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.

Abstract

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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