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Mol Cell Oncol. 2015 May 26;2(4):e1054549. doi: 10.1080/23723556.2015.1054549. eCollection 2015.

The ferroptosis inducer erastin enhances sensitivity of acute myeloid leukemia cells to chemotherapeutic agents.

Molecular & cellular oncology

Yan Yu, Yangchun Xie, Lizhi Cao, Liangchun Yang, Minghua Yang, Michael T Lotze, Herbert J Zeh, Rui Kang, Daolin Tang

Affiliations

  1. Center for DAMP Biology; Department of Surgery; University of Pittsburgh Cancer Institute; University of Pittsburgh; Pittsburgh, PA, USA; Department of Pediatrics; Xiangya Hospital; Central South University; Changsha, Hunan, China.
  2. Center for DAMP Biology; Department of Surgery; University of Pittsburgh Cancer Institute; University of Pittsburgh ; Pittsburgh, PA, USA.
  3. Department of Pediatrics; Xiangya Hospital; Central South University ; Changsha, Hunan, China.

PMID: 27308510 PMCID: PMC4905356 DOI: 10.1080/23723556.2015.1054549

Abstract

Acute myeloid leukemia (AML) is the most common type of leukemia in adults. Development of resistance to chemotherapeutic agents is a major hurdle in the effective treatment of patients with AML. The quinazolinone derivative erastin was originally identified in a screen for small molecules that exhibit synthetic lethality with expression of the RAS oncogene. This lethality was subsequently shown to occur by induction of a novel form of cell death termed ferroptosis. In this study we demonstrate that erastin enhances the sensitivity of AML cells to chemotherapeutic agents in an RAS-independent manner. Erastin dose-dependently induced mixed types of cell death associated with ferroptosis, apoptosis, necroptosis, and autophagy in HL-60 cells (AML, NRAS_Q61L), but not Jurkat (acute T-cell leukemia, RAS wild type), THP-1 (AML, NRAS_G12D), K562 (chronic myelogenous leukemia, RAS wild type), or NB-4 (acute promyelocytic leukemia M3, KRAS_A18D) cells. Treatment with ferrostatin-1 (a potent ferroptosis inhibitor) or necrostatin-1 (a potent necroptosis inhibitor), but not with Z-VAD-FMK (a general caspase inhibitor) or chloroquine (a potent autophagy inhibitor), prevented erastin-induced growth inhibition in HL-60 cells. Moreover, inhibition of c-JUN N-terminal kinase and p38, but not of extracellular signal-regulated kinase activation, induced resistance to erastin in HL-60 cells. Importantly, low-dose erastin significantly enhanced the anticancer activity of 2 first-line chemotherapeutic drugs (cytarabine/ara-C and doxorubicin/adriamycin) in HL-60 cells. Collectively, the induction of ferroptosis and necroptosis contributed to erastin-induced growth inhibition and overcame drug resistance in AML cells.

Keywords: AML; autophagy; erastin; ferroptosis; necroptosis

References

  1. Nat Rev Drug Discov. 2014 Nov;13(11):828-51 - PubMed
  2. Mol Genet Metab. 2015 Mar;114(3):397-402 - PubMed
  3. Cell. 2012 May 25;149(5):1060-72 - PubMed
  4. Blood. 1991 Mar 1;77(5):1080-6 - PubMed
  5. Curr Opin Hematol. 2014 Mar;21(2):87-94 - PubMed
  6. Cancer Cell. 2003 Mar;3(3):285-96 - PubMed
  7. Nature. 2015 Jan 15;517(7534):311-20 - PubMed
  8. Nature. 2007 Jun 14;447(7146):864-8 - PubMed
  9. Cell Death Differ. 2015 Jan;22(1):58-73 - PubMed
  10. J Biol Chem. 2013 Apr 26;288(17):11920-9 - PubMed
  11. Nat Cell Biol. 2014 Dec;16(12):1180-91 - PubMed
  12. Oncogene. 2004 Apr 12;23(16):2838-49 - PubMed
  13. Leukemia. 2015 Apr;29(4):760-9 - PubMed
  14. Cancer Chemother Rep. 1973 Nov-Dec;57(4):485-8 - PubMed
  15. Cell Metab. 2011 Jun 8;13(6):701-11 - PubMed
  16. Elife. 2014 May 20;3:e02523 - PubMed
  17. J Exp Med. 2015 Apr 6;212(4):555-68 - PubMed
  18. Curr Hematol Malig Rep. 2014 Jun;9(2):93-9 - PubMed
  19. Cell. 2014 Jan 16;156(1-2):317-31 - PubMed
  20. N Engl J Med. 2014 Jan 30;370(5):455-65 - PubMed
  21. Oncogene. 2015 Nov 5;34(45):5617-25 - PubMed
  22. J Clin Oncol. 2008 Oct 1;26(28):4603-9 - PubMed
  23. Oncol Rep. 2013 Apr;29(4):1459-66 - PubMed
  24. Toxicol Pathol. 2007 Jun;35(4):495-516 - PubMed
  25. Nat Rev Immunol. 2013 Sep;13(9):679-92 - PubMed
  26. N Engl J Med. 1997 Oct 9;337(15):1021-8 - PubMed
  27. Autophagy. 2011 Jan;7(1):112-4 - PubMed
  28. Proc Natl Acad Sci U S A. 2014 Nov 25;111(47):16836-41 - PubMed
  29. Leukemia. 2015 Mar;29(3):517-25 - PubMed
  30. Chem Biol. 2008 Mar;15(3):234-45 - PubMed
  31. Nat Rev Immunol. 2014 Nov;14 (11):759-67 - PubMed
  32. Blood. 2000 Sep 1;96(5):1655-69 - PubMed

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