High concentrations (greater than 5 microM) of
arsenic trioxide (
As(2)O(3)) have been reported to be able to induce apoptosis in several malignant cells. We explored cell lines in which apoptosis was induced with a therapeutic concentration (1-2 microM) of
As(2)O(3), and found that 1 microM of
As(2)O(3) induced apoptosis in the NKM-1 cell line, which was established from a patient with
acute myeloid leukemia (M2). Apoptosis induced by 1 microM of
As(2)O(3) in NKM-1 cells was accompanied by an increased cellular content of H(2)O(2), a decreased mitochondrial membrane potential (Deltapsim), and activation of
caspase-3. C-Jun-terminal
kinase (JNK) was activated only in NKM-1 cells and
arsenic-sensitive NB4 cells, but not in
arsenic-insensitive HL-60 cells. Activation of JNK in NKM-1 was sustained from 6 to 24 h after
As(2)O(3) treatment, and preceded changes in cellular H(2)O(2), Deltapsim, and
caspase-3 activation. Moreover, addition of a JNK inhibitor reduced the percentage of apoptotic cells after the
As(2)O(3) treatment. Taken together, in the M2 cell line NKM-1, 1 microM of
As(2)O(3) induced sustained activation of JNK and apoptosis. This finding may provide a basis to select a subgroup other than
acute promyelocytic leukemia, which can benefit from
As(2)O(3) treatment.