Abstract. Quercetin is the most abundant polyphenolic flavonoid found in plants. Several studies suggest that it has potent anticancer effects. The present study examines the apoptosisinducing activity and the underlying mechanism of action of quercetin in a methotrexate (MTX)-resistant osteosarcoma model. Our results showed that quercetin inhibited cell viability in a dose-dependent manner and there was no cross-resistance between MTX and quercetin in U2-OS/MTX300 cells. The induction of apoptosis was observed by flow cyto metry and fluorescence staining experiments. Quercetin-induced apoptosis was accompanied by a significant reduction of mitochondrial membrane potential, release of mitochondrial cytochrome c to the cytosol, activation of caspase-3, down-regulation of Bcl-2, p-Bad and up-regulation of Bax. A remarkable dephosphorylation of Akt was also detected after quercetin treatment. Furthermore, transduction with constitutively active Akt protected against the quercetin-induced dephosphorylation of Akt and Bad as well as poly(ADP-ribose)polymerase (PARP) degradation, while combined treatment with quercetin and LY294002 enhanced the dephosphorylation of Akt, Bad and PARP cleavage in U2-OS/MTX300 cells. Taken together, our results demonstrate that quercetin-induced apoptosis in the MTX-resistant osteosarcoma cells U2-OS/MTX300 was mediated via mitochondrial dysfunction and dephosphorylation of Akt.
IntroductionOsteosarcoma is the most common primary malignant bone tumor diagnosed in children and adolescents (1). Due to the development of adjuvant and neo-adjuvant chemotherapy, local control of osteosarcoma and overall survival have improved significantly. Currently used chemotherapy regimens are based on a combination of methotrexate (MTX), doxorubicin, cisplatin and ifosfamide. MTX is the most active one (2). Despite improvements of chemotherapy, a considerable number of osteosarcoma patients develop MTX resistance and die as a result of disease progression (3). Additional therapeutic agents should be evaluated to improve the survival of MTX-resistant osteosarcoma patients.Quercetin is the most abundant molecule in the extensive class of polyphenolic flavonoids and is found ubiquitously in plants and foods (4). The average daily dietary intake of quercetin is estimated to be 16 mg (5). The bioactivities of quercetin are complex and include antioxidative, antiviral, antibacterial and anti-inflammatory effects (4,6,7). Recently, quercetin was found to possess strong anticancer properties in colon cancer (8-11), breast cancer (12,13), leukemia (14-16), hepatocellular carcinoma (17), pancreatic carcinoma (18), salivary adenoid cystic carcinoma (19) and lung cancer (20). Although the anti-tumor effects of quercetin have been examined in several tumors, very little is known about its effects in osteosarcoma cells. Thus, in this study we used a MTX-resistant model to determine the effects of quercetin on the MTX-resistant osteosarcoma cells, and elucidate the underlying mechanism. MTT assay. After quercetin trea...