PMID- 22684842 OWN - NLM STAT- MEDLINE DCOM- 20131223 LR - 20171116 IS - 1573-675X (Electronic) IS - 1360-8185 (Linking) VI - 17 IP - 9 DP - 2012 Sep TI - Quercetin enhances hypoxia-mediated apoptosis via direct inhibition of AMPK activity in HCT116 colon cancer. PG - 938-49 LID - 10.1007/s10495-012-0719-0 [doi] AB - Tumor hypoxia is considered the best validated target in clinical oncology because of its significant contribution to chemotherapy failure and drug resistance. As an approach to target hypoxia, we assessed the potential of quercetin, a flavonoid widely distributed in plants, as a anticancer agent under hypoxic conditions and examined its pharmacological mechanisms by primarily focusing on the role of AMP-activated protein kinase (AMPK). Quercetin significantly attenuated tumor growth in an HCT116 cancer xenograft in vivo model with a substantial reduction of AMPK activity. In a cell culture system, quercetin more dramatically induced apoptosis of HCT116 cancer cells under hypoxic conditions than normoxic conditions, and this was tightly associated with inhibition of hypoxia-induced AMPK activity. An in vitro kinase assay demonstrated that quercetin directly inhibits AMPK activity. Inhibition of AMPK by expressing a dominant-negative form resulted in an increase of apoptosis under hypoxia, and a constitutively active form of AMPK effectively blocked quercetin-induced apoptosis under hypoxia. Collectively, our data suggest that quercetin directly inhibits hypoxia-induced AMPK, which plays a protective role against hypoxia. Quercetin also reduced the activity of hypoxia-inducible factor-1 (HIF-1), a major transcription factor for adaptive cellular response to hypoxia. Moreover, quercetin sensitized HCT116 cancer cells to the anticancer drugs cisplatin and etoposide under hypoxic conditions. Our findings suggest that AMPK may serve as a novel target for overcoming tumor hypoxia-associated negative aspects. FAU - Kim, Hak-Su AU - Kim HS AD - Department of Biochemistry and Molecular Biology, Medical Research Center and Biomedical Science Institute, School of Medicine, Kyung Hee University, Seoul, 130-701, Korea. FAU - Wannatung, Tirawat AU - Wannatung T FAU - Lee, Sooho AU - Lee S FAU - Yang, Woo Kyeom AU - Yang WK FAU - Chung, Sung Hyun AU - Chung SH FAU - Lim, Jong-Seok AU - Lim JS FAU - Choe, Wonchae AU - Choe W FAU - Kang, Insug AU - Kang I FAU - Kim, Sung-Soo AU - Kim SS FAU - Ha, Joohun AU - Ha J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Apoptosis JT - Apoptosis : an international journal on programmed cell death JID - 9712129 RN - 0 (Antineoplastic Agents) RN - 0 (Antioxidants) RN - 0 (Hypoxia-Inducible Factor 1) RN - 6PLQ3CP4P3 (Etoposide) RN - 9IKM0I5T1E (Quercetin) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - AMP-Activated Protein Kinases/*antagonists & inhibitors MH - Animals MH - Antineoplastic Agents/pharmacology MH - Antioxidants/pharmacology MH - Apoptosis/*drug effects MH - Cell Hypoxia/*drug effects MH - Cell Line, Tumor MH - Cisplatin/pharmacology MH - Colonic Neoplasms/*drug therapy MH - Etoposide/pharmacology MH - Genes, Reporter MH - Humans MH - Hypoxia-Inducible Factor 1/drug effects/metabolism MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Neoplasm Transplantation MH - Quercetin/*pharmacology MH - Signal Transduction/drug effects MH - Xenograft Model Antitumor Assays EDAT- 2012/06/12 06:00 MHDA- 2013/12/24 06:00 CRDT- 2012/06/12 06:00 PHST- 2012/06/12 06:00 [entrez] PHST- 2012/06/12 06:00 [pubmed] PHST- 2013/12/24 06:00 [medline] AID - 10.1007/s10495-012-0719-0 [doi] PST - ppublish SO - Apoptosis. 2012 Sep;17(9):938-49. doi: 10.1007/s10495-012-0719-0.