Ouabain, a
cardiotonic steroid and specific Na+ /K+ -
ATPase inhibitor, has a potential to induce
cancer cell apoptosis but the mechanisms of apoptosis induced by
ouabain are not fully understand. The aim of this study was to investigate the cytotoxic effects of
ouabain on human
prostate cancer DU 145 cells in vitro. Cell morphological changes were examined by phase contrast microscopy. Cell viability, cell cycle distribution, cell apoptosis, DNA damage, the production of ROS and Ca2+ , and mitochondrial membrane potential (ΔΨm ) were measured by flow cytometry assay. Results indicated that
ouabain induced cell morphological changes, decreased total cell viability, induced G0/G1 phase arrest, DNA damage, and cell apoptosis, increased ROS and Ca2+ production, but decreased the levels of ΔΨm in DU 145 cells.
Ouabain also increased the activities of
caspase-3, -8, and -9. Western blotting was used for measuring the alterations of apoptosis-associated
protein expressions in DU 145 cells and results indicated that
ouabain increased the expression of DNA damage associated
proteins (pATMSer1981 , p-H2A.XSer139 , and p-p53Ser15 ) and ER-stress-associated
proteins (
Grp78, ATF6β, p-PERKThr981 , PERK, eIF2A, GADD153, CaMKIIβ, and
caspase-4) in time-dependently. Furthermore,
ouabain increased apoptosis-associated
proteins (DR4, DR5, Fas,
Fas Ligand, and FADD), TRAIL pathway, which related to extrinsic pathway, promoted the
pro-apoptotic protein Bax, increased apoptotic-associated
proteins, such as
cytochrome c, AIF, Endo G,
caspase-3, -8, and -9, but reduced
anti-apoptotic protein Bcl-2 and Bcl-x in DU 145 cells. In conclusion, we may suggest that
ouabain decreased cell viability and induced apoptotic cell death may via
caspase-dependent and mitochondria-dependent pathways in human
prostate cancer DU 145 cells.