Curcumin improves the antitumor effect of X-ray irradiation by blocking the NF-κB pathway: an in-vitro study of lymphoma

Curcumin, a phenolic compound from the rhizomes of Curcuma longa, inhibits the growth of a variety of malignant cell types including lymphoma cells. We investigated the role of curcumin in modulating the response of Burkitt's lymphoma cells to ionizing radiation (IR) in vitro and explored the mechanisms that mediated this effect. We treated three Burkitt's lymphoma cell lines with vehicle, curcumin, IR, and curcumin in combination with IR. Cell viability, apoptosis, and cell cycle distribution were determined to ascertain the radiosensitization effect of curcumin. Nuclear factor-kappa B (NF-kappa B) activation was assessed by nuclear translocation of p65. Apoptosis-related proteins were monitored by western blot assay and real-time RT-PCR. Pretreatment of curcumin sensitized lymphoma cells to IR-induced apoptosis and increased G(2)/M phase arrest in the cell cycle distribution. Accordingly, the antiapoptotic Bcl-xL protein, cell cycle modulating protein CDC2, and cyclin B1 were downregulated by the curcumin treatment. IR activated NF-kappa B as evidenced by an increased nuclear p65 translocation and cytoplasmic I kappa B alpha expression. However, pretreatment with curcumin significantly decreased the nuclear translocation of p65 and cytoplasmic I kappa B alpha degradation. Survivin and hexokinase II, downstream effectors of NF-kappa B that mediate the antiapoptotic effect of NF-kappa B, were suppressed by the pretreatment of curcumin. These observations suggest that the activated NF-kappa B pathway plays a prosurvival role in Burkitt's lymphoma in response to IR. Curcumin blocks this pathway and has therapeutic potential for improving the antitumor effects of radiotherapy. Anti-Cancer Drugs 23:597-605 (C) 2012 Wolters Kluwer Health broken vertical bar Lippincott Williams & Wilkins.