Panel a: N-acetyl cysteine (NAC) or Glutathione (GSH) mediated abrogation arsenic trioxide/ascorbic acid induced cytotoxicity in primary CLL B cells. Purified B-lymphocytes from CLL patients (1×106/ml media) were pretreated with Glutathione [GSH (1mM)] or N-acetyl cysteine (NAC) for 30 minutes prior to addition of ATO (1μM) and ascorbic acid (1mM). The cells were stained with Annexin-V-FITC and propidium iodide and analyzed by flow cytometry after 24 hours. The data shown represent % Annexin-V-/PI- viable cells + SD that are normalized to media control. (n=6; p<0.05).
Panel b: Depletion of GSH by buthionine sulfoximine (BSO) enhances the As2O3 and ascorbic acid mediated cytotoxicity. Purified CLL B cells (1×106/ml) were grown in the presence of 200μM BSO for 24 hours to deplete GSH levels. The cells were analyzed by flow-cytometry 24 hours after addition of ATO/ascorbic acid as described above.