Abstract | BACKGROUND: Multidrug resistance (MDR) is a major obstacle in cancer treatment and is often the result of overexpression of the drug efflux protein, P-glycoprotein (P-gp), as a consequence of hyperactivation of NFkappaB, AP1 and Nrf2 transcription factors. In addition to effluxing chemotherapeutic drugs, P-gp also plays a specific role in blocking caspase-dependent apoptotic pathways. One feature that cytotoxic treatments of cancer have in common is activation of the transcription factor NFkappaB, which regulates inflammation, cell survival and P-gp expression and suppresses the apoptotic potential of chemotherapeutic agents. As such, NFkappaB inhibitors may promote apoptosis in cancer cells and could be used to overcome resistance to chemotherapeutic agents. RESULTS: Although the natural withanolide withaferin A and polyphenol quercetin, show comparable inhibition of NFkappaB target genes (involved in inflammation, angiogenesis, cell cycle, metastasis, anti-apoptosis and multidrug resistance) in doxorubicin-sensitive K562 and -resistant K562/Adr cells, only withaferin A can overcome attenuated caspase activation and apoptosis in K562/Adr cells, whereas quercetin-dependent caspase activation and apoptosis is delayed only. Interestingly, although withaferin A and quercetin treatments both decrease intracellular protein levels of Bcl2, Bim and P-Bad, only withaferin A decreases protein levels of cytoskeletal tubulin, concomitantly with potent PARP cleavage, caspase 3 activation and apoptosis, at least in part via a direct thiol oxidation mechanism. CONCLUSIONS: This demonstrates that different classes of natural NFkappaB inhibitors can show different chemosensitizing effects in P-gp overexpressing cancer cells with impaired caspase activation and attenuated apoptosis.
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Authors | Wipob Suttana, Samlee Mankhetkorn, Wilart Poompimon, Ajay Palagani, Sergey Zhokhov, Sarah Gerlo, Guy Haegeman, Wim Vanden Berghe |
Journal | Molecular cancer
(Mol Cancer)
Vol. 9
Pg. 99
(May 03 2010)
ISSN: 1476-4598 [Electronic] England |
PMID | 20438634
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- ATP Binding Cassette Transporter, Subfamily B, Member 1
- Antineoplastic Agents
- Enzyme Inhibitors
- Flavonoids
- Interleukin-6
- NF-kappa B
- Phenols
- Polyphenols
- Siamois 1
- Siamois 2
- Withanolides
- Quercetin
- Caspases
- withaferin A
- Ergosterol
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Topics |
- ATP Binding Cassette Transporter, Subfamily B, Member 1
(biosynthesis, genetics)
- Animals
- Antineoplastic Agents
(pharmacology)
- Apoptosis
(drug effects, genetics)
- Blotting, Western
- Caspases
(metabolism)
- Cell Line, Tumor
- Drug Resistance, Neoplasm
(drug effects, genetics)
- Electrophoretic Mobility Shift Assay
- Enzyme Activation
(drug effects, genetics)
- Enzyme Inhibitors
(pharmacology)
- Enzyme-Linked Immunosorbent Assay
- Ergosterol
(analogs & derivatives, pharmacology)
- Flavonoids
(pharmacology)
- Gene Expression
- Gene Expression Regulation, Neoplastic
(drug effects, genetics)
- Humans
- Interleukin-6
(biosynthesis)
- K562 Cells
- Mice
- NF-kappa B
(antagonists & inhibitors)
- Phenols
(pharmacology)
- Polyphenols
- Quercetin
(analogs & derivatives, pharmacology)
- Reverse Transcriptase Polymerase Chain Reaction
- Withanolides
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