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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Physiology</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Physiology</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский физиологический журнал им. И.М. Сеченова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-8139</issn><issn publication-format="electronic">2658-655X</issn><publisher><publisher-name xml:lang="en">The Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">679314</article-id><article-id pub-id-type="doi">10.31857/S0869813925020115</article-id><article-id pub-id-type="edn">UIEOFT</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>EXPERIMENTAL ARTICLES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ЭКСПЕРИМЕНТАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Effect of Chloroquine on Expression of Apoptosis and Autophagy Genes in MOLT-3 and IMR-32 Cells</article-title><trans-title-group xml:lang="ru"><trans-title>Влияние хлорохина на экспрессию генов апоптоза и аутофагии в клетках MOLT-3 и IMR-32</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Prokopenko</surname><given-names>E. S.</given-names></name><name xml:lang="ru"><surname>Прокопенко</surname><given-names>Е. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nagalak@mail.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sokolova</surname><given-names>T. V.</given-names></name><name xml:lang="ru"><surname>Соколова</surname><given-names>Т. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nagalak@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nadey</surname><given-names>O. V.</given-names></name><name xml:lang="ru"><surname>Надей</surname><given-names>О. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nagalak@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Trubnikova</surname><given-names>A. D.</given-names></name><name xml:lang="ru"><surname>Трубникова</surname><given-names>А. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nagalak@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Agalakova</surname><given-names>N. I.</given-names></name><name xml:lang="ru"><surname>Агалакова</surname><given-names>Н. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nagalak@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Sechenov Institute of Evolutionary Physiology and Biochemistry of the RAS</institution></aff><aff><institution xml:lang="ru">Институт эволюционной физиологии и биохимии им. И.М. Сеченова РАН</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Saint Petersburg State University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-02-16" publication-format="electronic"><day>16</day><month>02</month><year>2025</year></pub-date><volume>111</volume><issue>2</issue><issue-title xml:lang="ru"/><fpage>349</fpage><lpage>364</lpage><history><date date-type="received" iso-8601-date="2025-05-09"><day>09</day><month>05</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Russian Academy of Sciences</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Российская академия наук</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Russian Academy of Sciences</copyright-holder><copyright-holder xml:lang="ru">Российская академия наук</copyright-holder></permissions><self-uri xlink:href="https://journals.eco-vector.com/0869-8139/article/view/679314">https://journals.eco-vector.com/0869-8139/article/view/679314</self-uri><abstract xml:lang="en"><p>The goal of the study was to compare an influence of chloroquine (CQ) on expression of apoptosis and autophagy genes in the cells of two tumor cells – leukemia MOLT-3 and neuroblastoma IMR-32 cultured in complete growth and serum-free RPMI-1640 and DMEM media, respectively, for 24 and 48 hours. The viability of cells was evaluated by MTT method, gene expression – by real time PCR. For MTT test, the cells were incubated with 10–100 µМ CQ. The expression of apoptosis (<italic>CASP3, BAX</italic>, <italic>BCL2</italic>) and autophagy (<italic>ULK1</italic>, <italic>BECN1</italic>, <italic>MAP1LC3B</italic>) genes was studied using 30 and 50 µМ CQ, which exerted considerable inhibitory effect on viability of cells of both lines, but did not promote their complete death. The sensitivity of both cell lines to CQ was higher in serum-free medium, however, the expression of apoptosis and autophagy genes substantially differed between them. In MOLT-3 cells, mRNA levels of pro-apoptotic genes <italic>CASP3 </italic>and <italic>BAX</italic> increased after 24-h incubation in serum-free medium, whereas in IMR-32 cells the expression of these genes increased only after 48-h in the presence of higher CQ concentration. In the cells of both lines 24-h CQ treatment resulted in enhanced expression of anti-apoptotic gene <italic>BCL2</italic>. In MOLT-3 cells, the absence of nutrients different combinations stimulated the genes of all three autophagy stages <italic>ULK1</italic>,<italic> BECN1</italic> и<italic> MAP1LC3B</italic>, but none of applied treatment schemes did not affect the expression of <italic>ULK1</italic> and <italic>MAP1LC3B</italic> genes in IMR-32 cells. Overall, 24-h culture with CQ under conditions of serum starvation appears to be more optimal for modulation of autophagy in MOLT-3 cells. In IMR-32 cells, CQ does not exert considerable influence on expression of autophagy genes, and their decreased viability is associated with activation of other mechanisms.</p></abstract><trans-abstract xml:lang="ru"><p>Целью исследования было сравнить влияние хлорохина (CQ) на экспрессию генов апоптоза и аутофагии в клетках двух опухолевых линий – лейкемии MOLT-3 и нейробластомы IMR-32, культивируемых в полных ростовых и бессывороточных средах RPMI-1640 и DMEM соответственно в течение 24 и 48 ч. Жизнеспособность клеток оценивали методом МТТ, экспрессию генов – методом ПЦР в реальном времени. Для теста МТТ клетки инкубировали с 10–100 мкМ CQ. Для изучения экспрессии генов апоптоза (<italic>CASP3, BAX</italic>, <italic>BCL2</italic>) и аутофагии (<italic>ULK1</italic>, <italic>BECN1</italic>, <italic>MAP1LC3B</italic>) использовали 30 и 50 мкМ CQ, которые оказывали значительный ингибирующий эффект на жизнеспособность клеток обеих линий, но не приводили к их полной гибели. Чувствительность клеток обеих линий к CQ была выше в бессывороточной среде, однако экспрессия генов апоптоза и аутофагии в них сильно различалась. В клетках MOLT-3 уровень мРНК проапоптотических генов <italic>CASP3 </italic>и <italic>BAX </italic>увеличивался после 24 ч инкубации в бессывороточной среде, в то время как в клетках IMR-32 повышение экспрессии этих генов наблюдалось только после 48 ч в присутствии более высокой концентрации CQ. В клетках обеих линий после 24-часовой обработки CQ увеличивалась экспрессия антиапоптотического гена <italic>BCL2</italic>. В клетках MOLT-3 в условиях недостатка питательных веществ наблюдались различные комбинации стимуляции генов всех трех этапов аутофагии <italic>ULK1</italic>,<italic> BECN1</italic> и<italic> MAP1LC3B</italic>, но ни одна из схем обработки не оказала влияния на экспрессию генов <italic>ULK1</italic> и <italic>MAP1LC3B</italic> в клетках IMR-32. Таким образом, 24-часовая обработка CQ в условиях сывороточного голодания является более оптимальной для модулирования аутофагии в клетках MOLT-3. В клетках IMR-32 CQ не оказывает значительного влияния на экспрессию генов аутофагии, а снижение их жизнеспособности связано с активацией других механизмов.</p></trans-abstract><kwd-group xml:lang="en"><kwd>MOLT-3</kwd><kwd>IMR-32</kwd><kwd>cell viability</kwd><kwd>apoptosis genes</kwd><kwd>autophagy genes</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>MOLT-3</kwd><kwd>IMR-32</kwd><kwd>жизнеспособность клеток</kwd><kwd>гены апоптоза</kwd><kwd>гены аутофагии</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Российский научный фонд</institution></institution-wrap><institution-wrap><institution xml:lang="en">Russian Science Foundation</institution></institution-wrap></funding-source><award-id>23-25-00316</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Chern YJ, Tai IT (2020) Adaptive response of resistant cancer cells to chemotherapy. Cancer Biol Med 17(4): 842–863. https://doi.org/10.20892/j.issn.2095-3941.2020.0005</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Weng X, Zeng WH, Zhong LY, Xie LH, Ge WJ, Lai Z, Qin Q, Liu P, Cao DL, Zeng X (2024) The molecular mechanisms of chemotherapeutic resistance in tumors (Review). Oncol Rep 52(5): 157. https://doi.org/10.3892/or.2024.8816</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Fong W, To KKW (2021) Repurposing chloroquine analogs as an adjuvant cancer therapy. Recent Pat. Anticancer Drug Discov 16(2): 204–221. https://doi.org/10.2174/1574892815666210106111012</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Mohsen S, Sobash PT, Algwaiz GF, Nasef N, Al-Zeidaneen SA, Karim NA (2022) Autophagy agents in clinical trials for cancer therapy: A brief review. Curr Oncol 29(3): 1695–1708. https://doi.org/10.3390/curroncol29030141</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Agalakova NI (2024) Chloroquine and chemotherapeutic compounds in experimental cancer treatment. Int J Mol Sci 25(2): 945. https://doi.org/10.3390/ijms25020945</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>De Sanctis JB, Charris J, Blanco Z, Ramírez H, Martínez GP, Mijares MR (2023) Molecular mechanisms of chloroquine and hydroxychloroquine used in cancer therapy. Anticancer Agents Med Chem 23(10): 1122–1144. https://doi.org/10.2174/1871520622666220519102948</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Hassan AM, Zhao Y, Chen X, He C (2024) Blockage of autophagy for cancer therapy: A comprehensive review. Int J Mol Sci. 25(13): 7459. https://doi.org/10.3390/ijms25137459</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Noguchi M, Hirata N, Tanaka T, Suizu F, Nakajima H, Chiorini JA (2020) Autophagy as a modulator of cell death machinery. Cell Death Dis 11: 517. https://doi.org/10.1038/s41419-020-2724-5</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Russell RC, Guan KL (2022) The multifaceted role of autophagy in cancer. EMBO J 41(13): e110031. https://doi.org/10.15252/embj.2021110031</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Hama Y, Ogasawara Y, Noda NN (2023) Autophagy and cancer: Basic mechanisms and inhibitor development. Cancer Sci 114(7): 2699–2708. https://doi.org/10.1111/cas.15803</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>He L, Zhang J, Zhao J, Ma N, Kim SW, Qiao S, Ma X (2018) Autophagy: The Last Defense against Cellular Nutritional Stress. Adv Nutr 9(4): 493–504. https://doi.org/10.1093/advances/nmy011</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Prerna K, Dubey VK (2022) Beclin1-mediated interplay between autophagy and apoptosis: New understanding. Int J Biol Macromol 204: 258–273. https://doi.org/10.1016/j.ijbiomac.2022.02.005</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Skrzeszewski M, Maciejewska M, Kobza D, Gawrylak A, Kieda C, Waś H (2024) Risk factors of using late-autophagy inhibitors: Aspects to consider when combined with anticancer therapies. Biochem Pharmacol 225: 116277. https://doi.org/10.1016/j.bcp.2024.116277</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Trubnikova AD, Prokopenko ES, Sokolova TV, Nadei OV, Agalakova NI (2023) Expression of apoptosis and autophagy genes in HeLa and Hek 293 cells under conditions of nutrient deprivation. J Evol Biochem Phys 59: 2304–2314. https://doi.org/10.1134/S0022093023060315</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Racz GA, Nagy N, Tovari J, Apati A, Vertessy BG (2021) Identification of new reference genes with stable expression patterns for gene expression studies using human cancer and normal cell lines. Sci Rep 11: 19459. https://doi.org/10.1038/s41598-021-98869-x</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Zhang T, Yu J, Cheng S, Zhang Y, Zhou CH, Qin J, Luo H (2023) Research progress on the anticancer molecular mechanism of targets regulating cell autophagy. Pharmacology 108(3): 224–237. https://doi.org/10.1159/000529279</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Rahman MA, Saikat AS, Rahman MS, Islam M, Parvez MA, Kim B (2023) Recent update and drug target in molecular and pharmacological insights into autophagy modulation in cancer treatment and future progress. Cells 12(3): 458. https://doi.org/10.3390/cells12030458</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Mulcahy Levy JM, Zahedi S, Griesinger AM, Morin A, Davies KD, Aisner DL, Kleinschmidt-DeMasters BK, Fitzwalter BE, Goodall ML, Thorburn J, Amani V, Donson AM, Birks DK, Mirsky DM, Hankinson TC, Handler MH, Green AL, Vibhakar R, Foreman NK, Thorburn A (2017) Autophagy inhibition overcomes multiple mechanisms of resistance to BRAF inhibition in brain tumors. Elife 6: e19671. https://doi.org/10.7554/eLife.19671</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Müller A, Weyerhäuser P, Berte N, Jonin F, Lyubarskyy B, Sprang B, Kantelhardt SR, Salinas G, Opitz L, Schulz-Schaeffer W, Giese A, Ella L, Kim EL (2023) Concurrent Activation of Both Survival-Promoting and Death-Inducing Signaling by Chloroquine in Glioblastoma Stem Cells: Implications for Potential Risks and Benefits of Using Chloroquine as Radiosensitizer. Cells 12(9): 1290. https://doi.org/10.3390/cells12091290</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Kazakova D, Shimamura M, Kurashige T, Hamada K, Nagayama Y (2022) Re-evaluation of the role of autophagy in thyroid cancer treatment. Endocr J 69(7): 847–862. https://doi.org/10.1507/endocrj.EJ22-0017</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Mauthe M, Orhon I, Rocchi C, Zhou X, Luhr M, Hijlkema KJ, Coppes RP, Engedal N, Mari M, Reggiori F (2018) Chloroquine inhibits autophagic flux by decreasing autophagosome-lysosome fusion. Autophagy 48: 1435–1455. https://doi.org/10.1080/15548627.2018.1474314</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Choi DS, Blanco E, Kim YS, Rodriguez AA, Zhao H, Huang TH, Chen CL, Jin G, Landis MD, Burey LA, Qian W, Granados SM, Dave B, Wong HH, Ferrari M, Wong ST, Chang JC (2014) Chloroquine eliminates cancer stem cells through deregulation of Jak2 and DNMT1. Stem Cells 32: 2309–2323. https://doi.org/10.1002/stem.1746</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Duarte D, Vale N (2016) New trends for antimalarial drugs: Synergism between antineoplastics and antimalarials on breast cancer cells. Biomolecules 10: 1623. https://doi.org/10.3390/biom10121623</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Liang DH, Choi DS, Ensor JE, Kaipparettu BA, Bass BL, Chang JC (2016) The autophagy inhibitor chloroquine targets cancer stem cells in triple negative breast cancer by inducing mitochondrial damage and impairing DNA break repair. Cancer Lett 376: 249–258. https://doi.org/10.1016/j.canlet.2016.04.002</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>El-Gowily AH, Loutfy SA, Ali EM, Mohamed TM, Mansour MA (2021) Tioconazole and chloroquine act synergistically to combat doxorubicin-induced toxicity via inactivation of PI3K/AKT/mTOR signaling mediated ROS-dependent apoptosis and autophagic flux inhibition in MCF-7 breast cancer cells. Pharmaceuticals (Basel) 14(3): 254. https://doi.org/10.3390/ph14030254</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Pagotto A, Pilotto G, Mazzoldi EL, Nicoletto MO, Frezzini S, Pastò A, Amadori A (2017) Autophagy inhibition reduces chemoresistance and tumorigenic potential of human ovarian cancer stem cells. Cell Death Dis 8(7): e2943. https://doi.org/10.1038/cddis.2017.327</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Fukuda T, Oda K, Wada-Hiraike O, Sone K, Inaba K, Ikeda Y, Miyasaka A, Kashiyama T, Tanikawa M, Arimoto T, Kuramoto H, Yano T, Kawana K, Osuga Y, Fujii T (2015) The anti-malarial chloroquine suppresses proliferation and overcomes cisplatin resistance of endometrial cancer cells via autophagy inhibition. Gynecol Oncol 137(3): 538–545. https://doi.org/10.1016/j.ygyno.2015.03.053</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Lin YC, Lin JF, Wen SI, Yang SC, Tsai TF, Chen HE, Chou KY, Hwang TI (2017) Chloroquine and hydroxychloroquine inhibit bladder cancer cell growth by targeting basal autophagy and enhancing apoptosis. Kaohsiung J Med Sci 33(5): 215–223. https://doi.org/10.1016/j.kjms.2017.01.004</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Fauzi YR, Nakahata S, Chilmi S, Ichikawa T, Nueangphuet P, Yamaguchi R, Nakamura T, Shimoda K, Morishita K (2021) Antitumor effects of chloroquine/hydroxychloroquine mediated by inhibition of the NF-κB signaling pathway through abrogation of autophagic p47 degradation in adult T-cell leukemia/lymphoma cells. PLoS One 16(8): e0256320. https://doi.org/10.1371/journal.pone.0256320</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Kim EL, Wüstenberg R, Rübsam A, Schmitz-Salue C, Warnecke G, Bücker EM, Pettkus N, Speidel D, Rohde V, Schulz-Schaeffer W, Deppert W, Giese A (2010) Chloroquine activates the p53 pathway and induces apoptosis in human glioma cells. Neuro-Oncol 12(4): 389–400. https://doi.org/10.1093/neuonc/nop046</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Hu T, Li P, Luo Z, Chen X, Zhang J, Wang C, Chen P, Dong Z (2016) Chloroquine inhibits hepatocellular carcinoma cell growth in vitro and in vivo. Oncol Rep 35(1): 43–49. https://doi.org/10.3892/or.2015.4380</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Lakhter AJ, Sahu RP, Sun Y, Kaufmann WK, Androphy EJ, Travers JB, Naidu SR (2013) Chloroquine promotes apoptosis in melanoma cells by inhibiting BH3 domain-mediated PUMA degradation. J Invest Dermatol 133(9): 2247–2254. https://doi.org/10.1038/jid.2013.56</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Balic A, Sørensen MD, Trabulo SM, Sainz B Jr, Cioffi M, Vieira CR, Miranda-Lorenzo I, Hidalgo M, Kleeff J, Erkan M, Heeschen C (2014) Chloroquine targets pancreatic cancer stem cells via inhibition of CXCR4 and hedgehog signaling. Mol Cancer Ther 13(7): 1758–1771. https://doi.org/10.1158/1535-7163.MCT-13-0948</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Niemann B, Puleo A, Stout C, Markel J, Boone BA (2022) Biologic functions of hydroxychloroquine in disease: from COVID-19 to cancer. Pharmaceutics 14: 2551. https://doi.org/.3390/ pharmaceutics14122551</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Nakano K, Masui T, Yogo A, Uchida Y, Sato A, Kasai Y, Nagai K, Anazawa T, Kawaguchi Y, Uemoto S (2020) Chloroquine induces apoptosis in pancreatic neuro‐endocrine neoplasms via endoplasmic reticulum stress. Endocr Relat Cancer 27: 431–439. https://doi.org/10.1530/ERC-20-0028</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Zalckvar E, Berissi H, Eisenstein M, Kimchi A (2009) Phosphorylation of Beclin 1 by DAP-kinase promotes autophagy by weakening its interactions with Bcl-2 and Bcl-XL. Autophagy 5(5): 720–722. https://doi.org/10.4161/auto.5.5.8625</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Ye J, Zhang J, Zhu Y, Wang L, Jiang X, Liu B, He G. (2023) Targeting autophagy and beyond: Deconvoluting the complexity of Beclin-1 from biological function to cancer therapy. Acta Pharm Sin B. 13(12): 4688–4714. https://doi.org/10.1016/j.apsb.2023.08.008</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Mattiolo P, Yuste VJ, Boix J, Ribas J (2015) Autophagy exacerbates caspase-dependent apoptotic cell death after short times of starvation. Biochem Pharmacol 98(4): 573–586. https://doi.org/10.1016/j.bcp.2015.09.021</mixed-citation></ref></ref-list></back></article>
