Glyoxalase I (GLO I), a major
enzyme involved in the detoxification of the anaerobic glycolytic byproduct
methylglyoxal, is highly expressed in various
tumors, and is regarded as a promising target for
cancer therapy. We recently reported that
piceatannol potently inhibits human GLO I and induces the death of GLO I-dependent
cancer cells.
Pyruvate kinase M2 (PKM2) is also a potential therapeutic target for
cancer treatment, so we evaluated the combined anticancer efficacy of
piceatannol plus low-dose
shikonin, a potent and specific plant-derived PKM2 inhibitor, in two GLO I-dependent
cancer cell lines, HL-60 human
myeloid leukemia cells and NCI-H522 human
non-small-cell lung cancer cells. Combined treatment with
piceatannol and low-dose
shikonin for 48 h synergistically reduced cell viability, enhanced apoptosis rate, and increased extracellular
methylglyoxal accumulation compared to single-agent treatment, but did not alter PKM1, PKM2, or GLO I
protein expression. Taken together, these results indicate that concomitant use of low-dose
shikonin potentiates
piceatannol-induced apoptosis of GLO I-dependent
cancer cells by augmenting
methylglyoxal accumulation.