In our previous studies, voacamine, a bisindolic alkaloid extracted from Peschiera fuchsiaefolia, was examined for its possible capability of enhancing the cytotoxic effect of doxorubicin (DOX) on multidrug resistant (MDR) human osteosarcoma
cells (U-2 OS-R). Voacamine induced in resistant cells a significant increase of drug
retention and intranuclear location which became comparable to those observed
in the parental sensitive counterparts (U-2 OS-WT). In the present study, the cell
survival analysis and the electron microscopic observations confirmed the evident
cytotoxicity of DOX on MDR cells after pre-treatment with the plant extract.
Moreover, an increase of the reactivity of P-glycoprotein (P-gp) with the
monoclonal antibody UIC2, which recognizes an epitope of the drug transporter in
its functional conformation, was revealed, demonstrating that voacamine is a substrate of P-gp, thus acting as a competitive antagonist of the cytotoxic agent.
Moreover, to investigate if the enhancement of the cytotoxic effect induced by
voacamine could be due to an apoptotic process, we carried out the analysis of
cell morphology after Hoechst staining and the quantification of apoptosis by
Annexin V-FITC assay. These evaluations showed a very low rate of apoptosis in U-2
OS-R cells treated with voacamine and DOX given in association. In addition, the
combined treatment induced ultrastructural modifications suggestive of
autophagic cell death. In particular, transmission electron microscopy
observations revealed the presence of numerous lysosomes and the formation of a
large number of autophagosomes containing residual digested material.
In conclusion, these findings seem to indicate that voacamine is capable of
enhancing the cytotoxic effect of DOX on MDR cells by favouring a lethal
autophagic process.