Kim Kwang Woon, Mutter Robert W, Cao Carolyn, Albert Jeffrey M, Freeman Michael, Hallahan Dennis E, Lu Bo
Department of Radiation Oncology, Vanderbilt Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA.
J Biol Chem. 2006 Dec 1;281(48):36883-90. doi: 10.1074/jbc.M607094200. Epub 2006 Sep 27.
Autophagy is an alternative cell death pathway that is induced by mammalian target of rapamycin (mTOR) inhibitors and up-regulated when apoptosis is defective. We investigated radiation-induced autophagy in the presence or absence of Bax/Bak with or without an mTOR inhibitor, Rad001. Two isogenic cell lines, wild type (WT) and Bak/Bak(-/-) mouse embryonic fibroblasts and tumor cell lines were used for this study. Irradiated Bak/Bak(-/-) cells had a decrease of Akt/mTOR signaling and a significant increase of pro-autophagic proteins ATG5-ATG12 COMPLEX and Beclin-1. These molecular events resulted in an up-regulation of autophagy. Bax/Bak(-/-) cells were defective in undergoing apoptosis but were more radiosensitive than the WT cells in autophagy. Both autophagy and sensitization of Bak/Bax(-/-) cells were further enhanced in the presence of Rad001. In contrast, inhibitors of autophagy rendered the Bak/Bax(-/-) cells radioresistant, whereas overexpression of ATG5 and Beclin-1 made the WT cells radiosensitive. When this novel concept of radiosensitization was tested in cancer models, small interfering RNAs against Bak/Bax also led to increased autophagy and sensitization of human breast and lung cancer cells to gamma radiation, which was further enhanced by Rad001. This is the first report to demonstrate that inhibition of pro-apoptotic proteins and induction of autophagy sensitizes cancer cells to therapy. Therapeutically targeting this novel pathway may yield significant benefits for cancer patients.
自噬是一种替代性细胞死亡途径,由雷帕霉素哺乳动物靶蛋白(mTOR)抑制剂诱导,在凋亡缺陷时上调。我们研究了在有或无Bax/Bak的情况下,使用或不使用mTOR抑制剂Rad001时辐射诱导的自噬。本研究使用了两种同基因细胞系,野生型(WT)和Bak/Bak(-/-)小鼠胚胎成纤维细胞以及肿瘤细胞系。照射后的Bak/Bak(-/-)细胞Akt/mTOR信号传导减少,促自噬蛋白ATG5-ATG12复合物和Beclin-1显著增加。这些分子事件导致自噬上调。Bax/Bak(-/-)细胞在凋亡方面存在缺陷,但在自噬方面比WT细胞对辐射更敏感。在存在Rad001的情况下,Bak/Bax(-/-)细胞的自噬和放射增敏作用进一步增强。相反,自噬抑制剂使Bak/Bax(-/-)细胞具有放射抗性,而ATG5和Beclin-1的过表达使WT细胞具有放射敏感性。当在癌症模型中测试这种新的放射增敏概念时,针对Bak/Bax的小干扰RNA也导致人乳腺癌和肺癌细胞的自噬增加以及对γ辐射的敏感性增加,Rad001进一步增强了这种作用。这是第一份证明抑制促凋亡蛋白和诱导自噬可使癌细胞对治疗敏感的报告。针对这条新途径进行治疗可能会给癌症患者带来显著益处。
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