International Journal of Frontiers in Medicine, 2025, 7(4); doi: 10.25236/IJFM.2025.070408.
Bing Xu1,2,4, Zhe Wang1,2, Juerong Chen3, Zhijiang Zou1,2, Kehan Chen1,2, Guo'ao Zhou1,2, Wei He1,2
1School of Stomatology, Zunyi Medical University, Zunyi City, Guizhou Province, China
2Hospital of Stomatology, Zunyi Medical University, Zunyi City, Guizhou Province, China
3Yuebei People's Hospital, Shaoguan City, Guangdong Province, China
4Huanggang Polytechnic College, Huanggang City, Hubei Province, China
This study aims to investigate the mechanism by which dexamethasone regulates autophagy in mouse embryonic palatal mesenchymal cells, thereby providing a theoretical basis for the prevention of cleft palate. In vitro, the 14.5-day palatine mesenchymal cells of C57BL/6J mouse embryos were extracted and cultured in vitro and the 14.5-day palatine mesenchymal cells were randomly divided into control (CON) group and dexamethasone (DEX) groups according to the intervention conditions. The number of autophagosomes or autophagolysosomes in each group was observed by transmission electron microscopy. Western blot was used to detect the protein expression changes of PI3K, p-PI3K, AKT, p-AKT, mTOR, LKB1, p-LKB1, p38MAPK, p-p38MAPK and autophagy markers LC3Ⅱ/I, P62 and Beclin 1. Transmission electron microscopy results showed that the number of autophagosomes/autophagolysosomes was significantly reduced in the DEX group compared with the CON group (P<0.05). Western blot results showed that compared with the CON group, Beclin 1 was reduced in DEX group, p62 was increased (P<0.05), and there was no significant change in LC3Ⅱ/I expression (P>0.05); PI3K/AKT/mTOR signaling pathway was significantly inhibited in DEX group (PI3K, p-PI3K, AKT, p-AKT, mTOR expression was decreased, P<0.05), and LKB1 signaling pathway and p38MAPK signaling pathway were significantly activated ((LKB1, p-LKB1, p38MAPK, p-p38MAPK, p-p38MAPK, P<0.05). DEX may be activated by inhibiting the PI3K/AKT/mTOR pathway, and p38MAPK pathway inhibits autophagy of mouse embryonic palatal mesenchymal cells.
Dexamethasone; Cleft Palate; PI3K/AKT/Mtor/LKB1/P38mapk Signaling Pathway; Cell Autophagy
Bing Xu, Zhe Wang, Juerong Chen, Zhijiang Zou, Kehan Chen, Guo'ao Zhou, Wei He. Regulation of Autophagy in Mouse Embryonic Palatal Mesenchymal Cells by Dexamethasone through the PI3K/AKT Pathway. International Journal of Frontiers in Medicine (2025), Vol. 7, Issue 4: 50-58. https://doi.org/10.25236/IJFM.2025.070408.
[1] MOSSEY P A, LITTLE J, MUNGER R G, et al. Cleft lip and palate [J]. Lancet (London, England), 2009, 374(9703): 1773-1785.
[2] RAHIMOV F, NIEMINEN P, KUMARI P, et al. High incidence and geographic distribution of cleft palate in Finland are associated with the IRF6 gene [J]. Nature communications, 2024, 15(1): 9568.
[3] DUAN S, ZHENG Q, SHI B, et al. Distribution of ABO and Rh Blood Groups in Tibetan and Han Populations With Cleft Lip and Palate in a Tertiary Hospital in Western China[J]. Journal of Sichuan University Medical science edition, 2024, 55(4): 932-8
[4] SLOTS J, SLOTS V. Severe periodontitis and congenital cytomegalovirus: Cleft lip and cleft palate [J]. Periodontology 2000, 2024, 96(1): 185-8.
[5] MADAMSETTY V S, MOHAMMADINEJAD R, UZIELIENE I, et al. Dexamethasone: Insights into Pharmacological Aspects, Therapeutic Mechanisms, and Delivery Systems [J]. ACS biomaterials science & engineering, 2022, 8(5): 1763-1790.
[6] DERNOVICS Á, SEPRéNYI G, RáZGA Z, et al. Phenol-Soluble Modulin α3 Stimulates Autophagy in HaCaT Keratinocytes [J]. Biomedicines, 2023, 11(11).
[7] Wang L, Zhang H Y, Gao B, et al. Tetramethylpyrazine Protects Against Glucocorticoid-Induced Apoptosis by Promoting Autophagy in Mesenchymal Stem Cells and Improves Bone Mass in Glucocorticoid-Induced Osteoporosis Rats [J]. Stem cells and development, 2017, 26(6): 419-430.
[8] ULSCHMID C M, SUN M R, JABBARPOUR C R, et al. Disruption of DNA methylation-mediated cranial neural crest proliferation and differentiation causes orofacial clefts in mice [J]. Proceedings of the National Academy of Sciences of the United States of America, 2024, 121(3): e2317668121.
[9] HE W, MENG T, WU M, et al. Perturbation of Fgf10 signal pathway in mouse embryonic palate by dexamethasone and vitamin B12 in vivo [J]. Journal of pediatric surgery, 2010, 45(10): 2030-2035.
[10] CHEN J R, CHEN J J, LIU M, et al. Study on Shh-related signaling factors in mouse embryonic palatal processes under dexamethasone and vitamin B12 intervention [J]. Journal of Chongqing Medical University, 2021, 46(12): 1454-1459.
[11] CHEN J R, GUO J N, HE W. Research progress on the relationship between primary cilia and autophagy [J]. Journal of Medical Postgraduates, 2021, 34(4): 405-408.
[12] LIAN S B, CHEN J R, QU G L, et al. Effect of Shh signaling pathway alteration on autophagy in mouse embryonic palatal mesenchymal cells [J]. Journal of Chongqing Medical University, 2023, 48(4): 375-380.
[13] FENG Y, CHEN Y, WU X, et al. Interplay of energy metabolism and autophagy [J]. Autophagy, 2024, 20(1): 4-14.
[14] YAO R, SHEN J. Chaperone-mediated autophagy: Molecular mechanisms, biological functions, and diseases [J]. MedComm, 2023, 4(5): e347.
[15] FAN S, YUE L, WAN W, et al. Inhibition of Autophagy by a Small Molecule through Covalent Modification of the LC3 Protein [J]. Angewandte Chemie (International ed in English), 2021, 60(50): 26105-26114.
[16] SHU X, DONG Z, SHU S. AMBRA1-mediated autophagy and apoptosis associated with an epithelial-mesenchymal transition in the development of cleft palate induced by all-trans retinoic acid [J]. Annals of translational medicine, 2019, 7(7): 128.
[17] CHEN J, YAO Y, WANG X, et al. Chloroquine regulates the proliferation and apoptosis of palate development on mice embryo by activating P53 through blocking autophagy in vitro [J]. In vitro cellular & developmental biology Animal, 2022, 58(7): 558-570.
[18] CHEN J, YAO Y, WANG Y, et al. Autophagy triggered by the ROS/ERK signaling pathway protects mouse embryonic palatal cells from apoptosis induced by nicotine [J]. Environmental science and pollution research international, 2022, 29(54): 81909-81922.
[19] LUO H, IEONG H C, LI R, et al. Lhx6 deficiency causes human embryonic palatal mesenchymal cell mitophagy dysfunction in cleft palate [J]. Molecular medicine (Cambridge, Mass), 2024, 30(1): 183.
[20] SHI L, LI B, ZHANG B, et al. Mouse embryonic palatal mesenchymal cells maintain stemness through the PTEN-Akt-mTOR autophagic pathway [J]. Stem cell research & therapy, 2019, 10(1): 217.
[21] CHAKRABORTY J, CAICCI F, ROY M, et al. Investigating mitochondrial autophagy by routine transmission electron microscopy: Seeing is believing? [J]. Pharmacological research, 2020, 160: 105097.
[22] LI X, LI Y S, LI L J, et al. Overactivated autophagy contributes to steroid-induced avascular necrosis of the femoral head [J]. Experimental and therapeutic medicine, 2017, 14(1): 367-372.
[23] YANG X, JIANG T, WANG Y, et al. The Role and Mechanism of SIRT1 in Resveratrol-regulated Osteoblast Autophagy in Osteoporosis Rats [J]. Scientific reports, 2019, 9(1): 18424.
[24] TEWARI D, PATNI P, BISHAYEE A, et al. Natural products targeting the PI3K-Akt-mTOR signaling pathway in cancer: A novel therapeutic strategy [J]. Seminars in cancer biology, 2022, 80: 1-17.
[25] YU F F, ZHOU J J, YANG J, et al. Investigation of the inhibitory effect and mechanisms of isorhamnetin on oral squamous cell carcinoma based on network pharmacology and molecular docking [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2025, 33(1): 14–23.
[26] WANG X, JIA J. Magnolol improves Alzheimer's disease-like pathologies and cognitive decline by promoting autophagy through activation of the AMPK/mTOR/ULK1 pathway [J]. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023, 161: 114473.
[27] LIN M, HUA R, MA J, et al. Bisphenol A promotes autophagy in ovarian granulosa cells by inducing AMPK/mTOR/ULK1 signalling pathway [J]. Environment international, 2021, 147: 106298.
[28] Huang J, Ye Y, Xiao Y, et al. Geniposide ameliorates glucocorticoid-induced osteoblast apoptosis by activating autophagy [J]. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2022, 155: 113829.
[29] WANG Y, PING Z, GAO H, et al. LYC inhibits the AKT signaling pathway to activate autophagy and ameliorate TGFB-induced renal fibrosis [J]. Autophagy, 2024, 20(5): 1114-1133.
[30] LI R, ZHENG Y, ZHANG J, et al. Gomisin N attenuated cerebral ischemia-reperfusion injury through inhibition of autophagy by activating the PI3K/AKT/mTOR pathway [J]. Phytomedicine : international journal of phytotherapy and phytopharmacology, 2023, 110: 154644.
[31] LI J, JIANG M, YU Z, et al. Artemisinin relieves osteoarthritis by activating mitochondrial autophagy through reducing TNFSF11 expression and inhibiting PI3K/AKT/mTOR signaling in cartilage [J]. Cellular & molecular biology letters, 2022, 27(1): 62.
[32] XU X, FANG Y, NOWSHEEN S, et al. Regulation of AMPK activation by extracellular matrix stiffness in pancreatic cancer [J]. Genes & diseases, 2024, 11(3): 101035.
[33] SU X, SUN T, LI M, et al. Lkb1 aggravates diffuse large B-cell lymphoma by promoting the function of Treg cells and immune escape [J]. Journal of translational medicine, 2022, 20(1): 378.
[34] LIU G Y, SABATINI D M. mTOR at the nexus of nutrition, growth, ageing and disease [J]. Nature reviews Molecular cell biology, 2020, 21(4): 183-203.
[35] LU Q B, DING Y, LIU Y, et al. Metrnl ameliorates diabetic cardiomyopathy via inactivation of cGAS/STING signaling dependent on LKB1/AMPK/ULK1-mediated autophagy [J]. Journal of advanced research, 2023, 51: 161-179.
[36] LIU C, WANG X, WANG X, et al. A new LKB1 activator, piericidin analogue S14, retards renal fibrosis through promoting autophagy and mitochondrial homeostasis in renal tubular epithelial cells [J]. Theranostics, 2022, 12(16): 7158-7179.
[37] CHENG H S, CHONG Y K, LIM E K Y, et al. Dual p38MAPK and MEK inhibition disrupts adaptive chemoresistance in mesenchymal glioblastoma to temozolomide [J]. Neuro-oncology, 2024, 26(7): 1247-1261.
[38] QUATRINI L, UGOLINI S. New insights into the cell- and tissue-specificity of glucocorticoid actions [J]. Cellular & molecular immunology, 2021, 18(2): 269-278.
[39] MOON H, WHITE A C, BOROWSKY A D. New insights into the functions of Cox-2 in skin and esophageal malignancies [J]. Experimental & molecular medicine, 2020, 52(4): 538-547.
[40] HE Y, SHE H, ZHANG T, et al. p38 MAPK inhibits autophagy and promotes microglial inflammatory responses by phosphorylating ULK1 [J]. The Journal of cell biology, 2018, 217(1): 315-328.
[41] O'CONNELL C E, VASSILEV A. Combined Inhibition of p38MAPK and PIKfyve Synergistically Disrupts Autophagy to Selectively Target Cancer Cells [J]. Cancer research, 2021, 81(11): 2903-2917.
[42] Sun C, Gao X, Sha S, et al. Berberine alleviates Alzheimer's disease by activating autophagy and inhibiting ferroptosis through the JNK-p38MAPK signaling pathway [J]. International immunopharmacology, 2025, 155: 114550.
[43] WANG B, PAREEK G, KUNDU M. ULK/Atg1: phasing in and out of autophagy [J]. Trends in biochemical sciences, 2024, 49(6): 494-505.
[44] WANG B, MAXWELL B A, JOO J H, et al. ULK1 and ULK2 Regulate Stress Granule Disassembly Through Phosphorylation and Activation of VCP/p97 [J]. Molecular cell, 2019, 74(4): 742-757.e8.
[45] KIM J, KUNDU M, VIOLLET B, et al. AMPK and mTOR regulate autophagy through direct phosphorylation of Ulk1 [J]. Nature cell biology, 2011, 13(2): 132-141.