Arsenic trioxide overcomes apoptosis inhibition in K562/ADM cells by regulating vital components in apoptotic pathway

Dong-Hai Wang1, Hu-Lai Wei, Huai-Shun Zhao

  • 1Molecular Cell Biology Research Center, Key Laboratory of Preclinical Study for Drugs of Gansu Province, Lanzhou University School of Medicine, Lanzhou 730000, PR China.

Insights

Arsenic trioxide (As(2)O(3)) induces apoptosis and reverses chemotherapy resistance in multidrug-resistant leukemia cells. It modulates key factors like FAS, P53, and P-glycoprotein, offering a potential strategy against resistant cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Arsenicals demonstrate anti-tumor effects in various cancers, including leukemia.
  • The efficacy of arsenicals against chemotherapy-resistant leukemia remains poorly understood, posing a significant clinical challenge.

Purpose of the Study:

  • To investigate the effects of arsenic trioxide (As(2)O(3)) on apoptosis induction in multidrug-resistant K562/ADM leukemic cells.
  • To elucidate the underlying mechanisms of As(2)O(3)-induced apoptosis and reversal of drug resistance.

Main Methods:

  • Microscopy, flow cytometry (FCM), and DNA electrophoresis were used to assess apoptosis and cell cycle arrest.
  • FCM was employed to analyze protein expression levels of FAS, P53, P-glycoprotein (P-gp), and BCL-2.
  • Reverse transcription polymerase chain reaction (RT-PCR) was utilized to quantify mRNA levels of FAS, caspase-3, and MDR1.
  • Caspase-3 activity assays were performed.

Main Results:

  • As(2)O(3) treatment resulted in G2/M phase arrest and apoptosis in K562/ADM cells.
  • Increased levels of FAS and P53 proteins and decreased P-glycoprotein (P-gp) were observed.
  • mRNA levels of FAS and caspase-3 were upregulated, while MDR1 mRNA was downregulated.
  • Caspase-3 activity was enhanced, whereas BCL-2 protein expression remained unaffected.

Conclusions:

  • As(2)O(3) effectively induces apoptosis and overcomes drug resistance in K562/ADM cells.
  • The mechanism involves modulation of key apoptotic factors, including FAS, P53, and P-glycoprotein.
  • As(2)O(3) presents a promising therapeutic agent for overcoming chemotherapy resistance in leukemia.

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