Department of Laboratory Medicine, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China.
Wangjiangshan Institute, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China.
Free Radic Biol Med. 2019 Feb 1;131:356-369. doi: 10.1016/j.freeradbiomed.2018.12.011. Epub 2018 Dec 14.
Dihydroartemisinin (DHA) has been shown to be capable of inhibiting cancer growth, whereas it remains largely elusive that the underlying molecular mechanism of DHA induced acute myeloid leukemia (AML) cell death. In the present study, we examined the effects of DHA on the proliferation and ferroptosis of AML cells as well as to elucidate the underlying molecular mechanisms. We found that DHA strongly inhibited the viability of AML cell lines and arrest cell cycle at G0/G1 phase. Further studies found that DHA effectively induced AML cells ferroptosis, which was iron-dependent and accompanied by mitochondrial dysfunction. Mechanistically, DHA induced autophagy by regulating the activity of AMPK/mTOR/p70S6k signaling pathway, which accelerated the degradation of ferritin, increased the labile iron pool, promoted the accumulation of cellular ROS and eventually led to ferroptotic cell death. Over expression of ISCU (Iron-sulfur cluster assembly enzyme, a mitochondrial protein) significantly attenuated DHA induced ferroptosis by regulating iron metabolism, rescuing the mitochondrial function and increasing the level of GSH. Meanwhile, FTH reconstituted AML cells also exhibited the reduced lipid peroxides content and restored the DHA-induced ferroptosis. In summary, these results provide experimental evidences on the detailed mechanism of DHA-induced ferroptosis and reveal that DHA might represent a promising therapeutic agent to preferentially target AML cells.
双氢青蒿素(DHA)已被证明能够抑制癌症生长,但DHA 诱导急性髓系白血病(AML)细胞死亡的潜在分子机制仍很大程度上难以捉摸。在本研究中,我们研究了 DHA 对 AML 细胞增殖和铁死亡的影响,并阐明了其潜在的分子机制。我们发现 DHA 强烈抑制 AML 细胞系的活力,并将细胞周期阻滞在 G0/G1 期。进一步的研究发现,DHA 有效地诱导 AML 细胞发生铁死亡,这是一种铁依赖性的、伴随着线粒体功能障碍的过程。在机制上,DHA 通过调节 AMPK/mTOR/p70S6k 信号通路的活性诱导自噬,这加速了铁蛋白的降解,增加了不稳定铁池,促进了细胞 ROS 的积累,最终导致铁死亡细胞死亡。过表达 ISCU(铁硫簇组装酶,一种线粒体蛋白)通过调节铁代谢显著减弱 DHA 诱导的铁死亡,挽救线粒体功能并增加 GSH 水平。同时,FTH 重建的 AML 细胞也表现出脂质过氧化物含量降低,并恢复了 DHA 诱导的铁死亡。总之,这些结果为 DHA 诱导的铁死亡的详细机制提供了实验证据,并表明 DHA 可能代表一种有前途的治疗剂,可优先靶向 AML 细胞。
Free Radic Biol Med. 2018-12-14
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