Decitabine combined with cold atmospheric plasma induces pyroptosis via the ROS/Caspase-3/GSDME signaling pathway in

Liang Du1, Huiyun Ming1, Zhuna Yan2

  • 1College of Pharmacy, Anhui Medical University, Hefei 230032, China; Anhui Province Key Laboratory of Medical Physics and Technology, Institute of Health & Medical Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei 230031, China.

Abstract

Insights

Decitabine and cold atmospheric plasma (CAP) together induce pyroptosis, a form of programmed cell death, in Ovcar5 cancer cells by activating the Caspase-3 pathway and cleaving GSDME. This combination therapy shows promise for cancer treatment.

Area of Science:

  • Oncology
  • Cell Biology
  • Biochemistry

Background:

  • High DFNA5 gene methylation silences GSDME, a protein crucial for pyroptosis.
  • Decitabine reverses DFNA5 methylation, increasing GSDME expression.
  • Cold atmospheric plasma (CAP) is an emerging anti-cancer modality inducing tumor cell death.

Purpose of the Study:

  • To investigate the synergistic effect of decitabine and CAP on inducing pyroptosis in Ovcar5 cells.
  • To elucidate the molecular mechanisms underlying decitabine and CAP combination therapy.

Main Methods:

  • Ovcar5 cells were treated with decitabine and CAP.
  • Pyroptosis was assessed via LDH release, Annexin V/PI staining, and cell cycle analysis.
  • Mitochondrial membrane potential was measured using JC-1 staining.
  • Caspase-9/Caspase-3 cleavage and GSDME expression were analyzed by Western blot.

Main Results:

  • Decitabine upregulated GSDME expression in a dose-dependent manner, enhancing Ovcar5 cell sensitivity to CAP.
  • CAP induced mitochondrial damage and activated the Caspase-9/Caspase-3 pathway.
  • The combination therapy triggered pyroptosis through Caspase-3-mediated GSDME cleavage, with reactive oxygen species (ROS) playing a key role.

Conclusions:

  • Decitabine and CAP synergistically induce pyroptosis in Ovcar5 cells.
  • The combination activates Caspase-3, leading to GSDME cleavage and cell death.
  • ROS generated by CAP are critical mediators of this combined anti-cancer effect.