He Qin, Huang Ying, Sheikh M Saeed
Department of Pharmacology, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA.
Oncogene. 2004 Apr 1;23(14):2554-8. doi: 10.1038/sj.onc.1207351.
Apo2L/TRAIL (tumor necrosis factor-related apoptosis inducing ligand (TRAIL), also known as Apo2L) is a potentially important anticancer agent awaiting clinical trials. Unfortunately, however, some cancer cells exhibit resistance to Apo2L/TRAIL, which could limit the use of this potentially promising anticancer agent. Although the molecular basis of the inherent or acquired resistance to Apo2L/TRAIL remains unclear, previous studies indicate that Bax deficiency can confer resistance to Apo2L/TRAIL. Proteasome inhibition is also emerging as a promising therapeutic strategy to manage human malignancies. Here, we report that proteasome inhibitor MG132 upregulates Apo2L/TRAIL death receptor 5 expression in both Bax-proficient and -deficient HCT116 cells. MG132 effectively cooperated with Apo2L/TRAIL to induce apoptosis in both Bax-proficient and -deficient cells that was coupled with caspases-8 and -3 activation and Bid cleavage. Although both agents in combination also induced cytochrome c and Smac release from mitochondria into cytosol and activated caspase-9 in Bax-proficient cells, their effects on these events were significantly diminished in Bax-deficient cells. These results suggest that Bax is not absolutely required for death receptor 5-dependent apoptotic signals and MG132 by upregulating DR5 effectively cooperates with Apo2L/TRAIL to overcome Bax deficiency-induced resistance to Apo2L/TRAIL. Our results have important clinical implications in that the use of Apo2L/TRAIL and proteasome inhibitors in combination could prove to be a novel therapeutic strategy to manage the Apo2L/TRAIL-resistant tumors.
Apo2L/TRAIL(肿瘤坏死因子相关凋亡诱导配体(TRAIL),也称为Apo2L)是一种有待临床试验的潜在重要抗癌药物。然而,不幸的是,一些癌细胞对Apo2L/TRAIL表现出抗性,这可能会限制这种潜在有前景的抗癌药物的使用。尽管对Apo2L/TRAIL的固有或获得性抗性的分子基础仍不清楚,但先前的研究表明,Bax缺陷可导致对Apo2L/TRAIL的抗性。蛋白酶体抑制也正在成为治疗人类恶性肿瘤的一种有前景的治疗策略。在这里,我们报告蛋白酶体抑制剂MG132在Bax表达正常和缺陷的HCT116细胞中均上调Apo2L/TRAIL死亡受体5的表达。MG132有效地与Apo2L/TRAIL协同作用,在Bax表达正常和缺陷的细胞中诱导凋亡,这与半胱天冬酶-8和-3的激活以及Bid的切割有关。尽管这两种药物联合使用还能诱导细胞色素c和Smac从线粒体释放到细胞质中,并在Bax表达正常的细胞中激活半胱天冬酶-9,但它们对这些事件的影响在Bax缺陷的细胞中显著减弱。这些结果表明,Bax对于死亡受体5依赖性凋亡信号不是绝对必需的,MG132通过上调DR5有效地与Apo2L/TRAIL协同作用,以克服Bax缺陷诱导的对Apo2L/TRAIL的抗性。我们的结果具有重要的临床意义,即联合使用Apo2L/TRAIL和蛋白酶体抑制剂可能被证明是治疗Apo2L/TRAIL抗性肿瘤的一种新的治疗策略。