Cold atmospheric plasma (CAP) represents a promising
therapy for selectively
cancer killing. However, the mechanism of CAP-induced
cancer cell death remains unclear. Here, we identified the
tumor necrosis factor-family members, especially Fas, and overloaded intracellular
nitric oxide participated in CAP induced apoptosis in A375 and A875
melanoma cell lines, which was known as extrinsic apoptosis pathway. This progress was mediated by antagonistic
protein of
reactive oxygen species, Sestrin2. The over expression of Sestrin2 induced by plasma treatment resulted in phosphorylation of
p38 mitogen-activated protein kinase (MAPK), followed by increased expression of
nitric oxide synthase (iNOS), Fas and
Fas ligand. Depletion of Sestrin2 reduced iNOS and Fas expression, which was associated with reduction of plasma-induced apoptosis. In contrast, inhibition of iNOS activity and phosphorylation of p38 did not alter Sestrin2 expression in plasma-treated
melanoma cells. Taken together, cold atmospheric plasma increases Sestrin2 expression and further activates downstream iNOS, Fas and
p38 MAPK signaling to induce apoptosis of
melanoma cell lines. These findings suggest a previously unrecognized mechanism in
melanoma cells response to cold atmospheric plasma
therapy.