Sanguinarine is a natural
isoquinoline alkaloid derived from the root of Sanguinaria canadensis and from other poppy fumaria species, and is known to have a broad spectrum of pharmacological properties. Here we have found that
sanguinarine, at low micromolar concentrations, showed a remarkably rapid killing activity against human
melanoma cells. Time-lapse videomicroscopy showed rapid morphological changes compatible with an apoptotic cell death, which was further supported by
biochemical markers, including
caspase activation,
poly(ADP-ribose) polymerase (PARP) cleavage and
DNA breakdown. Pan-
caspase inhibition blocked
sanguinarine-induced cell death.
Sanguinarine treatment also induced an increase in intracellular
calcium concentration, which was inhibited by
dantrolene, and promoted cleavage of BAP-31, thus suggesting a putative role for Ca(2+) release from endoplasmic reticulum and a cross-talk between endoplasmic reticulum and mitochondria in the anti-
melanoma action of
sanguinarine.
Sanguinarine disrupted the mitochondrial transmembrane potential (ΔΨm), released
cytochrome c and Smac/DIABLO from mitochondria to cytosol, and induced oxidative stress. Overexpression of Bcl-XL by gene transfer did not prevent
sanguinarine-mediated cell death, oxidative stress or release of mitochondrial apoptogenic
proteins. However, preincubation with
N-acetyl-l-cysteine (NAC) prevented
sanguinarine-induced oxidative stress, PARP cleavage, release of apoptogenic
mitochondrial proteins, and cell death. Pretreatment with
glutathione (GSH) also inhibited the anti-
melanoma activity of
sanguinarine. Thus, pretreatment with the
thiol antioxidants NAC and GSH abrogated the killing activity of
sanguinarine. Taking together, our data indicate that
sanguinarine is a very rapid inducer of human
melanoma caspase-dependent cell death that is mediated by oxidative stress.