Gemcitabine (GEM) drug resistance remains a difficult challenge in pancreatic ductal
adenocarcinoma (PDAC) treatment. Therefore, identifying a safe and effective treatment strategy for PDAC is urgent.
Lucidone is a natural compound extracted from the fruits of Lindera erythrocarpa Makino. However, the role of
lucidone in PDAC inhibition remains unclear. In addition, high-mobility group box 1 (
HMGB1) and
receptor for advanced glycation end products (RAGE) are involved in
multidrug resistance protein 1 (MDR1) regulation and GEM resistance. Thus, this study aimed to explore the function of
lucidone in
tumor cytotoxicity and chemosensitivity through the suppression of RAGE-initiated signaling in PDAC cells. The data showed that
lucidone significantly promoted apoptotic cell death and inhibited the expression of autophagic
proteins (Atg5,
Beclin-1, LC3-II, and Vps34) and MDR1 by inhibiting the
HMGB1/RAGE/PI3K/Akt axis in both MIA Paca-2 cells and MIA Paca-2GEMR cells (GEM-resistant cells). Notably, convincing data were also obtained in experiments involving RAGE-specific
siRNA transfection. In addition, remarkable cell proliferation was observed
after treatment with
lucidone combined with GEM, particularly in MIA Paca-2GEMR cells, indicating that
lucidone treatment enhanced chemosensitivity. Collectively, this study provided the underlying mechanism by which
lucidone treatment inhibited
HMGB1/RAGE-initiated PI3K/Akt/MDR1 signaling and consequently enhanced chemosensitivity in PDAC.