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组蛋白去乙酰化酶抑制剂曲古抑菌素A与依托泊苷的联合作用诱导非小细胞肺癌细胞中半胱天冬酶介导的AIF依赖性凋亡性细胞死亡。

Combinatorial action of the HDAC inhibitor trichostatin A and etoposide induces caspase-mediated AIF-dependent apoptotic cell death in non-small cell lung carcinoma cells.

作者信息

Hajji N, Wallenborg K, Vlachos P, Nyman U, Hermanson O, Joseph B

机构信息

Division of Toxicology and Neurotoxicology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

Oncogene. 2008 May 15;27(22):3134-44. doi: 10.1038/sj.onc.1210976. Epub 2007 Dec 10.

Abstract

Commonly used regimens in cancer therapy rely on the induction of apoptotic cell death, and drug resistance can be attributed, at least in part, to a disabled apoptotic program. Non-small cell lung carcinomas (NSCLC), exhibit an intrinsic resistance to chemotherapy. Here, we show that co-treatment with etoposide (VP16) and the pan-histone deacetylase (HDAC) inhibitor trichostatin A (TSA), but not valproic acid (VPA), induced apoptotic cell death in drug-resistant NSCLC cells. Co-treatment, but not single treatment, with VP16 and TSA induced apoptosis in a caspase-dependent manner accompanied by a crucial decrease in Bcl-xL expression allowing Bax activation and subsequent initiation of the apoptosis inducing factor (AIF)-dependent death pathway. Importantly, AIF proved to be required for the effects of TSA/VP16 as RNA knockdown of AIF resulted in a complete abolishment of TSA/VP16-induced apoptotic cell death in drug-resistant NSCLC cells. Our results thus provide evidence for the requirement of both caspase-dependent and caspase-independent apoptotic pathways in TSA/VP16-mediated death of drug-resistant NSCLC cells, and extend previous suggestions that HDAC inhibitors in combination with conventional chemotherapeutic drugs could be valuable in the treatment of NSCLC cancer and other malignancies in which Bcl-xL is overexpressed.

摘要

癌症治疗中常用的方案依赖于诱导凋亡性细胞死亡,而耐药性至少部分可归因于凋亡程序的失灵。非小细胞肺癌(NSCLC)对化疗表现出内在抗性。在此,我们表明,依托泊苷(VP16)与泛组蛋白去乙酰化酶(HDAC)抑制剂曲古抑菌素A(TSA)联合处理可诱导耐药NSCLC细胞发生凋亡性细胞死亡,但丙戊酸(VPA)则无此作用。VP16与TSA联合处理而非单一处理以半胱天冬酶依赖性方式诱导凋亡,同时Bcl-xL表达显著降低,使得Bax激活并随后启动凋亡诱导因子(AIF)依赖性死亡途径。重要的是,AIF被证明是TSA/VP16发挥作用所必需的,因为敲低AIF的RNA会导致耐药NSCLC细胞中TSA/VP16诱导的凋亡性细胞死亡完全消除。因此,我们的结果为TSA/VP16介导的耐药NSCLC细胞死亡中半胱天冬酶依赖性和半胱天冬酶非依赖性凋亡途径的必要性提供了证据,并扩展了先前的观点,即HDAC抑制剂与传统化疗药物联合使用可能对治疗NSCLC及其他Bcl-xL过表达的恶性肿瘤具有重要价值。

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