Related Experiment Video
Updated: Oct 8, 2026

Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
Published on: January 7, 2015
Cell surface-directed interaction of anthracyclines leads to cytotoxicity and nuclear factor kappaB activation but
N Maestre1, T R Tritton, G Laurent
1Institut Nationale de la Santé et de la Recherche Médicale, Institut Claudius Régaud, Toulouse, France.
Abstract:
Anthracyclines are, above all, DNA intercalators, which induce genetic damage leading to cell death. However, increasing evidence firmly suggests that the underlying mechanism for anthracycline cytotoxicity is the induction of apoptosis through intracellular-mediated signaling pathways. Whether drug/DNA interaction is necessary for such apoptosis signaling is unknown. We investigated the cellular effects of the anthracyclines daunorubicin (DNR) and doxorubicin (DOX) using the myeloid leukemia cell line U937. By comparing free drug against agarose bead-immobilized drug iDNR and iDOX (which cannot accumulate within the cell), we observed that whereas both free and immobilized anthracyclines were cytotoxic, only the former induced apoptosis; the latter induced necrosis. Indeed, we did not observe ceramide generation, neutral sphingomyelinase activation, poly (ADP-ribose) polymerase cleavage, or other apoptotic events with iDNR or iDOX. However, both free and immobilized drug were similarly capable of triggering nuclear factor kappaB activation. These observations demonstrate that whereas activation of certain cellular signaling pathways can be achieved solely through membrane interaction, apoptosis signaling requires anthracycline internalization. These results also show that the initiation of cell survival pathways (illustrated by nuclear factor kappaB activation) is independent of intracellular drug/target interaction.
Insights
Anthracyclines induce cell death, but apoptosis requires drug internalization. Membrane interaction alone triggers necrosis, not apoptosis, highlighting the importance of intracellular drug action in cancer therapy signaling.
Area of Science:
- Molecular Biology
- Cell Biology
- Pharmacology
Background:
- Anthracyclines are DNA intercalators known for their cytotoxic effects.
- The precise mechanism of anthracycline-induced cell death, particularly apoptosis, is under investigation.
- It remains unclear if direct drug-DNA interaction is essential for initiating apoptosis signaling.
Purpose of the Study:
- To investigate the role of anthracycline internalization in inducing apoptosis.
- To differentiate between cellular responses to membrane-bound versus internalized anthracyclines.
- To determine if DNA intercalation is necessary for apoptosis signaling.
Main Methods:
- Utilized myeloid leukemia U937 cell line.
- Compared cytotoxic effects of free daunorubicin (DNR)/doxorubicin (DOX) with immobilized DNR (iDNR)/DOX (iDOX).
- Assessed apoptosis markers (ceramide generation, sphingomyelinase activation, PARP cleavage) and NF-κB activation.
Main Results:
- Both free and immobilized anthracyclines exhibited cytotoxicity.
- Only free anthracyclines induced apoptosis; immobilized drugs led to necrosis.
- Nuclear factor-kappaB (NF-κB) activation occurred with both free and immobilized drugs, indicating membrane interaction is sufficient for this pathway.
- Apoptosis signaling pathways were not activated by immobilized anthracyclines.
Conclusions:
- Anthracycline internalization is essential for triggering apoptosis.
- Membrane interaction alone can activate certain signaling pathways like NF-κB but does not induce apoptosis.
- Cell survival pathways can be initiated independently of intracellular drug-target interactions.
Related Concept Videos
The Intrinsic Apoptotic Pathway
The Extrinsic Apoptotic Pathway
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...