Using current
chemotherapy protocols, over 55% of
lymphoma patients fail treatment. Novel agents are needed to improve
lymphoma survival. The
manganese porphyrin, MnTE-2-PyP(5+), augments
glucocorticoid-induced apoptosis in WEHI7.2 murine thymic
lymphoma cells, suggesting that it may have potential as a
lymphoma therapeutic. However, the mechanism by which MnTE-2-PyP(5+) potentiates
glucocorticoid-induced apoptosis is unknown. Previously, we showed that
glucocorticoid treatment increases the steady state levels of
hydrogen peroxide ([H(2)O(2)](ss)) and oxidizes the redox environment in WEHI7.2 cells. In the current study, we found that when MnTE-2-PyP(5+) is combined with
glucocorticoids, it augments
dexamethasone-induced oxidative stress however, it does not augment the [H(2)O(2)](ss) levels. The combined treatment depletes GSH, oxidizes the 2GSH:
GSSG ratio, and causes
protein glutathionylation to a greater extent than
glucocorticoid treatment alone. Removal of the
glucocorticoid-generated H(2)O(2) or depletion of
glutathione by BSO prevents MnTE-2-PyP(5+) from augmenting
glucocorticoid-induced apoptosis. In combination with
glucocorticoids, MnTE-2-PyP(5+) glutathionylates p65 NF-κB and inhibits NF-κB activity. Inhibition of NF-κB with SN50, an NF- κB inhibitor, enhances
glucocorticoid-induced apoptosis to the same extent as MnTE-2-PyP(5+). Taken together, these findings indicate that: 1) H(2)O(2) is important for MnTE-2-PyP(5+) activity; 2) Mn-TE-2-PyP(5+) cycles with GSH; and 3) MnTE-2-PyP(5+) potentiates
glucocorticoid-induced apoptosis by glutathionylating and inhibiting critical survival
proteins, including NF-κB. In the clinic, over-expression of NF-κB is associated with a poor prognosis in
lymphoma. MnTE-2-PyP(5+) may therefore, synergize with
glucocorticoids to inhibit NF-κB and improve current treatment.