ARTICLE IN PRESS

TOCOTRIENOLS INHIBIT THE PROLIFERATION OF THP-1, HL-60 AND KASUMI 6 HUMAN ACUTE MYELOID LEUKAEMIA CELLS VIA ACTIVATION OF APOPTOSIS

NABIHA IRAN1,3*; SITTI RAHMA ABDUL HAFID1, AMMU K. RADHAKRISHNAN2 and ABDUL AZIZ BABA3

DOI: https://doi.org/10.21894/jopr.2026.0027
Received: 21 December 2024   Accepted: 30 March 2026   Published Online: 11 June 2026
ABSTRACT

Acute myeloid leukaemia (AML) is a cancer that impacts hematopoietic tissues, such as the lymphatic system and bone marrow. Conventional chemotherapy with a single drug induces complete remission in about 40% of cases, while combination chemotherapy can achieve over 50% remission. Despite advancements, long-term, free from cancer survival is accomplished in only 25% to 50% of patients. This study investigates the impact of tocotrienols (T3), including the tocotrienol-rich fraction (TRF), delta-T3 (δT3) and gamma-T3 (γT3), on the percentage of living cells of three human AML cell lines (THP-1, HL-60 and Kasumi 6), both in the presence and absence of cytarabine. A water-soluble tetrazolium (WST) cell proliferation kit was used to assess cell viability, while caspase-related apoptosis pathways were studied using caspase 3, 8 and 9 ELISA kits and gene expression analysis through quantitative polymerase chain reaction (qPCR). TRF significantly inhibited proliferation (p<0.05) in all AML cell lines, with the greatest effect seen in Kasumi 6 cells, followed by HL-60 and THP-1. Caspase 3, 8 and 9 activities increased in AML cells treated with T3 and gene expression analysis revealed a down-regulation of API5 and up-regulation of MIG6. These findings suggest that T3 may exert anti-proliferative effects on AML cells through caspase-mediated apoptosis pathways.

KEYWORDS:


1 Malaysian Palm Oil Board,
6, Persiaran Institusi, Bandar Baru Bangi,
43000 Kajang, Selangor, Malaysia.

2 Jeffrey Cheah School of Medicine and Health Sciences,
Monash University Malaysia Jalan Lagoon Selatan,
47500 Bandar Sunway, Selangor, Malaysia.

3 International Medical University,
Main Campus Bukit Jalil, 126,
Jalan Jalil Perkasa 19, Bukit Jalil,
57000 Kuala Lumpur, Malaysia.

* Corresponding author e-mail: nabiha@mpob.gov.my