Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death

Background/Aims: The Hedgehog pathway disrupting drug sonidegib is used in the treatment of basal cell carcinoma. Side effects of sonidegib include anemia, which could result either from impaired erythropoiesis or from loss of erythrocytes e.g. due to suicidal erythrocyte death or eryptosis, which i...

Full description

Bibliographic Details
Main Authors: Abdulla Al Mamun Bhuyan, Itishri Sahu, Hang Cao, Florian Lang
Format: Article
Language:English
Published: Cell Physiol Biochem Press GmbH & Co KG 2018-06-01
Series:Cellular Physiology and Biochemistry
Subjects:
Online Access:https://www.karger.com/Article/FullText/490820
_version_ 1818035180747620352
author Abdulla Al Mamun Bhuyan
Itishri Sahu
Hang Cao
Florian Lang
author_facet Abdulla Al Mamun Bhuyan
Itishri Sahu
Hang Cao
Florian Lang
author_sort Abdulla Al Mamun Bhuyan
collection DOAJ
description Background/Aims: The Hedgehog pathway disrupting drug sonidegib is used in the treatment of basal cell carcinoma. Side effects of sonidegib include anemia, which could result either from impaired erythropoiesis or from loss of erythrocytes e.g. due to suicidal erythrocyte death or eryptosis, which is characterized by cell membrane scrambling with phosphatidylserine translocation to the cell surface and by cell shrinkage. Eryptosis is stimulated by cell stress, including energy depletion, hyperosmotic shock, oxidative stress and excessive increase of cytosolic Ca2+ activity ([Ca2+]i). The present study explored, whether sonidegib exerts an effect on eryptosis. Methods: Human erythrocytes have been treated with energy depletion (glucose withdrawal for 48 hours), hyperosmotic shock (addition of 550 mM sucrose for 6 hours), oxidative stress (addition of 0.3 mM tert-butylhydroperoxide [tBOOH] for 50 min) or Ca2+ ionophore ionomycin (1 µM for 60 min) in absence and presence of sonidegib (2-6 µg/ ml). After treatment flow cytometry was employed to quantify phosphatidylserine exposure at the cell surface from annexin-V-binding, and cell volume from forward scatter. Hemolysis was estimated from the hemoglobin concentration in the supernatant. Results: In the absence of cell stress exposure to sonidegib did not significantly modify annexin-V-binding or forward scatter, but triggered hemolysis. Energy depletion, hyperosmotic shock, oxidative stress and ionomycin, all markedly and significantly increased the percentage of annexin-V-binding erythrocytes, and decreased the forward scatter. Sonidegib significantly blunted the effect of energy depletion, hyperosmotic shock, and oxidative stress, but not of ionomycin on annexin-V-binding. Sonidegib further significantly blunted the effect of energy depletion, but not of hyperosmotic shock, oxidative stress, and ionomycin on forward scatter. Conclusions: Sonidegib is a novel inhibitor of erythrocyte cell membrane scrambling following energy depletion, hyperosmotic shock and oxidative stress.
first_indexed 2024-12-10T06:50:58Z
format Article
id doaj.art-10492b1b96e7491f84d3ed0f02500571
institution Directory Open Access Journal
issn 1015-8987
1421-9778
language English
last_indexed 2024-12-10T06:50:58Z
publishDate 2018-06-01
publisher Cell Physiol Biochem Press GmbH & Co KG
record_format Article
series Cellular Physiology and Biochemistry
spelling doaj.art-10492b1b96e7491f84d3ed0f025005712022-12-22T01:58:33ZengCell Physiol Biochem Press GmbH & Co KGCellular Physiology and Biochemistry1015-89871421-97782018-06-014741352136410.1159/000490820490820Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte DeathAbdulla Al Mamun BhuyanItishri SahuHang CaoFlorian LangBackground/Aims: The Hedgehog pathway disrupting drug sonidegib is used in the treatment of basal cell carcinoma. Side effects of sonidegib include anemia, which could result either from impaired erythropoiesis or from loss of erythrocytes e.g. due to suicidal erythrocyte death or eryptosis, which is characterized by cell membrane scrambling with phosphatidylserine translocation to the cell surface and by cell shrinkage. Eryptosis is stimulated by cell stress, including energy depletion, hyperosmotic shock, oxidative stress and excessive increase of cytosolic Ca2+ activity ([Ca2+]i). The present study explored, whether sonidegib exerts an effect on eryptosis. Methods: Human erythrocytes have been treated with energy depletion (glucose withdrawal for 48 hours), hyperosmotic shock (addition of 550 mM sucrose for 6 hours), oxidative stress (addition of 0.3 mM tert-butylhydroperoxide [tBOOH] for 50 min) or Ca2+ ionophore ionomycin (1 µM for 60 min) in absence and presence of sonidegib (2-6 µg/ ml). After treatment flow cytometry was employed to quantify phosphatidylserine exposure at the cell surface from annexin-V-binding, and cell volume from forward scatter. Hemolysis was estimated from the hemoglobin concentration in the supernatant. Results: In the absence of cell stress exposure to sonidegib did not significantly modify annexin-V-binding or forward scatter, but triggered hemolysis. Energy depletion, hyperosmotic shock, oxidative stress and ionomycin, all markedly and significantly increased the percentage of annexin-V-binding erythrocytes, and decreased the forward scatter. Sonidegib significantly blunted the effect of energy depletion, hyperosmotic shock, and oxidative stress, but not of ionomycin on annexin-V-binding. Sonidegib further significantly blunted the effect of energy depletion, but not of hyperosmotic shock, oxidative stress, and ionomycin on forward scatter. Conclusions: Sonidegib is a novel inhibitor of erythrocyte cell membrane scrambling following energy depletion, hyperosmotic shock and oxidative stress.https://www.karger.com/Article/FullText/490820PhosphatidylserineEryptosisEnergy depletionOxidative stressHyperosmotic shockIonomycinCalcium
spellingShingle Abdulla Al Mamun Bhuyan
Itishri Sahu
Hang Cao
Florian Lang
Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
Cellular Physiology and Biochemistry
Phosphatidylserine
Eryptosis
Energy depletion
Oxidative stress
Hyperosmotic shock
Ionomycin
Calcium
title Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
title_full Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
title_fullStr Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
title_full_unstemmed Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
title_short Sonidegib, a Novel Inhibitor of Suicidal Erythrocyte Death
title_sort sonidegib a novel inhibitor of suicidal erythrocyte death
topic Phosphatidylserine
Eryptosis
Energy depletion
Oxidative stress
Hyperosmotic shock
Ionomycin
Calcium
url https://www.karger.com/Article/FullText/490820
work_keys_str_mv AT abdullaalmamunbhuyan sonidegibanovelinhibitorofsuicidalerythrocytedeath
AT itishrisahu sonidegibanovelinhibitorofsuicidalerythrocytedeath
AT hangcao sonidegibanovelinhibitorofsuicidalerythrocytedeath
AT florianlang sonidegibanovelinhibitorofsuicidalerythrocytedeath