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Updated: Oct 9, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Caspase-3-dependent and caspase-3-independent pathways leading to chromatin DNA fragmentation in HL-60 cells
X W Meng1, M J Fraser, J M Feller
1Department of Immunology and Rheumatology, Sydney Children's Hospital and School of Paediatrics, The University of New South Wales, Randwick, Australia.
Abstract:
Apoptosis induced by etoposide (VP-16) in HL-60 cells was confirmed to be caspase-dependent. It was fully inhibited by the broad-spectrum caspase inhibitor Z-VAD-fmk. However, the caspase-3-specific inhibitor Z-DEVDfmk only partially inhibited apoptosis. This indicated that a second caspase is required in vivo for full activation of the apoptotic nucease CAD. Aurin tricarboxylic acid (ATA) did not inhibit VP-16-induced apoptosis. In contrast, apoptosis induced by hydroxychloroquine (HCQ) in HL-60 cells was caspase-3 independent and was fully inhibited by ATA. Thus, CAD does not appear to be involved in chromatin DNA degradation in this case. A second apoptotic nuclease is postulated to degrade the DNA, likely endo- exonuclease, an abundant nuclear enzyme that acts on both DNA and RNA and is present in latent form. HCQ, but not VP-16, stimulated DNA degradation ("laddering") in isolated nuclei. This indicates that the drug can act directly in the nuclei to trigger activation of the second latent apoptotic nuclease.
Insights
Etoposide-induced apoptosis in HL-60 cells involves caspases and CAD, while hydroxychloroquine triggers a caspase-3-independent pathway. A second nuclear nuclease is implicated in HCQ-induced DNA degradation.
Area of Science:
- Cellular Biology
- Molecular Biology
- Biochemistry
Background:
- Apoptosis is a crucial cellular process involving DNA fragmentation.
- The nuclease CAD (caspase-activated DNase) is known to degrade DNA during apoptosis.
- Different apoptotic stimuli may activate distinct molecular pathways.
Purpose of the Study:
- To investigate the specific molecular mechanisms of apoptosis induced by etoposide (VP-16) and hydroxychloroquine (HCQ) in HL-60 cells.
- To elucidate the roles of caspases and nucleases in VP-16 and HCQ-induced DNA fragmentation.
- To identify potential differences in the apoptotic pathways activated by these two agents.
Main Methods:
- HL-60 cells were treated with VP-16 or HCQ.
- Apoptosis was assessed in the presence of broad-spectrum (Z-VAD-fmk) and caspase-3-specific (Z-DEVDfmk) inhibitors.
- The effect of aurintricarboxylic acid (ATA) on apoptosis and DNA degradation was evaluated.
- DNA degradation (laddering) was analyzed in isolated nuclei.
Main Results:
- VP-16-induced apoptosis was caspase-dependent, requiring both caspase-3 and a second caspase for full CAD activation.
- ATA did not inhibit VP-16-induced apoptosis, suggesting CAD's involvement.
- HCQ-induced apoptosis was caspase-3 independent and inhibited by ATA, indicating CAD was not involved.
- HCQ, but not VP-16, stimulated DNA degradation in isolated nuclei, pointing to a second, latent nuclear nuclease.
Conclusions:
- VP-16 and HCQ induce apoptosis through distinct pathways in HL-60 cells.
- VP-16 utilizes a caspase-dependent pathway involving CAD.
- HCQ activates a caspase-3-independent pathway, likely involving a different nuclear nuclease for DNA degradation.
Related Concept Videos
Caspases
The Intrinsic Apoptotic Pathway
DNA Damage Can Stall the Cell Cycle
DNA Damage can Stall the Cell Cycle
The Extrinsic Apoptotic Pathway

