Elsevier

Leukemia Research

Volume 35, Issue 8, August 2011, Pages 1093-1101
Leukemia Research

Hammada scoparia flavonoids and rutin kill adherent and chemoresistant leukemic cells

https://doi.org/10.1016/j.leukres.2010.12.011Get rights and content

Abstract

In search for compounds able to reduce cell adhesion-mediated drug resistance (CAM-DR), we studied effects of Hammada scoparia extracts on leukemic cells adherent or in suspension. We show that H. scoparia flavonoidic fraction and its compound rutin induce apoptosis specifically in adherent leukemic cells and abolish CAM-DR. Importantly, rutin inhibited survival of adherent leukemic progenitors (CD34+38123+) but spared normal progenitors (CD34+38). The pro-apoptotic effects of rutin were correlated with a decrease of active GSK3β and inhibitors of GSK3β reproduced rutin-induced cytotoxicity. This study uncovers the potential of H. scoparia flavonoids and rutin to overcome CAM-DR in acute myeloid leukemia.

Introduction

Acute myeloid leukemia (AML) is characterized by the aberrant accumulation of immature myeloid hematopoietic cells. The leukemia-initiating cells are hematopoietic stem cells which have either dysregulated self-renewal and differentiation functions or have committed progenitors transformed to leukemic stem cells (LSCs). Current chemotherapy for AML uses drugs such as nucleoside analogs and anthracyclines that interfere with DNA replication and induce apoptosis primarily in replicating cells. However, since LSCs are mostly quiescent like hematopoietic stem cells (HSCs) [1], relapse is common after initial remission in response to chemotherapy.

The hematopoietic niche plays a key role in maintaining HSCs quiescence. Adhesive interactions between HSCs and their microenvironment are required to maintain stem cell capacities. We and others have demonstrated that adhesive interactions, notably through integrin engagement on fibronectin, are responsible for cell adhesion-mediated drug resistance (CAM-DR) of leukemic cells [2]. Current research is focussing on determining specific cell survival mechanisms that distinguish LSCs from HSCs in order to develop LSC-specific targeted therapy.

Nuclear factor κB (NF-κB) and mammalian target of rapamycin (mTOR) were found overactivated in LSCs and have been proposed as targets for LSCs therapy [3], [4]. The phosphoinositide 3-kinase/Akt pathway regulates NF-κB and mTOR activities, and has been shown to mediate CAM-DR of AML [5]. Another key signaling molecule controlling the NF-κB and mTOR pathways is the glycogen synthase kinase 3β (GSK3β), a serine threonine kinase important for survival responses to various extracellular stress from the microenvironment [6]. Interestingly, GSK3β activation is linked to a cell quiescence status and regulates specifically NF-κB allowing the transcription of genes such as IL-6, a cytokine involved in the survival of malignant hematopoietic cells [7].

We have previously demonstrated that GSK3β activation supports CAM-DR [2] and resistance to TNF-α [8] of leukemic blasts. Having obtained preliminary results showing that aqueous extracts from Hammada scoparia had anti-inflammatory properties correlated with GSK3β downregulation in a rat model of hepatotoxicity (Bourogaa et al., in preparation), we raised the question of putative modulation of leukemic cell survival by H. scoparia compounds. H. scoparia is a medicinal plant whose anti-cancer, anti-inflammatory and anti-oxidant properties, as well as phytochemistry, are little known [9]. In this work, we tested the activity of H. scoparia extracts over leukemic or normal hematopoietic cells and identified one of the bioactive components as rutin.

Section snippets

Cells

Leukemic cell lines U937, HL-60, KG1 and KG1a were purchased from the German Collection of Microorganisms and Cell Cultures (Braunschweig, Germany) and grown as previously described [8]. AML cells were obtained from bone marrow of six patients with informed consent at diagnostic, using Ficoll-Hypaque density-gradient centrifugation (Collection No. 1 HIMIP AC-2008-129/DC-2008-307 approved by CCPRB, Toulouse University Hospital Dr. C. Demur). Bone marrow samples contained more than 80% leukemic

Aqueous extracts and flavonoid-enriched fractions from H. scoparia are cytotoxic for leukemic cells

Aqueous extracts were prepared from dried H. scoparia leaves and serial dilutions were assayed for cytotoxic effects on leukemic cells either in suspension or in adhesion. As shown in Fig. 1A, pretreatment of U937 leukemic cells with aqueous extract from H. scoparia (EtOH/H2O 1:9, v/v) reduced survival of adherent U937 (30% decrease of survival). The survival of leukemic cells in suspension was slightly affected. The cytotoxic effects of DNR were strongly increased by the H. scoparia aqueous

Discussion

Natural plant extracts and their flavonoids have been shown to display anti-cancer properties both in vitro and in vivo. Clinical trials with flavonoids have been performed for their development as anti-leukemic agents [17], [18], [19], [20]. Here, we have demonstrated that H. scoparia flavonoids and rutin have the capacity to specifically induce the cytotoxicity of adherent and chemoresistant leukemic progenitors.

Cytotoxic assays with flavonoids glycosides present in H. scoparia, or

Conflict of interest

All authors have no conflict of interest to declare.

Acknowledgements

The authors would thank Drs M. Allouche, A. Gargouri and C. Cambon for helpful discussion along the realization of this work. The orthopedic service of CHU Purpan (Toulouse, France) and Pr. P. Bonnevialle are greatly acknowledged for providing human bone fragments. The authors would thank also the «plateforme de cytométrie» in IFR150.

Funding source: Association de Recherche contre le Cancer (contracts no. 3638 and 8407), Institut National du Cancer (contract no. 07/3D1616/IABC-23-8/NC-NG),

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