Abstract:Objective To investigate the role of sirtuin-3/forkhead box O3 (SIRT3/FOXO3) pathway in radiotherapy resistance of lung cancer A549 cells.Methods The lung cancer A549 cells were cultured in vitro, and the control group (A549 cells), radiotherapy group (A549 cells + X-ray irradiation), SIRT3 inhibitor (3-TYP) group (A549 cells + 50 μmol/L 3-TYP), and X-ray + 3-TYP group (A549 cells + X-ray irradiation + 50 μmol/L 3-TYP) were set up. The proliferation of A549 cells was detected by cell counting kit-8 (CCK-8); the apoptosis and cell cycle distribution of A549 cells were detected by flow cytometry; and the expressions of SIRT3, FOXO3, B-cell lymphoma 2 (Bcl-2) and Bcl-2-associated X protein (Bax) proteins in A549 cells were detected by Western blotting.Results Compared with the control group, the optical density (OD) value of A549 cells, the proportions of A549 cells in S, G2/M phases and the expression level of Bcl-2 protein in the radiotherapy group and X-ray + 3-TYP group were lower (P < 0.05), while the apoptosis rate, the proportion of A549 cells in G0/G1 phase, and the expression levels of SIRT3, FOXO3, and Bax proteins were higher (P < 0.05). Compared with the radiotherapy group, the OD value of A549 cells, the proportions of A549 cells in S, G2/M phases and the expression level of Bcl-2 protein in the 3-TYP group and X-ray + 3-TYP group were higher (P < 0.05), while the apoptosis rate, the proportion of A549 cells in G0/G1 phase, and the expression levels of SIRT3, FOXO3, and Bax proteins were lower (P < 0.05). Compared with the 3-TYP group, the OD value of A549 cells, the proportions of A549 cells in S, G2/M phases and the expression level of Bcl-2 protein in the X-ray + 3-TYP group were lower (P < 0.05), while the apoptosis rate, the proportion of A549 cells in G0/G1 phase, and the expression levels of SIRT3, FOXO3, and Bax proteins were higher (P < 0.05).Conclusions The resistance of A549 cells to radiotherapy may be related to the inhibition of SIRT3/FOXO3 pathway.