Abstract

BackgroundIn an effort to achieve better cancer therapies, we elucidated the combination cancer therapy of STI571 (an inhibitor of Bcr-Abl and clinically used for chronic myelogenous leukemia) and TNF-related apoptosis-inducing ligand (TRAIL, a developing antitumor agent) in leukemia, colon, and prostate cancer cells.MethodsColon cancer (HCT116, SW480), prostate cancer (PC3, LNCaP) and leukemia (K562) cells were treated with STI571 and TRAIL. Cell viability was determined by MTT assay and sub-G1 appearance. Protein expression and kinase phosphorylation were determined by Western blotting. c-Abl and p73 activities were inhibited by target-specific small interfering (si)RNA. In vitro kinase assay of c-Abl was conducted using CRK as a substrate.ResultsWe found that STI571 exerts opposite effects on the antitumor activity of TRAIL. It enhanced cytotoxicity in TRAIL-treated K562 leukemia cells and reduced TRAIL-induced apoptosis in HCT116 and SW480 colon cancer cells, while having no effect on PC3 and LNCaP cells. In colon and prostate cancer cells, TRAIL caused c-Abl cleavage to the active form via a caspase pathway. Interestingly, JNK and p38 MAPK inhibitors effectively blocked TRAIL-induced toxicity in the colon, but not in prostate cancer cells. Next, we found that STI571 could attenuate TRAIL-induced c-Abl, JNK and p38 activation in HCT116 cells. In addition, siRNA targeting knockdown of c-Abl and p73 also reduced TRAIL-induced cytotoxicity, rendering HCT116 cells less responsive to stress kinase activation, and masking the cytoprotective effect of STI571.ConclusionsAll together we demonstrate a novel mediator role of p73 in activating the stress kinases p38 and JNK in the classical apoptotic pathway of TRAIL. TRAIL via caspase-dependent action can sequentially activate c-Abl, p73, and stress kinases, which contribute to apoptosis in colon cancer cells. Through the inhibition of c-Abl-mediated apoptotic p73 signaling, STI571 reduces the antitumor activity of TRAIL in colon cancer cells. Our results raise additional concerns when developing combination cancer therapy with TRAIL and STI571 in the future.

Highlights

  • In an effort to achieve better cancer therapies, we elucidated the combination cancer therapy of STI571 and TNF-related apoptosisinducing ligand (TRAIL, a developing antitumor agent) in leukemia, colon, and prostate cancer cells

  • Co-treatment with STI571 and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) led to increased cell death in concentration- and time-dependent manners

  • Protection of HCT116 cells against TRAIL by STI571 is associated with Jun NH2-terminal kinase (JNK) and p38 signaling Since JNK and p38 Mitogen-activated protein kinase (MAPK) are important in inducing apoptosis, we investigated their involvement in TRAILinduced cell death, and their linkage to the action of STI571

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Summary

Introduction

In an effort to achieve better cancer therapies, we elucidated the combination cancer therapy of STI571 (an inhibitor of Bcr-Abl and clinically used for chronic myelogenous leukemia) and TNF-related apoptosisinducing ligand (TRAIL, a developing antitumor agent) in leukemia, colon, and prostate cancer cells. By binding to the death receptors DR4 and DR5, TRAIL can recruit the intracellular adaptor molecule, Fas-associated protein with death domain (FADD), The recent development of target kinase inhibitors represents a breakthrough in the clinical application for several human malignancies [6]. Nuclear c-Abl activation in response to DNA damage, TNF-a, or FasL leads to cell growth arrest and/or apoptosis [9,12,13]. Cytoplasmic c-Abl activated by growth factors or by extracellular matrix proteins is involved in cytoskeletal remodeling and cell growth [14,15]. The direct transactivation of PUMA and Bax, and the expression of death receptors by p73 were demonstrated to contribute to c-Abl-mediated apoptosis [17,18]

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