Department of Experimental Therapeutics, Moffitt Cancer Center, Tampa, FL, USA.
Apoptosis. 2013 Oct;18(10):1163-74. doi: 10.1007/s10495-013-0883-x.
The Notch signaling pathway plays a significant role in differentiation, proliferation, apoptosis, and stem cell processes. It is essential for maintenance of the normal colon crypt and has been implicated in colorectal cancer oncogenesis. Downregulation of the Notch pathway through gamma-secretase inhibitors (GSIs) has been shown to induce apoptosis and enhance response to chemotherapy in a variety of malignancies. In this study, we analyzed the effect of MRK-003 (Merck), a potent inhibitor of gamma-secretase, on oxaliplatin-induced apoptosis in colon cancer. Unexpectedly, gamma-secretase inhibition reduced oxaliplatin-induced apoptosis while GSI treatment alone was shown to have no effect on growth or apoptosis. We determined that the underlying mechanism of action involved an increase in protein levels of the anti-apoptotic Bcl-2 family members Mcl-1 and/or Bcl-xL which resulted in reduced Bax and Bak activation. Blocking of Mcl-1 and/or Bcl-xL through siRNA or the small molecule inhibitor obatoclax restored the apoptotic potential of cells treated with both oxaliplatin and MRK-003. Moreover, obatoclax synergized with MRK-003 alone to induce apoptosis. Our findings warrant caution when treating colon cancer with the combination of GSIs and chemotherapy, whereas other drug combinations, such as GSIs plus obatoclax, should be explored.
Notch 信号通路在分化、增殖、凋亡和干细胞过程中发挥着重要作用。它对于维持正常结肠隐窝至关重要,并且与结直肠癌的发生有关。通过γ-分泌酶抑制剂 (GSI) 下调 Notch 通路已被证明可诱导多种恶性肿瘤的细胞凋亡并增强对化疗的反应。在这项研究中,我们分析了 MRK-003(默克)对结肠癌中奥沙利铂诱导的细胞凋亡的影响。出乎意料的是,γ-分泌酶抑制减少了奥沙利铂诱导的细胞凋亡,而 GSI 单独处理对生长或凋亡没有影响。我们确定作用的潜在机制涉及抗凋亡 Bcl-2 家族成员 Mcl-1 和/或 Bcl-xL 的蛋白水平增加,导致 Bax 和 Bak 的激活减少。通过 siRNA 或小分子抑制剂 obatoclax 阻断 Mcl-1 和/或 Bcl-xL 可恢复同时用奥沙利铂和 MRK-003 处理的细胞的凋亡潜能。此外,obatoclax 与 MRK-003 单独联合诱导细胞凋亡。我们的发现告诫在使用 GSIs 和化疗联合治疗结肠癌时要谨慎,而应探索其他药物联合治疗,如 GSIs 加 obatoclax。