Radix Paeoniae Alba (RPA) is the root of Paeonia lactiflora Pallas, which belongs to the Ranunculaceae family. RPA has been commonly used in traditional medicine to tonify the blood, to alleviate pain, and to treat inflammation and cancer. A recent study reported that RPA inhibits hepatocellular carcinoma cell growth and induces their apoptosis.
1)Several constituents isolated from RPA have also been found to have immunologically active.2,3) However, details of the mechanism underlying the activity of RPA are not understood.Apoptosis is a highly regulated process that involves the activation of a series of molecular events that lead to cell death, and is characterized by morphologic changes, chromatin condensation, and apoptotic bodies, which are associated with DNA cleavage and ladder formation. 4,5) There are two major apoptotic pathways, namely, intrinsic and extrinsic apoptosis signaling, in cells responsive to apoptotic stimuli. [6][7][8][9] The intrinsic apoptosis pathway involves mitochondrial signaling, and caspase-9 has been suggested to be the predominant initiator caspase in this pathway. 7,9) In contrast, the extrinsic apoptosis pathway is mediated by death receptors, such as, Fas receptors and tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), and the extrinsic pathway is initiated by caspase-8. 6,8) The activated initiator caspases-8 and -9 starts a proteolytic cascade by cleaving downstream effector caspases, such as, caspase-3, -6, and -7.7) Of these, caspase-3 is believed to be the main executioner caspase and its activation has been shown to be essential for both intrinsic and extrinsic apoptotic cell death. 10,11) To study the mechanism underlying the anticancer activities of RPA, we examined the antiproliferative effect of RPA extracts (RPAE) in HL-60, a human promyelocytic leukemia cell line. Our results demonstrated that RPAE induces apoptosis in a dose-dependent manner in HL-60 cells. We further demonstrate that the apoptotic effects induced by RPAE are accompanied by intrinsic pathway features, i.e., the release of cytochrome c into cytosol and the activation of procaspase-9, but not by extrinsic pathway features, and eventual caspase-3 activation.
MATERIALS AND METHODS
Culture ConditionsHuman leukemia HL-60 cells were purchased from the American Type Culture Collection. Cells were placed in 75 cm 2 tissue culture flasks and grown at 37°C under a humidified, 5% CO 2 atmosphere in RPMI 1640 medium (Gibco BRL) supplemented with 10% fetal bovine serum and 2 mM glutamine, 10000 units/ml of penicillin, 10 mg/ml of streptomycin, and 2.5 mg/ml of amphotericin B.Preparation of Herbal Extract Radix Paeoniae Alba was identified by Min-Kyo Shin, keeper of the herbarium at the Department of Physiology, School of Oriental Medicine, Wonkwang University (Voucher samples were preserved for reference; Ref. No. Omcphy 2001-80). To produce the extract, 200 g of RPA was added to 1800 ml of water, boiled for 2 h, filtered, and concentrated to 200 ml. The sterile extract (41.97 g) was store...