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l-Ascorbic acid induces apoptosis in acute myeloid leukemia cells via hydrogen peroxide-mediated mechanisms

 Seyeon Park  ;  Seong-Su Han  ;  Je-Ho Lee  ;  Kihyun Kim  ;  Bruce F Kimler  ;  Hugh D Riordan  ;  Keunchil Park  ;  Chul Won Jung  ;  Won S Kim  ;  Se-Hoon Lee  ;  Hye K Park  ;  Sook J Lee  ;  Eun-Ryeong Hahm  ;  Chan H Park 
 International Journal of Biochemistry & Cell Biology, Vol.36(11) : 2180-2195, 2004 
Journal Title
 International Journal of Biochemistry & Cell Biology 
Issue Date
Apoptosis/drug effects* ; Apoptosis/physiology ; Ascorbic Acid/pharmacology* ; Caspase 3 ; Caspase 9 ; Caspases/metabolism ; Cell Proliferation/drug effects* ; Cytochromes c/metabolism ; Enzyme Activation/drug effects ; Enzyme Activation/physiology ; Glutathione/metabolism ; HL-60 Cells ; Humans ; Hydrogen Peroxide/metabolism ; Leukemia, Myeloid, Acute/drug therapy* ; Leukemia, Myeloid, Acute/metabolism ; Mitochondria/metabolism* ; Oxidation-Reduction/drug effects ; Tumor Cells, Cultured
l-ascorbic acid ; Apoptosis ; Hydrogen peroxide ; Glutathione ; Acute myeloid leukemia
l-Ascorbic acid (LAA) is being investigated clinically for the treatment of patients with acute myeloid leukemia (AML) based on the observed effects of LAA on AML progenitor cells in vitro. However, the mechanism for LAA-induced cytoreduction remains to be elucidated. LAA at concentrations of 0.25–1.0 mM induced a dose- and time-dependent inhibition of proliferation in three AML cell lines and also in leukemic cells from peripheral blood specimens obtained from three patients with AML. In contrast, ovarian cancer cell lines were only minimally affected. Flow cytometric analysis showed that LAA at concentrations of 0.25–1.0 mM could significantly induce apoptosis in the AML cell lines. LAA induced oxidation of glutathione to oxidized form (GSSG) and subsequent H2O2 accumulation in a concentration-dependent manner, in parallel to induction of apoptosis. The direct role of H2O2 in the induction of apoptosis in AML cells was clearly demonstrated by the finding that catalase could completely abrogate LAA-induced apoptosis. Induction of apoptosis in LAA-treated AML cells involved a dose-dependent increase of Bax protein, release of cytochrome C from mitochondria to cytosol, activation of caspase 9 and caspase 3, and cleavage of poly[ADP-ribose]polymerase. In conclusion, LAA can induce apoptosis in AML cells, and this is clearly due to H2O2 which accumulates intracellularly as a result of oxidation of reduced glutathione by LAA.
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5. Research Institutes (연구소) > Anesthesia and Pain Research Institute (마취통증의학연구소) > 1. Journal Papers
Yonsei Authors
Park, Se Yeon(박세연)
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