Quercetin is a plant-derived
bioflavonoid with high anticancer activity in various
tumors. Herein, the molecular mechanisms by which
quercetin exerts its anticancer effects against HL-60
acute myeloid leukemia (AML) cells were investigated. Results showed that
quercetin suppressed cell proliferation in the HL-60 cell line in vitro and in vivo.
Quercetin-induced G0 /G1 -phase arrest occurred when expressions of
cyclin-dependent kinase (CDK)2/4 were inhibited and the CDK inhibitors, p16 and p21, were induced. Moreover,
quercetin treatment not only activated proapoptotic signaling like
poly (ADP ribose) polymerase (PARP)-1 cleavage and
caspase activation but also triggered autophagy events as shown by the increased expression of light chain 3 (LC3)-II, decreased expression of p62, and formation of acidic vesicular organelles. Interestingly, it was found that use of the autophagy inhibitor,
3-methyladenine, significantly enhanced
quercetin-mediated apoptotic cell death as analyzed by MTS and DNA fragmentation assays. Moreover, pretreatment of HL-60 cells with the pan-
caspase inhibitor,
Z-VAD-fmk, dramatically reversed
quercetin-mediated apoptotic and autophagic cell death. Although apoptosis and autophagy are two independent cell death pathways, our findings indicated that
quercetin can activate
caspases to trigger these two pathways, and both pathways played contrary roles in
quercetin-mediated HL-60 cell death. In conclusion, besides promoting apoptosis,
quercetin also induced cytoprotective autophagy in HL-60 cells, and inhibition of autophagy may be a novel strategy to enhance the anticancer activity of
quercetin in AML.