Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes

Background/Aims: The anaplastic lymphoma kinase (ALK) inhibitor ceritinib is utilized for the treatment of ALK positive non-small cell lung carcinoma. Side effects of the drug include decrease of blood hemoglobin concentration. Possible causes of anemia include stimulation of suicidal erythrocyte de...

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Main Authors: Abdulla Al Mamun Bhuyan, Elena Signoretto, Rosi Bissinger, Florian Lang
Format: Article
Language:English
Published: Cell Physiol Biochem Press GmbH & Co KG 2016-12-01
Series:Cellular Physiology and Biochemistry
Subjects:
Online Access:http://www.karger.com/Article/FullText/453167
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author Abdulla Al Mamun Bhuyan
Elena Signoretto
Rosi Bissinger
Florian Lang
author_facet Abdulla Al Mamun Bhuyan
Elena Signoretto
Rosi Bissinger
Florian Lang
author_sort Abdulla Al Mamun Bhuyan
collection DOAJ
description Background/Aims: The anaplastic lymphoma kinase (ALK) inhibitor ceritinib is utilized for the treatment of ALK positive non-small cell lung carcinoma. Side effects of the drug include decrease of blood hemoglobin concentration. Possible causes of anemia include stimulation of suicidal erythrocyte death or eryptosis, which is characterized by cell shrinkage and cell membrane scrambling with phosphatidylserine translocation to the erythrocyte surface. Signaling of eryptosis includes increase of cytosolic Ca2+ activity ([Ca2+]i), oxidative stress, ceramide, staurosporine sensitive protein kinase C, SB203580 sensitive p38 kinase, D4476 sensitive casein kinase 1, and zVAD sensitive caspases. The present study explored, whether ceritinib induces eryptosis and, if so, to shed light on the cellular mechanisms involved. Methods: Phosphatidylserine exposure at the cell surface was estimated from annexin-V-binding, cell volume from forward scatter, [Ca2+]i from Fluo3-fluorescence, ROS formation from DCFDA dependent fluorescence, and ceramide abundance utilizing specific antibodies. Results: A 48 hours exposure of human erythrocytes to ceritinib (1 µg/ml) significantly increased the percentage of annexin-V-binding cells, significantly decreased forward scatter, significantly increased Fluo3-fluorescence, but did not significantly modify DCFDA fluorescence or ceramide abundance. The effect of ceritinib on annexin-V-binding was significantly blunted but not abolished by removal of extracellular Ca2+, by the kinase inhibitors staurosporine (1 µM), SB203580 (2 µM) and D4476 (10 µM), as well as by caspase inhibitor zVAD (10 µM). Conclusions: Ceritinib triggers cell shrinkage and phospholipid scrambling of the erythrocyte cell membrane, an effect at least in part due to Ca2+ entry, as well as activation of kinases and Caspases.
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spelling doaj.art-aaf119f915694e2fa8316ac1b7de30122022-12-21T23:47:45ZengCell Physiol Biochem Press GmbH & Co KGCellular Physiology and Biochemistry1015-89871421-97782016-12-014051129114010.1159/000453167453167Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human ErythrocytesAbdulla Al Mamun BhuyanElena SignorettoRosi BissingerFlorian LangBackground/Aims: The anaplastic lymphoma kinase (ALK) inhibitor ceritinib is utilized for the treatment of ALK positive non-small cell lung carcinoma. Side effects of the drug include decrease of blood hemoglobin concentration. Possible causes of anemia include stimulation of suicidal erythrocyte death or eryptosis, which is characterized by cell shrinkage and cell membrane scrambling with phosphatidylserine translocation to the erythrocyte surface. Signaling of eryptosis includes increase of cytosolic Ca2+ activity ([Ca2+]i), oxidative stress, ceramide, staurosporine sensitive protein kinase C, SB203580 sensitive p38 kinase, D4476 sensitive casein kinase 1, and zVAD sensitive caspases. The present study explored, whether ceritinib induces eryptosis and, if so, to shed light on the cellular mechanisms involved. Methods: Phosphatidylserine exposure at the cell surface was estimated from annexin-V-binding, cell volume from forward scatter, [Ca2+]i from Fluo3-fluorescence, ROS formation from DCFDA dependent fluorescence, and ceramide abundance utilizing specific antibodies. Results: A 48 hours exposure of human erythrocytes to ceritinib (1 µg/ml) significantly increased the percentage of annexin-V-binding cells, significantly decreased forward scatter, significantly increased Fluo3-fluorescence, but did not significantly modify DCFDA fluorescence or ceramide abundance. The effect of ceritinib on annexin-V-binding was significantly blunted but not abolished by removal of extracellular Ca2+, by the kinase inhibitors staurosporine (1 µM), SB203580 (2 µM) and D4476 (10 µM), as well as by caspase inhibitor zVAD (10 µM). Conclusions: Ceritinib triggers cell shrinkage and phospholipid scrambling of the erythrocyte cell membrane, an effect at least in part due to Ca2+ entry, as well as activation of kinases and Caspases.http://www.karger.com/Article/FullText/453167PhosphatidylserineCell volumeEryptosisIonomycinCalcium
spellingShingle Abdulla Al Mamun Bhuyan
Elena Signoretto
Rosi Bissinger
Florian Lang
Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
Cellular Physiology and Biochemistry
Phosphatidylserine
Cell volume
Eryptosis
Ionomycin
Calcium
title Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
title_full Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
title_fullStr Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
title_full_unstemmed Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
title_short Stimulation of Suicidal Erythrocyte Death by Ceritinib-Treatment of Human Erythrocytes
title_sort stimulation of suicidal erythrocyte death by ceritinib treatment of human erythrocytes
topic Phosphatidylserine
Cell volume
Eryptosis
Ionomycin
Calcium
url http://www.karger.com/Article/FullText/453167
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AT rosibissinger stimulationofsuicidalerythrocytedeathbyceritinibtreatmentofhumanerythrocytes
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