Tetraarsenic hexoxide (
As4O6) has been used in Korean folk medicines for the treatment of
cancer, however its anti-
cancer mechanisms remain obscured. Here, this study investigated the anti-
cancer effect of
As4O6 on SW620 human
colon cancer cells.
As4O6 has showed a dose-dependent inhibition of SW620 cells proliferation.
As4O6 significantly increased the sub-G1 and G2/M phase population, and
Annexin V-positive cells in a dose-dependent manner. G2/M arrest was concomitant with augment of p21 and reduction in
cyclin B1, cell division cycle 2 (cdc 2) expressions. Nuclear condensation, cleaved nuclei and poly (
adenosine diphosphate‑ribose)
polymerase (PARP) activation were also observed in As4O6-treated SW620 cells.
As4O6 induced depolarization of mitochondrial membrane potential (
MMP, ΔΨm) but not
reactive oxygen species (ROS) generation. Further,
As4O6 increased
death receptor 5 (DR5), not DR4 and suppressed the B‑cell lymphoma‑2 (Bcl-2) and
X-linked inhibitor of apoptosis protein (XIAP) family
proteins.
As4O6 increased the formation of AVOs (lysosomes and autophagolysosomes) and promoted the conversion of
microtubule-associated protein 1A/1B-light chain 3 (LC3)-I to LC3-II in a dose- and time- dependent manner. Interestingly, a specific
phosphoinositide 3-kinase (PI3K)/Akt inhibitor (
LY294002) augmented the
As4O6 induced cell death; whereas
p38 mitogen-activated protein kinases (
p38 MAPK) inhibitor (
SB203580) abrogated the cell death. Thus, the present study provides the first evidence that
As4O6 induced G2/M arrest, apoptosis and autophagic cell death through PI3K/Akt and
p38 MAPK pathways alteration in SW620 cells.