Volume 125, Issue 6 pp. 1266-1275
Carcinogenesis

Artemisinin dimer anticancer activity correlates with heme-catalyzed reactive oxygen species generation and endoplasmic reticulum stress induction

Luke H. Stockwin

Luke H. Stockwin

Developmental Therapeutics Program, SAIC-Frederick, NCI-Frederick, Frederick, MD

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Bingnan Han

Bingnan Han

Developmental Therapeutics Program, SAIC-Frederick, NCI-Frederick, Frederick, MD

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Sherry X. Yu

Sherry X. Yu

Developmental Therapeutics Program, SAIC-Frederick, NCI-Frederick, Frederick, MD

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Melinda G. Hollingshead

Melinda G. Hollingshead

Division of Cancer Treatment and Diagnosis, Developmental Therapeutics Program, NCI-Frederick, Frederick, MD

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Mahmoud A. ElSohly

Mahmoud A. ElSohly

ElSohly Laboratories, 5 Industrial Park Drive, Oxford, MS

National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, MS

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Waseem Gul

Waseem Gul

ElSohly Laboratories, 5 Industrial Park Drive, Oxford, MS

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Desmond Slade

Desmond Slade

National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, MS

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Ahmed M. Galal

Ahmed M. Galal

National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, MS

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Dianne L. Newton

Corresponding Author

Dianne L. Newton

Developmental Therapeutics Program, SAIC-Frederick, NCI-Frederick, Frederick, MD

Fax: +301-846-7021 or +301-846-6814.

Developmental Therapeutics Program, Building 320, Room 6, SAIC-Frederick, NCI-Frederick, Frederick, MD 21702, USASearch for more papers by this author
First published: 14 July 2009
Citations: 88

Abstract

Analogs of the malaria therapeutic, artemisinin, possess in vitro and in vivo anticancer activity. In this study, two dimeric artemisinins (NSC724910 and 735847) were studied to determine their mechanism of action. Dimers were >1,000 fold more active than monomer and treatment was associated with increased reactive oxygen species (ROS) and apoptosis induction. Dimer activity was inhibited by the antioxidant L-NAC, the iron chelator desferroxamine and exogenous hemin. Similarly, induction of heme oxygenase (HMOX) with CoPPIX inhibited activity, whereas inhibition of HMOX with SnPPIX enhanced it. These results emphasize the importance of iron, heme and ROS in activity. Microarray analysis of dimer treated cells identified DNA damage, iron/heme and cysteine/methionine metabolism, antioxidant response, and endoplasmic reticulum (ER) stress as affected pathways. Detection of an ER-stress response was relevant because in malaria, artemisinin inhibits pfATP6, the plasmodium orthologue of mammalian sarcoplasmic/endoplasmic reticulum Ca2+-ATPases (SERCA). A comparative study of NSC735847 with thapsigargin, a specific SERCA inhibitor and ER-stress inducer showed similar behavior in terms of transcriptomic changes, induction of endogenous SERCA and ER calcium mobilization. However, thapsigargin had little effect on ROS production, modulated different ER-stress proteins and had greater potency against purified SERCA1. Furthermore, an inactive derivative of NSC735847 that lacked the endoperoxide had identical inhibitory activity against purified SERCA1, suggesting that direct inhibition of SERCA has little inference on overall cytotoxicity. In summary, these data implicate indirect ER-stress induction as a central mechanism of artemisinin dimer activity. © 2009 UICC

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