Mechanisms of
digitoxin-inhibited cell growth and induced apoptosis in human
non-small cell lung cancer (NCI-H460) cells remain unclear. Understanding how
digitoxin or derivate analogs induce their cytotoxic effect below therapeutically relevant concentrations will help in designing and developing novel, safer and more effective anti-
cancer drugs. In this study, NCI-H460 cells were treated with
digitoxin and a synthetic analog D6-MA to determine their anti-
cancer activity. Different concentrations of
digitoxin and D6-MA were used and the subsequent changes in cell morphology, viability, cell cycle, and
protein expressions were determined.
Digitoxin and D6-MA induced dose-dependent apoptotic morphologic changes in NCI-H460 cells via
caspase-9 cleavage, with D6-MA possessing 5-fold greater potency than
digitoxin. In comparison, non-tumorigenic immortalized bronchial and small airway epithelial cells displayed significantly less apoptotic sensitivity compared to NCI-H460 cells suggesting that both
digitoxin and D6-MA were selective for NSCLC. Furthermore, NCI-H460 cells arrested in G(2)/M phase following
digitoxin and D6-MA treatment. Post-treatment evaluation of key G2/M checkpoint regulatory
proteins identified down-regulation of
cyclin B1/cdc2 complex and
survivin. Additionally, Chk1/2 and p53 related
proteins experienced down-regulation suggesting a p53-independent cell cycle arrest mechanism. In summary,
digitoxin and D6-MA exert anti-
cancer effects on NCI-H460 cells through apoptosis or cell cycle arrest, with D6-MA showing at least 5-fold greater potency relative to
digitoxin.