Evasion of cell death by overexpression of
anti-apoptotic proteins, such as Bcl-2, is commonly observed in
cancer cells leading to a lack of response to
chemotherapy. Hence, there is a need to find new chemotherapeutic agents that are able to overcome chemoresistance mediated by Bcl-2 and to understand their mechanisms of action.
Helenalin, a
sesquiterpene lactone (STL), induces cell death and abrogates clonal survival in a highly apoptosis-resistant Bcl-2 overexpressing Jurkat cell line as well as in two other Bcl-2 overexpressing solid tumor cell lines (mammary MCF-7; pancreatic L6.3pl). This effect is not achieved by directly affecting the mitochondria-protective function of Bcl-2 in the intrinsic pathway of apoptosis since Bcl-2 overexpressing Jurkat cells do not show
cytochrome c release and dissipation of mitochondrial membrane potential upon
helenalin treatment. Moreover,
helenalin induces an atypical form of cell death with necrotic features in Bcl-2 overexpressing cells, neither activating classical mediators of apoptosis (
caspases, AIF, Omi/HtrA2, Apaf/
apoptosome) nor ER-stress mediators (BiP/
GRP78 and CHOP/GADD153), nor autophagy pathways (LC3 conversion). In contrast,
helenalin was found to inhibit NF-κB activation that was considerably increased in Bcl-2 overexpressing Jurkat cells and promotes cell survival. Moreover, we identified
reactive oxygen species (ROS) and free intracellular
iron as mediators of
helenalin-induced cell death whereas activation of JNK and abrogation of Akt activity did not contribute to
helenalin-elicited cell death. Our results highlight the NF-κB inhibitor
helenalin as a promising chemotherapeutic agent to overcome Bcl-2-induced cell death resistance.