D-galactose induces necroptotic cell death in neuroblastoma cell lines

Na Li1, Yangyan He, Ling Wang

  • 1Lab for Aging Research, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, #1 Keyuan 4 Road, Gaopeng Avenue, High-tech Zone, Chengdu 610041, People's Republic of China.

Insights

D-galactose demonstrates significant toxicity to cancer cells, inducing necroptotic cell death via the polyol pathway. This offers a novel strategy against apoptosis-resistant cancers.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Oncology

Background:

  • D-galactose (D-gal) induces oxidative stress and damage in non-cancer cells by disrupting glucose metabolism.
  • The effects of D-gal on cancer cells, particularly neuroblastoma, remain largely unexplored.

Purpose of the Study:

  • To investigate the toxicity of D-gal on malignant neuroblastoma cells.
  • To elucidate the mechanism of D-gal-induced cell death in cancer.

Main Methods:

  • Assessing D-gal toxicity in various cancer and non-malignant cell lines.
  • Analyzing cell death markers (trypan blue, LDH leakage) and gene expression.
  • Utilizing inhibitors for necroptosis, autophagy, and apoptosis.
  • Investigating the role of the aldose reductase (AR)-mediated polyol pathway.

Main Results:

  • High D-gal concentrations exhibited significant toxicity to cancer cells (Neuro2a, SH-SY5Y, PC-3, HepG2) but not non-malignant cells (NIH3T3, LO(2)).
  • D-gal induced necrotic cell death, characterized by trypan blue uptake and early LDH leakage, distinct from H(2)O(2)-induced apoptosis.
  • Cell death was alleviated by necroptosis and autophagy inhibitors (Nec-1, 3-MA), but not apoptosis inhibitors.
  • D-gal upregulated necroptosis and autophagy genes (Bmf, Bnip3, Atg5, TIGAR) and activated autophagy, without activating Caspase-3.
  • Inhibition of aldose reductase attenuated D-gal toxicity, and D-gal treatment increased AR expression, confirming the polyol pathway's involvement.

Conclusions:

  • D-galactose induces non-apoptotic, necroptotic cell death in neuroblastoma cells.
  • The aldose reductase-mediated polyol pathway is implicated in D-gal toxicity.
  • This finding provides a potential therapeutic strategy for apoptosis-resistant cancers.