New
cytotoxic agents are urgently needed for the treatment of advanced
ovarian cancer because of the poor long-term response of this disease to conventional
chemotherapy.
Curcumin, obtained from the rhizome of Curcuma longa, has potent anticancer activity; however, the mechanism of
curcumin-induced cytotoxicity in
ovarian cancer cells remains a mystery. In this study we show that
curcumin exhibited time- and dose-dependent cytotoxicity against monolayer cultures of ovarian
carcinoma cell lines with differing p53 status (wild-type p53: HEY, OVCA429; mutant p53: OCC1; null p53: SKOV3). In addition, p53 knockdown or p53 inhibition did not diminish
curcumin killing of HEY cells, confirming p53-independent cytotoxicity.
Curcumin also killed OVCA429, and SKOV3 cells grown as multicellular spheroids. Nuclear condensation and fragmentation, as well as DNA fragmentation and
poly (ADP-ribose) polymerase-1 cleavage in
curcumin-treated HEY cells, indicated cell death by apoptosis.
Procaspase-3,
procaspase-8, and
procaspase-9 cleavage, in addition to
cytochrome c release and Bid cleavage into truncated Bid, revealed that
curcumin activated both the extrinsic and intrinsic pathways of apoptosis. Bax expression was unchanged but Bcl-2,
survivin, phosphorylated Akt (on
serine 473), and total Akt were downregulated in
curcumin-treated HEY cells.
Curcumin also activated
p38 mitogen-activated protein kinase (MAPK) without altering
extracellular signal-regulated kinase 1/2 activity. We conclude that p53-independent
curcumin-induced apoptosis in ovarian
carcinoma cells involves
p38 MAPK activation, ablation of prosurvival Akt signaling, and reduced expression of the antiapoptotic
proteins Bcl-2 and
survivin. These data provide a mechanistic rationale for the potential use of
curcumin in the treatment of
ovarian cancer.