Abstract

Acute myeloid leukemia is characterized by uncontrolled clonal proliferation of abnormal myeloid progenitor cells. Despite recent advances in the treatment of this disease, the prognosis and overall long-term survival for patients remain poor, which drives the search for new chemotherapeutics and treatment strategies. Piceatannol, a polyphenolic compound present in grapes and wine, appears to be a promising chemotherapeutic agent in the treatment of leukemia. The aim of the present study was to examine whether piceatannol induces autophagy and/or apoptosis in HL-60 human acute myeloid leukemia cells and whether HL-60 cells are able to acquire resistance to piceatannol toxicity. We found that piceatannol at the IC90 concentration of 14 µM did not induce autophagy in HL-60 cells. However, it induced caspase-dependent apoptosis characterized by phosphatidylserine externalization, disruption of the mitochondrial membrane potential, caspase-3 activation, internucleosomal DNA fragmentation, PARP1 cleavage, chromatin condensation, and fragmentation of cell nuclei. Our findings also imply that HL-60 cells are able to acquire resistance to piceatannol toxicity via mechanisms related to MRP1 activity. Our results suggest that the use of piceatannol as a potential chemotherapeutic agent may be associated with the risk of multidrug resistance, warranting its use in combination with other chemotherapeutic agents.

Highlights

  • Acute myeloid leukemia (AML) is characterized by uncontrolled clonal proliferation of abnormal myeloid progenitor cells that accumulate mainly in the bone marrow and blood [1]

  • Since the calculation of inhibit growth of HL-60 cells by 50% (IC50) and IC90 values is recommended to evaluate the cytotoxic potency of studied compounds [66], we calculated these values for piceatannol

  • We found that treatment of HL-60 cells with piceatannol at the IC90 concentration was not accompanied by the cell cycle arrest (Figure 2A,B)

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Summary

Introduction

Acute myeloid leukemia (AML) is characterized by uncontrolled clonal proliferation of abnormal myeloid progenitor cells that accumulate mainly in the bone marrow and blood [1]. The backbone of initial induction chemotherapy has not changed for several decades and is based mainly on a combination of cytarabine and anthracyclines [6,7]. Another important therapeutic strategy recently introduced for AML treatment is based on the use of hypomethylating agents (HMA) such as decitabine [8]. The major problems of chemotherapy of AML are treatment-related toxicity and mortality, cellular heterogeneity, as well as the occurrence of multidrug resistance (MDR) [5,6,7,8,9,10]. The overexpression of ABC transporters in cancer cells may lead to increased drug efflux resulting in resistance to chemotherapy [13,14]. Accumulating evidence suggests that P-gp, MRP1 and BCRP expression may be involved in multidrug resistance in AML [9,10,28,29,30,31,32,33]

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