Biochemistry, and
- Center for Systems Biology (US)
- St. Jude Children's Research Hospital (US)
- Broad Institute (US)
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2013-11-25
- Volume
- 110
- Issue
- 51
- Pages
- 20364-20371
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3870705
- OpenAlex
- W2145084709
- Cited by
- 607
- References
- 35
- Citations by year
- 2026: 33 · 2025: 48 · 2024: 38 · 2023: 51 · 2022: 46 · 2021: 58 · 2020: 50 · 2019: 51 · 2018: 43 · 2017: 58 · 2016: 47 · 2015: 43 · 2014: 38
- FWCI
- 31.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (acceptedVersion, other-oa)
- IRIS (submittedVersion)
- Funders
- National Science Foundation (310030)
- Howard Hughes Medical Institute
- McKnight Foundation
- University of Texas Southwestern Medical Center
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (130769, 310030)
- Université de Lausanne
- National Institutes of Health (HHSN268201000044C, 5p01ca095471-10, 1P01CA95471-09)
- U.S. Public Health Service (R01 A140646)
- National Heart, Lung, and Blood Institute (HHSN268201000044C)
- National Cancer Institute (P01 CA95471, P01-CA095471, R01CA169291, CA109618, HHSN268201000044C, (CA142543), R01CA109618, P30CA142543)
- National Institute of Allergy and Infectious Diseases (R01AI040646, U54AI057156)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- autophagic cell death, Na+/K+-ATPase, Beclin-1, starvation, hypoxia-ischemia, hippocampal neurons, cardiac glycosides, Na+/K+-ATPase alpha1 subunit, autophagosomes, cell death regulation
- MeSH terms
- Sodium-Potassium-Exchanging ATPase, Animals, Autophagy, Cardiac Glycosides, Brain Ischemia, HeLa Cells, Humans, Nerve Tissue Proteins, Rats, Cell-Penetrating Peptides
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