Plasma-stimulated medium kills TRAIL-resistant human malignant cells by promoting caspase-independent cell death via membrane potential and calcium dynamics modulation

Int J Oncol. 2018 Mar;52(3):697-708. doi: 10.3892/ijo.2018.4251. Epub 2018 Jan 23.

Abstract

Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and cold plasma-stimulated medium (PSM) have been shown to exhibit tumor-selective cytotoxicity and have emerged as promising new tools for cancer treatment. However, to date, at least to the best of our knowledge, no data are available as to which substance is more potent in killing cancer cells. Thus, in this study, we systematically compared their abilities to kill human malignant cells from different origins. We found that PSM dose-dependently killed TRAIL-resistant melanoma, osteosarcoma and neuroblastoma cells. Moreover, PSM had little cytotoxicity toward osteoblasts. PSM was more potent than TRAIL in inducing caspase-3/7 activation, mitochondrial network aberration and caspase-independent cell death. We also found that PSM was more potent in inducing plasma membrane depolarization (PMD) and disrupting endoplasmic-mitochondrial Ca2+ homeostasis. Moreover, persistent PMD was caused by different membrane-depolarizing agents; the use of the anti-type II diabetes drug, glibenclamide, alone caused mitochondrial fragmentation and enhanced TRAIL-induced Ca2+ modulation, mitochondrial network abnormalities and caspase-independent cell killing. These results demonstrate that PSM has a therapeutic advantage over TRAIL owing to its greater capacity to evoke caspase-independent cell death via mitochondrial network aberration by disrupting membrane potential and Ca2+ homeostasis. These findings may provide a strong rationale for developing PSM as a novel approach for the treatment of TRAIL-resistant malignant cells.

MeSH terms

  • Calcium / metabolism*
  • Caspase 3 / metabolism
  • Caspase 7 / metabolism
  • Cell Death / drug effects*
  • Cell Line, Tumor
  • Culture Media / pharmacology
  • Dose-Response Relationship, Drug
  • Drug Resistance, Neoplasm
  • Glyburide / pharmacology
  • Humans
  • Membrane Potential, Mitochondrial / drug effects*
  • Mitochondria / drug effects
  • Mitochondria / physiology
  • Mitochondrial Membranes / drug effects
  • Mitochondrial Membranes / metabolism
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Plasma Gases / pharmacology*
  • Plasma Gases / therapeutic use
  • Recombinant Proteins / pharmacology
  • TNF-Related Apoptosis-Inducing Ligand / pharmacology

Substances

  • Culture Media
  • Plasma Gases
  • Recombinant Proteins
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFSF10 protein, human
  • CASP3 protein, human
  • CASP7 protein, human
  • Caspase 3
  • Caspase 7
  • Glyburide
  • Calcium