Tianjin Medical Journal ›› 2023, Vol. 51 ›› Issue (12): 1321-1325.doi: 10.11958/20230722

• Experimental Research • Previous Articles     Next Articles

Study on the mechanism of luteolin reversing multidrug resistance in leukemia K562/ADR cells

ZHOU Xinyu1(), LI Jingmin2, ZHANG Ting1, JIA Xiuhong1,△()   

  1. 1. Department of Pediatrics, Binzhou Medical University Hospital, Binzhou 256603, China
    2. Department of Human Anatomy, Basic Medical College, Binzhou Medical University
  • Received:2023-05-18 Revised:2023-07-20 Published:2023-12-15 Online:2023-12-22
  • Contact: △ E-mail:jiaxiuhong001@163.com

Abstract:

Objective To investigate the mechanism of luteolin′s (Lut) reversal effect on multidrug resistance of chronic myeloid leukemia K562/ADR cells. Methods CCK-8 assay was used to detect drug resistance in K562 and K562/ADR cells 24 hours after treatment with different doses of adriamycin (ADR). CCK-8 assay was used to assess the cytotoxicity and sensitizing effect of Lut on ADR after K562/ADR cells were treated with Lut alone or in combination with ADR for 24 hours. K562/ADR cells in logarithmic growth phase were separated into three group: 0 μmol/L Lut, 2 μmol/L and 4 μmol/L Lut groups. ADR accumulation in cells was measured using flow cytometry. Nuclear factor erythroid-2-related factor 2 (Nrf2), multidrug resistance associated protein 1 (MRP1), P-glycoprotein (P-gp) and glutathione-S-transferase-PI (GST-pi) mRNA and protein expressions were identified using RT-PCR and Western blot assay. Glutathione (GSH) kit was used to detect intracellular GSH content. Results Compared with K562 cells, K562/ADR cell line was significantly resistant to ADR, and the drug resistance was 53.69 times. K562/ADR cell proliferation was decreased to variable degrees by different doses of Lut when compared to the 0 μmol/L Lut group (P<0.05). The proliferation inhibition rates of K562/ADR cells treated with 2 and 4 μmol/L Lut were less than 10%, indicating that the concentration of Lut was non-toxic. Compared with the 0 μmol/L Lut group, the 2 μmol/L Lut group and the 4 μmol/L Lut group showed significantly increased ADR growth inhibition rate on K562/ADR and increased accumulation of ADR in cells, improved the reversal resistance fold, and decreased GSH content in cells. MRP1, P-gp, GST-pi and Nrf2 mRNA and protein expression were reduced in cells (P<0.05). The effect of 4 mol/L Lut was greater than that of 2 mol/L Lut. Conclusion Lut may decrease K562/ADR cell proliferation and reverse ADR medication resistance. The mechanism could be connected to the downregulation of Nrf2, MRP1, P-gp and GST-pi expression, which leads to an increase in ADR accumulation in K562/ADR cells.

Key words: leukemia, myelogenous, chronic, BCR-ABL positive, Luteolin, drug resistance, multiple, nuclear factor erythroid2-related factor 2, multidrug resistance associated protein 1, P-glycoprotein, glutathione-S-transferase-PI

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