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Published on: May 10, 2022
Pentoxifylline and the proteasome inhibitor MG132 induce apoptosis in human leukemia U937 cells through a decrease in
Alejandro Bravo-Cuellar1, Georgina Hernández-Flores, José Manuel Lerma-Díaz
1División de Inmunología, Centro de Investigación Biomédica de Occidente CIBO, Instituto Mexicano del Seguro Social IMSS, Sierra Mojada 800, Col, Independencia, Guadalajara, Jalisco 44340, México.
Background:
In Oncology, the resistance of the cancerous cells to chemotherapy continues to be the principal limitation. The nuclear factor-kappa B (NF-κB) transcription factor plays an important role in tumor escape and resistance to chemotherapy and this factor regulates several pathways that promote tumor survival including some antiapoptotic proteins such as Bcl-2 and Bcl-XL. In this study, we investigated, in U937 human leukemia cells, the effects of PTX and the MG132 proteasome inhibitor, drugs that can disrupt the NF-κB pathway. For this, we evaluated viability, apoptosis, cell cycle, caspases-3, -8, -9, cytochrome c release, mitochondrial membrane potential loss, p65 phosphorylation, and the modification in the expression of pro- and antiapoptotic genes, and the Bcl-2 and Bcl-XL antiapoptotic proteins.
Results:
The two drugs affect the viability of the leukemia cells in a time-dependent manner. The greatest percentage of apoptosis was obtained with a combination of the drugs; likewise, PTX and MG132 induce G1 phase cell cycle arrest and cleavage of caspases -3,-8, -9 and cytochrome c release and mitochondrial membrane potential loss in U937 human leukemia cells. In these cells, PTX and the MG132 proteasome inhibitor decrease p65 (NF-κB subunit) phosphorylation and the antiapoptotic proteins Bcl-2 and Bcl-XL. We also observed, with a combination of these drugs overexpression of a group of the proapoptotic genes BAX, DIABLO, and FAS while the genes BCL-XL, MCL-1, survivin, IκB, and P65 were downregulated.
Conclusions:
The two drugs used induce apoptosis per se, this cytotoxicity was greater with combination of both drugs. These observations are related with the caspases -9, -3 cleavage and G1 phase cell cycle arrest, and a decrease in p65 phosphorylation and Bcl-2 and Bcl-XL proteins. As well as this combination of drugs promotes the upregulation of the proapoptotic genes and downregulation of antiapoptotic genes. These observations strongly confirm antileukemic potential.
Insights
Chemotherapy resistance in leukemia is a major challenge. PTX and MG132 drugs, by disrupting the NF-κB pathway, induce apoptosis and enhance anti-leukemic effects in U937 cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Chemotherapy resistance in cancer, particularly leukemia, remains a significant clinical challenge.
- The nuclear factor-kappa B (NF-κB) pathway is implicated in tumor survival and chemoresistance by regulating antiapoptotic proteins.
- U937 human leukemia cells were used to investigate novel therapeutic strategies targeting the NF-κB pathway.
Purpose of the Study:
- To evaluate the effects of PTX and MG132, agents that disrupt the NF-κB pathway, on U937 leukemia cells.
- To assess the combined efficacy of PTX and MG132 in overcoming chemoresistance.
- To elucidate the molecular mechanisms underlying their cytotoxic and apoptotic effects.
Main Methods:
- Cell viability assays, apoptosis detection, and cell cycle analysis were performed.
- Key apoptotic markers including caspases -3, -8, -9, and cytochrome c release were measured.
- Mitochondrial membrane potential, p65 phosphorylation, and expression of pro-/anti-apoptotic genes were analyzed.
Main Results:
- Both PTX and MG132 demonstrated time-dependent cytotoxicity and induced apoptosis in U937 cells.
- Combined drug treatment resulted in the greatest apoptotic effect and G1 phase cell cycle arrest.
- The drugs decreased p65 phosphorylation and levels of antiapoptotic proteins Bcl-2 and Bcl-XL, while upregulating proapoptotic genes (BAX, DIABLO, FAS).
Conclusions:
- PTX and MG132 exhibit individual and synergistic antileukemic potential by inducing apoptosis and cell cycle arrest.
- The observed effects are linked to caspase activation, decreased NF-κB signaling, and modulation of Bcl-2 family proteins.
- Combination therapy shows promise for overcoming chemoresistance by shifting the balance towards apoptosis in leukemia cells.
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