Shikonin impairs mitochondrial activity to selectively target leukemia cells

Background: Acute myeloid leukemia (AML) is a hematopoietic malignancy that results from the accumulation of undifferentiated myeloid cells in the peripheral blood and bone marrow. Limited therapeutics contribute to unfavorable patient outcomes, highlighting the need for novel therapeutics to improv...

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Main Authors: Alessia Roma, Matthew Tcheng, Nawaz Ahmed, Sarah Walker, Preethi Jayanth, Mark D. Minden, Julie A. Reisz, Angelo D'Alessandro, Jakub Rohlena, Paul A. Spagnuolo
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Phytomedicine Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667031322000835
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author Alessia Roma
Matthew Tcheng
Nawaz Ahmed
Sarah Walker
Preethi Jayanth
Mark D. Minden
Julie A. Reisz
Angelo D'Alessandro
Jakub Rohlena
Paul A. Spagnuolo
author_facet Alessia Roma
Matthew Tcheng
Nawaz Ahmed
Sarah Walker
Preethi Jayanth
Mark D. Minden
Julie A. Reisz
Angelo D'Alessandro
Jakub Rohlena
Paul A. Spagnuolo
author_sort Alessia Roma
collection DOAJ
description Background: Acute myeloid leukemia (AML) is a hematopoietic malignancy that results from the accumulation of undifferentiated myeloid cells in the peripheral blood and bone marrow. Limited therapeutics contribute to unfavorable patient outcomes, highlighting the need for novel therapeutics to improve prognosis. We previously demonstrated that shikonin, a constituent of Lithospermum erythrorhizon, preferentially targets bulk AML cells through inhibition of electron transport chain complex II. Hypothesis/Purpose: In this study, we aim to further characterize the anti-leukemia effects of shikonin in vitro and in vivo. Methods: AML cell lines and patient-derived cells were used to assess the cytotoxic effect of shikonin in vitro and in vivo. Respirometry, stable-isotope tracing, flow cytometry, and immunoblotting were used to assess the metabolic changes which precede shikonin-mediated cell death. Results: Shikonin induced cytotoxicity in AML cell lines and patient-derived cells while sparing normal hematopoietic cells through a reactive-oxygen species (ROS) dependent mechanism. Shikonin (2.5 mg/kg) reduced patient-derived AML cell engraftment in mouse bone marrow without toxicity. Mechanistically, it increased mitochondrial ROS, impaired oxidative tricarboxylic acid cycling, and reprogrammed metabolism towards glycolysis. Chronic cellular exposure to shikonin resulted in a unique phenotype characterized by decreased mitochondrial activity and increased glycolysis. Consistent with this, cells with increased glycolytic and antioxidant capacities were less sensitive to shikonin. Conclusion: Together, these results highlight shikonin as a mitochondria-targeting agent and provide further insight into its anti-AML activity.
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spelling doaj.art-d6cba8b6f3d64bb79a2161045226f5c72022-12-22T02:37:12ZengElsevierPhytomedicine Plus2667-03132022-08-0123100300Shikonin impairs mitochondrial activity to selectively target leukemia cellsAlessia Roma0Matthew Tcheng1Nawaz Ahmed2Sarah Walker3Preethi Jayanth4Mark D. Minden5Julie A. Reisz6Angelo D'Alessandro7Jakub Rohlena8Paul A. Spagnuolo9Department of Food Science, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Food Science, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Food Science, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Food Science, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Food Science, University of Guelph, Guelph, ON N1G 2W1, CanadaPrincess Margaret Cancer Center, Ontario Cancer Institute, Toronto, Ontario, CanadaDepartment of Biochemistry and Molecular Genetics, University of Colorado School of Medicine, Aurora, CO, USADepartment of Biochemistry and Molecular Genetics, University of Colorado School of Medicine, Aurora, CO, USAInstitute of Biotechnology, Czech Academy of Sciences, Prague-West, Vestec, Czech RepublicDepartment of Food Science, University of Guelph, Guelph, ON N1G 2W1, Canada; Corresponding author.Background: Acute myeloid leukemia (AML) is a hematopoietic malignancy that results from the accumulation of undifferentiated myeloid cells in the peripheral blood and bone marrow. Limited therapeutics contribute to unfavorable patient outcomes, highlighting the need for novel therapeutics to improve prognosis. We previously demonstrated that shikonin, a constituent of Lithospermum erythrorhizon, preferentially targets bulk AML cells through inhibition of electron transport chain complex II. Hypothesis/Purpose: In this study, we aim to further characterize the anti-leukemia effects of shikonin in vitro and in vivo. Methods: AML cell lines and patient-derived cells were used to assess the cytotoxic effect of shikonin in vitro and in vivo. Respirometry, stable-isotope tracing, flow cytometry, and immunoblotting were used to assess the metabolic changes which precede shikonin-mediated cell death. Results: Shikonin induced cytotoxicity in AML cell lines and patient-derived cells while sparing normal hematopoietic cells through a reactive-oxygen species (ROS) dependent mechanism. Shikonin (2.5 mg/kg) reduced patient-derived AML cell engraftment in mouse bone marrow without toxicity. Mechanistically, it increased mitochondrial ROS, impaired oxidative tricarboxylic acid cycling, and reprogrammed metabolism towards glycolysis. Chronic cellular exposure to shikonin resulted in a unique phenotype characterized by decreased mitochondrial activity and increased glycolysis. Consistent with this, cells with increased glycolytic and antioxidant capacities were less sensitive to shikonin. Conclusion: Together, these results highlight shikonin as a mitochondria-targeting agent and provide further insight into its anti-AML activity.http://www.sciencedirect.com/science/article/pii/S2667031322000835ShikoninAcute myeloid leukemiaComplex IISuccinate dehydrogenaseMitochondria
spellingShingle Alessia Roma
Matthew Tcheng
Nawaz Ahmed
Sarah Walker
Preethi Jayanth
Mark D. Minden
Julie A. Reisz
Angelo D'Alessandro
Jakub Rohlena
Paul A. Spagnuolo
Shikonin impairs mitochondrial activity to selectively target leukemia cells
Phytomedicine Plus
Shikonin
Acute myeloid leukemia
Complex II
Succinate dehydrogenase
Mitochondria
title Shikonin impairs mitochondrial activity to selectively target leukemia cells
title_full Shikonin impairs mitochondrial activity to selectively target leukemia cells
title_fullStr Shikonin impairs mitochondrial activity to selectively target leukemia cells
title_full_unstemmed Shikonin impairs mitochondrial activity to selectively target leukemia cells
title_short Shikonin impairs mitochondrial activity to selectively target leukemia cells
title_sort shikonin impairs mitochondrial activity to selectively target leukemia cells
topic Shikonin
Acute myeloid leukemia
Complex II
Succinate dehydrogenase
Mitochondria
url http://www.sciencedirect.com/science/article/pii/S2667031322000835
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