- Research article
- Open Access
Curcumin induces the apoptosis of human monocytic leukemia THP-1 cells via the activation of JNK/ERK Pathways
BMC Complementary and Alternative Medicine volume 12, Article number: 22 (2012)
Curcumin is a principal compound of turmeric, commonly used to treat tumors and other diseases. However, its anti-cancer activity in human acute monocytic leukemia THP-1 cells is not clear. This study aimed to study the anti-cancer effect and action of curcumin on THP-1 cells.
THP-1 parental cells and PMA-treated THP-1 cells, were used as in vitro models to evaluate the anti-cancer effect and mechanism of curcumin. Apoptosis and its mechanism were evaluated by WST-1, flow cytometry and Western blotting. MAPK inhibitors were used to further confirm the molecular mechanism of curcumin-induced THP-1 cell apoptosis.
Curcumin induced cell apoptosis of THP-1 cells as shown by cell viability, cell cycle analysis and caspase activity. Curcumin significantly increased the phosphorylation of ERK, JNK and their downstream molecules (c-Jun and Jun B). Inhibitor of JNK and ERK reduced the pro-apoptotic effect of curcumin on THP-1 cells as evidenced by caspase activity and the activation of ERK/JNK/Jun cascades. On the contrary, the pro-apoptotic effect of curcumin was abolished in the differentiated THP-1 cells mediated by PMA.
This study demonstrates that curcumin can induce the THP-1 cell apoptosis through the activation of JNK/ERK/AP1 pathways. Besides, our data suggest its novel use as an anti-tumor agent in acute monocytic leukemia.
Acute myeloid leukemia (AML) is a hematopoietic cancer characterized by a disorder in differentiation of hematopoiesis; this disease results in the growth of a clonal population of neoplastic cells. Malignant hematopoietic cells lead to loss of normal hematopoietic functions, which results in death within weeks to months . AML is the most common type of leukemia in adults. It has the lowest survival rate of all leukemia . A better understanding of the molecular biology of AML will be helpful when developing new therapeutic strategies that specifically target molecular abnormalities.
Mitogen-activated protein kinases (MAPKs) such as ERK, JNK and p38 mediate the signaling transduction involved in cell proliferation, differentiation, transformation survival and death . Several publications showed the involvement of MAPKs in the apoptosis of HL-60 cells isolated from the patients with human promyelocytic leukemia, one type of acute myeloid leukemia. For instance, the activation of p38/ERK, JNK/ERK and p38/JNK by anti-cancer compounds, trifolin acetate , fucoidan  and 3,6-dihydroxyflavone , respectively, were observed during HL60 cell death. Accordingly, AP-1 transcription factor is associated with JNK mediated HL-60 cell apoptosis [7–10]. These data support the notion that the MAPKs and the downstream transcription factor AP-1 are the major mediators of HL-60 apoptosis.
Medicinal plants, used in complementary and alternative medicine, are an extraordinary source of chemopreventive and therapeutic agents for various human tumors [11, 12]. Turmeric has traditionally been used as a component to treat a variety of disorders in the Indian Ayurvedic medicine. Accumulating evidence shows that curcumin, the principal curcuminoid of turmeric, inhibits proliferation and induce apoptosis in various types of solid tumor and leukemia cell lines [13, 14]. Curcumin has been reported to possess inhibitory effects on MDR1 and WT1 gene expression in AML patient leukemic cells [15, 16]. Several studies have revealed that curcumin induces HL-60 cell line (a promyelocytic leukemia type of AML) apoptosis through several pathways, including the ornithine decarboxylase-dependent pathway , ER stress  and an inhibition of telomerase activity . However, little is known about the effects of curcumin on other types of AML.
In the present study, we investigated the effect and mode of action of curcumin on monocytic leukemia THP-1 cells. We first examined the effect of different concentrations of curcumin on THP-1 cell apoptosis. Next, interference of the inhibitor of ERK and JNK and PMA-treated THP-1 cells were used to study the likely mechanism of curcumin-mediated apoptosis.
Cell and reagents
The THP-1 cell line, derived from human acute monocytic leukemia, was purchased from American Type Culture Collection (TIB-202). Cells were cultured in RPMI-1640 (Gibco) supplemented with 10% FBS (Gibco), 10 mM HEPES (GeneMark), 1% L-glutamine (Gibco), 1% non-essential amino acids (Gibco). Curcumin, dimethyl sulfoxide (DMSO), SP600125 (ERK inhibitor), U0126 (JNK inhibitor) and phorbol-12-myristate-13-acetate (PMA) were purchased from Sigma. Antibodies against caspase-3, cleaved caspase-8, Caspase-9, FoxO4, phospho-FoxO4 (Thr28), FoxO3a, FoxO1, phospho-FoxO1 (Ser256), phospho-FoxO3a (Ser253), p85, phospho-p85 (Tyr458), p110α, PDK1, Phospho-PDK1, JunB, c-Jun, phospho-c-Jun Ser63, AKT1, AKT2, AKT3, phospho-AKT (Ser473), phospho-AKT (Ser308), ATF2, phospho-ATF2 Thr71, phospho-JNK (Thr183/Tyr185), phospho-ERK (Thr202/Tyr2040), ERK, JNK, p38, phospho-p38 (Thr180/Tyr182), caspase-8 and histone H3 were purchased from Cell signaling laboratory and antibodies against PARP-1, caspase-3 and GAPDH were from Epitomics Inc. β-actin antibody and phospho-JunB (Ser259) were purchased from Sigma and Santa Cruz Biotechnology, respectively.
THP-1 cells, which had been treated with curcumin (30 μM, 40 μM and 50 μM), were harvested and fixed with 70% ethanol at 4°C overnight. After PBS washing, the cells were incubated with RNase A for 5 min. After incubation with propidium iodide (200 μg/mL), the cells underwent flow cytometry (Beckman, FC-500). For double staining, THP-1 cells were first treated with PhipPhiLux-G1D2/caspase-3 substrate (OncoImmuno, Inc) at 37°C for 45 min. After washing, the cells were stained with propidium iodide and analyzed using flow cytometry.
Protein extraction and immunoblotting
THP-1 cells were lyzed with RIPA lysis buffer (Sigma). Total cell lysates were extracted as described previously (Chen et al., 2009). The lysates were separated using polyacrylamide gel electrophoresis. After transfer, the membrane was blotted with antibody and developed with an enhanced chemiluminescent kit.
Caspase activity assay
THP-1 cells were treated with DMSO and curcumin (50 μM) in the presence of U0126 (20 μM) and SP600125 (30 μM) for 10 hours. The cells were subsequently incubated with Caspase-Glo® 3/7 reagent kit (Promega) and caspases-3/7 activity was detected and analyzed using a GloMax®-Multi Detection System (Promega) according to the manufacturer's instructions.
THP-1 cells and PMA-treated tHP-1 cells were seeded at the density of 50 000 cells/cm2 in 96-well plates. The cells were incubated with DMSO and 50 μM curcumin for 18 hr. After washing, the cells were incubated with WST-1 reagent at 37°C for 1 hr in accordance to the manufacturer's instructions (Roche). The quantity of formazan dye was determined with a photometer at 450 nm.
Data from three independent experiments are presented as mean ± standard deviation (SD). Student's t-test was used for statistical analysis between control and treatment groups. P less than 0.05 is considered statistically significant.
Curcumin induces THP-1 cell apoptosis
To investigate the anti-cancer effect of curcumin on THP-1 cells, a cell line of human monocytic leukemia, THP-1 cells at exponentially growing stage were incubated with different concentrations (30, 40 and 50 μM) of curcumin for 24 hours. DMSO did not affect cell cycle in THP-1 cells (Figure 1A). The subG1 fractions of curcumin-treated THP-1 cells were significantly increased in a concentration-dependent manner (Figure 1A). In contrast, the G2/M fractions were decreased (Figure 1A). However, the G0/G1 and S fractions seemed not to change (Figure 1A). The data suggest that curcumin can induce cell death of THP-1 cells. Furthermore, we studied the time course of cell death of THP-1 cells treated with curcumin. We found that DMSO did not induce THP-1 cell death (Figure 1B). In contrast, curcumin at 50 mM significantly enhanced the subG1 fractions and this enhancement peaked at 24 hours (Figure 1B). Besides, we analyzed the apoptosis of curcumin-treated THP-1 cells using caspase-3/7 activity and propidium iodide staining. The data revealed that curcumin induced THP-1 cell death via apoptotic pathway (Figure 2A). To further study if curcumin activated intrinsic and extrinsic pathways during apoptosis, we examined the cleavage of caspase-8, a caspase in the extrinsic pathway, caspase-9, a caspase in the intrinsic pathway, caspase-3 and PARP-1, substrates of caspases. The results showed the activation of caspases by curcumin started at 3 hours post-treatment, followed by the degradation of PARP-1 (Figure 2B). Taken, together, the data suggest that curcumin concentration-dependently induces THP-1 cell apoptosis through both the extrinsic and intrinsic apoptotic pathways.
Apoptosis of THP-1 cells by curcumin is not mediated by PI3K/AKT pathway
PI3K/AKT/FOXO pathway is well known for regulation of cell survival and apoptosis (Burgering and Medema, 2003). Therefore, we examined the involvement of PI3K/AKT/FOXO pathway in the curcumin-mediated apoptosis in THP-1 cells. Figure 3A showed that curcumin treatment did not alter the phosphorylation level of PI3K, AKTs and FOXOs in THP-1 cells.
Apoptosis of THP-1 cells by curcumin is mediated by the activation of JNK/ERK/Jun pathways
We turned to examine the involvement of MAPK pathways in the curcumin-mediated apoptosis in THP-1 cells. We found that curcumin increased the phosphorylation level of JNK and ERK to a greater extent than p38 in THP-1 cells (Figure 3B). Accordingly, curcumin augmented the phosphorylation of c-Jun and JunB, the downstream transcription factors of JNK and ERK, in THP-1 cells (Figure 3B).
To further verify the role of the JNK and ERK pathways in the curcumin-induced THP-1 cell apoptosis, we tested if the inhibitors of JNK (SP600125) and ERK (U0126) could reverse curcumin-mediated apoptosis in THP-1 cells as evidenced by the activity of caspases-3/7. As expected, both inhibitors reduced curcumin-induced caspase-3/7 activity in THP-1 cells in a concentration-dependent manner (Figure 4A and 4B). However, no synergistic or additive effect was observed when these two inhibitors were combined (Figure 4C), implying that JNK and ERK might be redundant in this system. Consistently, Inhibition of ERK reduced the phosphorylation of ERK, JunB and, to a lesser extent, c-Jun (Figure 4D). In sharp contrast, Inhibition of JNK reduced the phosphorylation of JNK and c-Jun (Figure 4D). Besides, the percentage of sub-G1 population in THP-1 cells treated with vehicle and curcumin with/without the inhibitors of ERK, JNK or both was assessed using DNA content assays. Curcumin significantly increased the percentage of the sub-G1 population (i.e., apoptotic cells) of THP-1 cells. This sub-G1 population induced by curcumin was further reduced by the inhibitor of ERK and JNK. A more pronounced reduction in sub-G1 population was observed in THP-1 cells treated with combinational inhibitors (Figure 4E). The data on the reduction of curcumin-mediated THP-1 cell apoptosis by the MAPK inhibitors using DNA content assays is consistent with those obtained from capase-3/7 assays (Figure 4A to 4C). Overall, the data suggest that curcumin modulates apoptosis in THP-1 cells via the activation of JNK/ERK/Jun pathways. ERK and JNK pathways may be parallel and redundant in the curcumin-induced THP-1 cell apoptosis.
PMA treatment reduces curcumin-induced THP-1 cell apoptosis by inhibiting ERK/JNK/Jun pathways
PMA is known to induce differentiation of THP-1 monocytic cells into macrophage-like cells (Auwerx et al., 1992). Next, we compared the effect of curcumin on PMA-treated THP-1 cells, differentiated/mature monocytic cells, and THP-1 cells using WST-1 assays. We found that cell viability of PMA-treated THP-1 cells and THP-1 cells after curcumin treatment was 25 ± 0.5% and 96 ± 3.7%, respectively. The data suggest that PMA treatment dramatically reversed curcumin-induced THP1 cell death.
Next, we examined the effect of curcumin on the ERK/JNK/Jun, caspase-3 and AKT pathways in PMA-treated THP-1 cells. We found that curcumin decreased the phosphorylation of ERK, JNK, c-Jun and JunB and the degradation of caspase-3 in PMA-treated THP-1 cells (Figure 5A) as opposed to THP-1 cells (Figure 3B). In contrast, curcumin increased the phosphorylation of AKT (Figure 5A). The data showed that PMA treatment reversed the apoptotic effect of curcumin on THP-1 cells via the inactivation of ERK/JNK/Jun pathways and activation of AKT pathway. Overall, our data support the notion that curcumin induces the apoptosis of human monocytic leukemia THP-1 cells via the activation of JNK/ERK/Jun pathways (Figure 5B).
In this work, we showed that curcumin induced the apoptosis of THP-1 cells, a human acute monocytic leukemia cell line. This cell death was associated with the MAKP and AP1 pathways. The study proves the concept that curcumin is therapeutically effective against human acute monocytic leukemia, one key type of acute myeloid leukemia.
PI3K, AKT and MAPKs are involved in regulation of life and death [3, 20]. Our results showed that curcumin increased apoptosis via the activation of ERK and JNK but not PI3K and AKT (Figure 3). Several anti-cancer compounds such as trifolin acetate , fucoidan  and 3,6-dihydroxyflavone  activated ERK, JNK and/or p38, in human acute myeloid leukemia HL60 cells. The activation of MAPKs was related to apoptosis of HL60 cells [7–10]. Hence, our and other data suggest that MAPKs regulates the matter of life and death in leukemia cells.
Jun family proteins have dual roles in neoplasia and tumor suppression and their roles need to be considered in a context-dependent manner [21–23]. For example, JunB was shown to repress cell proliferation when c-Jun:JunB heterodimers were formed [24, 25]. JunB was also reported to have tumor suppressor function in chronic myeloid leukemia [26, 27] and B cells . More recently, JunB was shown to inhibit autophagy and induce apoptosis [29, 30]. Consistently, AP-1 was shown to be implicated in HL-60 cell apoptosis mediated by JNK [7–10]. In this study, our results showed that c-Jun and JunB are involved in the curcumin-induced apoptosis in THP1 cells (Figures 3B, 4D and 5), suggesting the tumor suppressor role of c-Jun and JunB in THP-1 cells.
Collectively, this study showed that curcumin induces THP-1 apoptosis via the activation of ERK/JNK pathways and its downstream mediators, c-Jun and JunB. The data are in good agreement with the publications indicating that MAPK/AP1 pathways regulated cell death in acute myeloid leukemia HL60 cells. Moreover, our and other data support the notion that the MAPKs and the downstream molecule, AP-1, are the major mediators that regulate cell death of AML tumors.
Leukemic cells are aberrant immature blood cells. Differentiation of leukemic cells is thought as an anti-leukemia approach. PMA, a PKC activator, is known to promote the differentiation of immature THP-1 monocytic cells to mature THP-1 macrophages. Interestingly, the apoptotic effect of curcumin was abolished in PMA-treated THP-1 cells. Surprisingly, phosphorylation of ERK, JNK and Jun by curcumin decreased in PMA-treated THP-1 cells (Figure 5A). Phosphorylation of AKT seemed to increase (Figure 5A). The data suggest that apoptotic effect of curcumin is more effective against immature leukemic cells than mature cells. Put together, curcumin induces human monocytic leukemic THP-1 cell apoptosis via the activation of MAPK/AP1 pathways.
This work shows the pro-apoptotic effect and mechanism of curcumin in THP-1 cells. Its apoptotic action involves the activation of JNK/ERK/AP1 pathways. Besides, our data imply the novel use of curcumin as anti-leukemia agent.
Rubnitz JE, Gibson B, Smith FO: Acute myeloid leukemia. Hematol Oncol Clin North Am. 2010, 24 (1): 35-63. 10.1016/j.hoc.2009.11.008.
Deschler B, Lubbert M: Acute myeloid leukemia: epidemiology and etiology. Cancer. 2006, 107 (9): 2099-2107. 10.1002/cncr.22233.
Dhillon AS, Hagan S, Rath O, Kolch W: MAP kinase signalling pathways in cancer. Oncogene. 2007, 26 (22): 3279-3290. 10.1038/sj.onc.1210421.
Torres F, Quintana J, Diaz JG, Carmona AJ, Estevez F: Trifolin acetate-induced cell death in human leukemia cells is dependent on caspase-6 and activates the MAPK pathway. Apoptosis. 2008, 13 (5): 716-728. 10.1007/s10495-008-0202-0.
Jin JO, Song MG, Kim YN, Park JI, Kwak JY: The mechanism of fucoidan-induced apoptosis in leukemic cells: involvement of ERK1/2, JNK, glutathione, and nitric oxide. Mol Carcinog. 2010, 49 (8): 771-782.
Chang H, Lin H, Yi L, Zhu J, Zhou Y, Mi M, Zhang Q: 3,6-Dihydroxyflavone induces apoptosis in leukemia HL-60 cell via reactive oxygen species-mediated p38 MAPK/JNK pathway. Eur J Pharmacol. 2010, 648 (1-3): 31-38. 10.1016/j.ejphar.2010.08.020.
Mollinedo F, Gajate C, Modolell M: The ether lipid 1-octadecyl-2-methyl-rac-glycero-3-phosphocholine induces expression of fos and jun proto-oncogenes and activates AP-1 transcription factor in human leukaemic cells. Biochem J. 1994, 302 (Pt 2): 325-329.
Kondo T, Matsuda T, Kitano T, Takahashi A, Tashima M, Ishikura H, Umehara H, Domae N, Uchiyama T, Okazaki T: Role of c-jun expression increased by heat shock- and ceramide-activated caspase-3 in HL-60 cell apoptosis. Possible involvement of ceramide in heat shock-induced apoptosis. J Biol Chem. 2000, 275 (11): 7668-7676. 10.1074/jbc.275.11.7668.
Sawai H, Okazaki T, Yamamoto H, Okano H, Takeda Y, Tashima M, Sawada H, Okuma M, Ishikura H, Umehara H: Requirement of AP-1 for ceramide-induced apoptosis in human leukemia HL-60 cells. J Biol Chem. 1995, 270 (45): 27326-27331. 10.1074/jbc.270.45.27326.
Chen SH, Lin JK, Liang YC, Pan MH, Liu SH, Lin-Shiau SY: Involvement of activating transcription factors JNK, NF-kappaB, and AP-1 in apoptosis induced by pyrrolidine dithiocarbamate/Cu complex. Eur J Pharmacol. 2008, 594 (1-3): 9-17. 10.1016/j.ejphar.2008.07.024.
Fresco P, Borges F, Marques MP, Diniz C: The anticancer properties of dietary polyphenols and its relation with apoptosis. Curr Pharm Des. 2010, 16 (1): 114-134. 10.2174/138161210789941856.
Huang WY, Cai YZ, Zhang Y: Natural phenolic compounds from medicinal herbs and dietary plants: potential use for cancer prevention. Nutr Cancer. 2010, 62 (1): 1-20.
Das T, Sa G, Saha B, Das K: Multifocal signal modulation therapy of cancer: ancient weapon, modern targets. Mol Cell Biochem. 2010, 336 (1-2): 85-95. 10.1007/s11010-009-0269-0.
Ravindran J, Prasad S, Aggarwal BB: Curcumin and cancer cells: how many ways can curry kill tumor cells selectively?. AAPS J. 2009, 11 (3): 495-510. 10.1208/s12248-009-9128-x.
Anuchapreeda S, Limtrakul P, Thanarattanakorn P, Sittipreechacharn S, Chanarat P: Inhibitory effect of curcumin on WT1 gene expression in patient leukemic cells. Arch Pharm Res. 2006, 29 (1): 80-87. 10.1007/BF02977473.
Anuchapreeda S, Thanarattanakorn P, Sittipreechacharn S, Tima S, Chanarat P, Limtrakul P: Inhibitory effect of curcumin on MDR1 gene expression in patient leukemic cells. Arch Pharm Res. 2006, 29 (10): 866-873. 10.1007/BF02973907.
Liao YF, Hung HC, Hour TC, Hsu PC, Kao MC, Tsay GJ, Liu GY: Curcumin induces apoptosis through an ornithine decarboxylase-dependent pathway in human promyelocytic leukemia HL-60 cells. Life Sci. 2008, 82 (7-8): 367-375. 10.1016/j.lfs.2007.11.022.
Pae HO, Jeong SO, Jeong GS, Kim KM, Kim HS, Kim SA, Kim YC, Kang SD, Kim BN, Chung HT: Curcumin induces pro-apoptotic endoplasmic reticulum stress in human leukemia HL-60 cells. Biochem Biophys Res Commun. 2007, 353 (4): 1040-1045. 10.1016/j.bbrc.2006.12.133.
Mukherjee Nee Chakraborty S, Ghosh U, Bhattacharyya NP, Bhattacharya RK, Dey S, Roy M: Curcumin-induced apoptosis in human leukemia cell HL-60 is associated with inhibition of telomerase activity. Mol Cell Biochem. 2007, 297 (1-2): 31-39. 10.1007/s11010-006-9319-z.
Burgering BM, Medema RH: Decisions on life and death: FOXO Forkhead transcription factors are in command when PKB/AKT is off duty. J Leukoc Biol. 2003, 73 (6): 689-701. 10.1189/jlb.1202629.
Bhoumik A, Ronai Z: ATF2: a transcription factor that elicits oncogenic or tumor suppressor activities. Cell Cycle. 2008, 7 (15): 2341-2345.
Lopez-Bergami P, Lau E, Ronai Z: Emerging roles of ATF2 and the dynamic AP1 network in cancer. Nat Rev Cancer. 2010, 10 (1): 65-76. 10.1038/nrc2681.
Shaulian E: AP-1-The Jun proteins: Oncogenes or tumor suppressors in disguise?. Cell Signal. 2010, 22 (6): 894-899. 10.1016/j.cellsig.2009.12.008.
Deng T, Karin M: JunB differs from c-Jun in its DNA-binding and dimerization domains, and represses c-Jun by formation of inactive heterodimers. Genes Dev. 1993, 7 (3): 479-490. 10.1101/gad.7.3.479.
Passegue E, Wagner EF: JunB suppresses cell proliferation by transcriptional activation of p16(INK4a) expression. EMBO J. 2000, 19 (12): 2969-2979. 10.1093/emboj/19.12.2969.
Passegue E, Jochum W, Schorpp-Kistner M, Mohle-Steinlein U, Wagner EF: Chronic myeloid leukemia with increased granulocyte progenitors in mice lacking junB expression in the myeloid lineage. Cell. 2001, 104 (1): 21-32. 10.1016/S0092-8674(01)00188-X.
Passegue E, Wagner EF, Weissman IL: JunB deficiency leads to a myeloproliferative disorder arising from hematopoietic stem cells. Cell. 2004, 119 (3): 431-443. 10.1016/j.cell.2004.10.010.
Szremska AP, Kenner L, Weisz E, Ott RG, Passegue E, Artwohl M, Freissmuth M, Stoxreiter R, Theussl HC, Parzer SB: JunB inhibits proliferation and transformation in B-lymphoid cells. Blood. 2003, 102 (12): 4159-4165. 10.1182/blood-2003-03-0915.
Yogev O, Goldberg R, Anzi S, Shaulian E: Jun proteins are starvation-regulated inhibitors of autophagy. Cancer Res. 2010, 70 (6): 2318-2327. 10.1158/0008-5472.CAN-09-3408.
Yogev O, Shaulian E: Jun proteins inhibit autophagy and induce cell death. Autophagy. 2010, 6 (4): 566-567. 10.4161/auto.6.4.11950.
The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6882/12/22/prepub
This work was supported in part by the National Science Council grants (NSC 96-2320-B-031-001-MY2 and NSC 98-2321-B-031-001) to C.W. Yang.
The authors declare that they have no competing interests.
CWY conceived the study. CWY and CLC carried out the experiments. JPP helped CLC and CWY in carrying out the experiments. HCL, CWC and WCY participated in designing the experiments. WCY wrote the manuscript. All authors read and approved the final manuscript.
Chu-Wen Yang, Chi-Lun Chang contributed equally to this work.
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Yang, CW., Chang, CL., Lee, HC. et al. Curcumin induces the apoptosis of human monocytic leukemia THP-1 cells via the activation of JNK/ERK Pathways. BMC Complement Altern Med 12, 22 (2012). https://doi.org/10.1186/1472-6882-12-22
- Acute Myeloid Leukemia
- Monocytic Leukemia
- Acute Monocytic Leukemia
- Acute Monocytic Leukemia Cell Line