Autophagy · 2018 · 2.1K citations · 77 references
Life SciencesCell BiologyPharmacologyAutophagyCancer PharmacologyChemotherapyAutophagosome-lysosome FusionAutophagy In CancerAutophagy In DiseaseAutophagy ModulationAutophagy PharmacologyAutophagy RegulationAutophagic Flux ModulationAutophagic Flux RegulationAutophagy InhibitionAutophagy PathwayHydroxychloroquine TherapyHydroxychloroquine TreatmentLysosomal Degradation PathwaysProtease Inhibitors
. We show that CQ mainly inhibits autophagy by impairing autophagosome fusion with lysosomes rather than by affecting the acidity and/or degradative activity of this organelle. Furthermore, CQ induces an autophagy-independent severe disorganization of the Golgi and endo-lysosomal systems, which might contribute to the fusion impairment. Strikingly, HCQ-treated mice also show a Golgi disorganization in kidney and intestinal tissues. Altogether, our data reveal that CQ and HCQ are not bona fide surrogates for other types of late stage lysosomal inhibitors for in vivo experiments. Moreover, the multiple cellular alterations caused by CQ and HCQ call for caution when interpreting results obtained by blocking autophagy with this drug.
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