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Updated: May 24, 2026

Flow Cytometric Analysis of Mitochondrial Reactive Oxygen Species in Murine Hematopoietic Stem and Progenitor Cells and MLL-AF9 Driven Leukemia
Published on: September 5, 2019
Dihydroceramide accumulation and reactive oxygen species are distinct and nonessential events in 4-HPR-mediated
Aintzane Apraiz1, Jolanta Idkowiak-Baldys, Naiara Nieto-Rementería
1Department of Cell Biology and Histology, School of Medicine and Dentistry, University of the Basque Country, Sarriena s/n, 48940 Leioa (Bizkaia), Spain. aintzane.asumendi@ehu.es
Abstract:
4-(Hydroxyphenyl)retinamide (4-HPR) is a synthetic retinoid with a strong apoptotic effect towards different cancer cell lines in vitro, and it is currently tested in clinical trials. Increases of reactive oxygen species (ROS) and modulation of endogenous sphingolipid levels are well-described events observed upon 4-HPR treatment, but there is still a lack of understanding of their relationship and their contribution to cell death. LC-MS analysis of sphingolipids revealed that in human leukemia CCRF-CEM and Jurkat cells, 4-HPR induced dihydroceramide but not ceramide accumulation even at sublethal concentrations. Myriocin prevented the 4-HPR-induced dihydroceramide accumulation, but it did not prevent the loss of viability and increase of intracellular ROS production. On the other hand, ascorbic acid, Trolox, and vitamin E reversed 4-HPR effects on cell death but not dihydroceramide accumulation. NDGA, described as a lipoxygenase inhibitor, exerted a significantly higher antioxidant activity than vitamin E and abrogated 4-HPR-mediated ROS. It did not however rescue cellular viability. Taken together, this study demonstrates that early changes observed upon 4-HPR treatment, i.e., sphingolipid modulation and ROS production, are mechanistically independent events. Furthermore, the results indicate that 4-HPR-driven cell death may occur even in the absence of dihydroceramide or ROS accumulation. These observations should be taken into account for an improved design of drug combinations.
Insights
4-(Hydroxyphenyl)retinamide (4-HPR) induces dihydroceramide accumulation and reactive oxygen species (ROS) in cancer cells. These events are independent and do not fully explain 4-HPR
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- 4-(Hydroxyphenyl)retinamide (4-HPR) is a synthetic retinoid with potent anti-cancer properties, inducing apoptosis in various cancer cell lines.
- While 4-HPR is known to increase reactive oxygen species (ROS) and alter sphingolipid metabolism, the interplay between these mechanisms and their role in cell death remains unclear.
Purpose of the Study:
- To investigate the mechanistic relationship between 4-HPR-induced sphingolipid modulation and ROS production in cancer cell death.
- To determine the contribution of dihydroceramide accumulation and ROS to 4-HPR-mediated apoptosis.
Main Methods:
- Liquid chromatography-mass spectrometry (LC-MS) was employed to analyze sphingolipid profiles in human leukemia cell lines (CCRF-CEM and Jurkat) treated with 4-HPR.
- The effects of pharmacological inhibitors (Myriocin, NDGA) and antioxidants (ascorbic acid, Trolox, vitamin E) on 4-HPR-induced cellular responses were evaluated.
Main Results:
- 4-HPR treatment led to dihydroceramide accumulation, but not ceramide, in leukemia cells, even at sublethal concentrations.
- Myriocin inhibited dihydroceramide accumulation but did not affect 4-HPR-induced cell death or ROS increase.
- Antioxidants reversed 4-HPR-induced cell death but did not impact dihydroceramide levels; NDGA showed potent ROS scavenging activity without rescuing viability.
Conclusions:
- Sphingolipid modulation and ROS production are mechanistically independent events downstream of 4-HPR treatment.
- 4-HPR-induced cancer cell death can occur independently of dihydroceramide accumulation or ROS generation.
- These findings suggest that therapeutic strategies targeting only sphingolipids or ROS may not fully recapitulate 4-HPR's efficacy, informing future drug combination designs.
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