Cellular potassium ion deprivation enhances apoptosis induced by cisplatin

Basic Clin Pharmacol Toxicol. 2004 May;94(5):245-51. doi: 10.1111/j.1742-7843.2004.pto940508.x.

Abstract

The anticancer drug cisplatin induces cell death by apoptosis. Apoptosis is dependent on cellular loss of potassium ions (K+). We have recently shown that the antifungal drug amphotericin B (enhancing K+ efflux), combined with the Na+, K+, 2Cl(-)-cotransport blocker bumetanide (decreasing K+ influx), augmented cisplatin-induced apoptosis in vitro. We therefore quantified K+ fluxes with the K+ analogue rubidium (86Rb+) in cisplatin-induced apoptosis of mesothelioma cells treated with bumetanide and amphotericin B. Bumetanide combined with amphotericin B enhanced cisplatin-induced apoptosis by a pronounced initial reduction of K+ influx due (in addition to Na+, K+, 2Cl(-)-cotransport inhibition) also to Na+, K+, ATPase pump inhibition. As 86Rb+ efflux was initially preserved, combination of the drugs would lead to net K+ loss. Combinations of K+ flux modulators leading to cellular potassium ion deprivation thus augments cisplatin-induced apoptosis and could therefore possibly be used to enhance the antitumour efficacy of cisplatin treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / pharmacology
  • Antineoplastic Agents*
  • Apoptosis* / drug effects
  • Bumetanide / pharmacology
  • Cell Line, Tumor
  • Cisplatin*
  • DNA Fragmentation
  • Drug Synergism
  • Enzyme Inhibitors
  • Exocytosis / drug effects
  • Humans
  • Ouabain
  • Potassium / analysis
  • Potassium / metabolism*
  • Rubidium Radioisotopes
  • Sodium Potassium Chloride Symporter Inhibitors
  • Sodium-Potassium-Chloride Symporters / metabolism
  • Sodium-Potassium-Exchanging ATPase / antagonists & inhibitors
  • Sodium-Potassium-Exchanging ATPase / metabolism
  • Time Factors

Substances

  • Antineoplastic Agents
  • Enzyme Inhibitors
  • Rubidium Radioisotopes
  • Sodium Potassium Chloride Symporter Inhibitors
  • Sodium-Potassium-Chloride Symporters
  • Bumetanide
  • Ouabain
  • Amphotericin B
  • Sodium-Potassium-Exchanging ATPase
  • Cisplatin
  • Potassium