fig3

The antiangiogenic phloroglucinol hyperforin inhibits the secretion of proMMP-2, proMMP-9 and VEGF-A during apoptosis of primary acute myeloid leukemia cells

Figure 3. HF induces resistance to apoptosis in AML cells. (A) Representative cytograms of AML blood cells treated for 72 h with HF (1.4, 2, and 3 µg/mL); detection of dead cells after annexin-V-FITC/PI staining and flow cytometry. The percentage of annexin-V-positive cells is shown. (B) Light microscopy of non-treated and AML cells treated with HF: original magnification, 600×; May-Grünwald stain; Scale bar, 10 µm. (C) Representative cytograms of PBMCs and isolated monocytes from two healthy donors, treated with 2 µg/mL HF for 72 h, and cell death was assessed as described in (A). (D) Representative cytograms of AML cells isolated from blood and bone marrow of one AML patient, treated with 2 µg/mL HF for 72 h, and cell death was assessed as described in (A). (E) Cell death levels (2 µg/mL, 72 h) were determined in untreated and HF-treated malignant cells from 35 AML patients. Mean concentrations ± SD are indicated; P value was calculated using a Mann-Whitney U-test; ****P < 0.0001. (F) The percentage of HF-mediated AML cell death was determined for all FAB subtypes by subtracting the percentage of annexin-V-positive cells in the absence of HF from the percentage of annexin-positive cells in the presence of HF, and then dividing by the percentage of annexin-positive cells in the presence of HF × 100. Data are the mean ± SEM (M0, n = 3; M1, n = 8; M2, n = 14; M3, n = 1; M4, n = 5; and M5, n = 4). P values were calculated using one-way ANOVA (without M3 value); ns: not significant. (G&H) AML cells were treated with HF (2 µg/mL, 72 h) and the percentage of annexin-V-positive cells was determined as described in (A) (left). In parallel, active caspase-3 expression was measured by flow cytometry (right); cells were stained with FITC-rabbit Ig (control, dashed line) or anti-active caspase-3-FITC (solid line); the percentages refer to the percentage of active caspase-3. (G) Responder AML cells are sensitive to HF treatment with death induction (38% vs. 11% for untreated) and caspase-3 activation (34%). (H) Non-responder AML cells do not respond to HF treatment (no cell death and no caspase-3 activation).

Journal of Cancer Metastasis and Treatment
ISSN 2454-2857 (Online) 2394-4722 (Print)

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