The PKM2 inhibitor shikonin enhances piceatannol-induced apoptosis of glyoxalase I-dependent cancer cells

Genes Cells. 2024 Jan;29(1):52-62. doi: 10.1111/gtc.13084. Epub 2023 Nov 14.

Abstract

Glyoxalase I (GLO I), a major enzyme involved in the detoxification of the anaerobic glycolytic byproduct methylglyoxal, is highly expressed in various tumors, and is regarded as a promising target for cancer therapy. We recently reported that piceatannol potently inhibits human GLO I and induces the death of GLO I-dependent cancer cells. Pyruvate kinase M2 (PKM2) is also a potential therapeutic target for cancer treatment, so we evaluated the combined anticancer efficacy of piceatannol plus low-dose shikonin, a potent and specific plant-derived PKM2 inhibitor, in two GLO I-dependent cancer cell lines, HL-60 human myeloid leukemia cells and NCI-H522 human non-small-cell lung cancer cells. Combined treatment with piceatannol and low-dose shikonin for 48 h synergistically reduced cell viability, enhanced apoptosis rate, and increased extracellular methylglyoxal accumulation compared to single-agent treatment, but did not alter PKM1, PKM2, or GLO I protein expression. Taken together, these results indicate that concomitant use of low-dose shikonin potentiates piceatannol-induced apoptosis of GLO I-dependent cancer cells by augmenting methylglyoxal accumulation.

Keywords: anticancer; apoptosis; glyoxalase I; piceatannol; pyruvate kinase M2; shikonin.

MeSH terms

  • Apoptosis
  • Carcinoma, Non-Small-Cell Lung*
  • Cell Line, Tumor
  • Humans
  • Lactoylglutathione Lyase*
  • Lung Neoplasms*
  • Pyruvaldehyde
  • Pyruvate Kinase / metabolism

Substances

  • shikonin
  • 3,3',4,5'-tetrahydroxystilbene
  • Lactoylglutathione Lyase
  • Pyruvaldehyde
  • Pyruvate Kinase