Abstract

Pancreatic ductal adenocarcinoma (PDAC) represents one of the deadliest malignancies with an overall life expectancy of 6 months despite current therapies. NF-κB signalling has been shown to be critical for this profound cell-autonomous resistance against chemotherapeutic drugs and death receptor-induced apoptosis, but little is known about the role of the c-Rel subunit in solid cancer and PDAC apoptosis control. In the present study, by analysis of genome-wide patterns of c-Rel-dependent gene expression, we were able to establish c-Rel as a critical regulator of tumour necrosis factor-related apoptosis-inducing ligand (TRAIL)-induced apoptosis in PDAC. TRAIL-resistant cells exhibited a strong TRAIL-inducible NF-κB activity, whereas TRAIL-sensitive cells displayed only a small increase in NF-κB-binding activity. Transfection with siRNA against c-Rel sensitized the TRAIL-resistant cells in a manner comparable to siRNA targeting the p65/RelA subunit. Gel-shift analysis revealed that c-Rel is part of the TRAIL-inducible NF-κB complex in PDAC. Array analysis identified NFATc2 as a c-Rel target gene among the 12 strongest TRAIL-inducible genes in apoptosis-resistant cells. In line, siRNA targeting c-Rel strongly reduced TRAIL-induced NFATc2 activity in TRAIL-resistant PDAC cells. Furthermore, siRNA targeting NFATc2 sensitized these PDAC cells against TRAIL-induced apoptosis. Finally, TRAIL-induced expression of COX-2 was diminished through siRNA targeting c-Rel or NFATc2 and pharmacologic inhibition of COX-2 with celecoxib or siRNA targeting COX-2, enhanced TRAIL apoptosis. In conclusion, we were able to delineate a novel c-Rel-, NFATc2- and COX-2-dependent antiapoptotic signalling pathway in PDAC with broad clinical implications for pharmaceutical intervention strategies.

Highlights

  • Pancreatic ductal adenocarcinoma (PDAC) is one of the most malignant tumour diseases representing the fourth leading cause in the statistics of cancer-related death in western countries.[1]

  • Whilst tumour necrosis factor-related apoptosisinducing ligand (TRAIL) and TNF-α mostly activate the canonical pathway, a subset of TNF receptor superfamily members activate the non-canonical or alternative pathway through NF-κB-inducing kinase, which interacts with IKKα and in turns leads to the degradation of the p52 precursor protein p100

  • The role of RelA in different aspects of PDAC is well established[4,6,14,41] and recent reports indicate a role of RelB in PDAC development, growth and apoptotic response,[14,15,16] only limited reports on such a role of c-Rel in other solid cancers[42,43,44] and none in PDAC exist

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Summary

Introduction

Pancreatic ductal adenocarcinoma (PDAC) is one of the most malignant tumour diseases representing the fourth leading cause in the statistics of cancer-related death in western countries.[1]. A pivotal role in carcinogenesis and chemoresistance of a great number of tumours, including PDAC, has been shown for NF-κB.[4,6,8,9,10] This transcription factor is composed as a hetero- or homodimer of members of the so-called Rel family.[4,6,11] Proteins of this family harbour a Rel homology domain, which mediates dimerization as well as the interaction with inhibitory components of the pathway Five members of this family – RelA/p65, RelB, c-Rel, NF-κB1 (p50/p105) and NF-κB2 (p52/p100) – are known. The non-canonical pathway is mainly involved in specific immunologic processes, but there is growing evidence that it might be involved in PDAC development and apoptosis resistance as well.[12,13,14,15,16,17]

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