Abstract

BackgroundIn the present study, we aimed to investigate the effect of counteracting inhibitor of apoptosis (IAP) proteins using the small molecule Second Mitochondria-derived Activator of Caspase (SMAC) mimetic BV6 in combination with ionizing radiation on apoptosis, cell cycle regulation, DNA double-strand break (DSB) repair, three-dimensional (3D) clonogenic survival and expression of IAPs in colorectal carcinoma cells.Material and methodsColorectal cancer cell lines (HCT-15, HT-29, SW480) were subjected to BV6 treatment (0–4 μM) with or without irradiation (2–8 Gy, single dose) followed by MTT, Caspase 3/7 activity, γH2AX/53BP1 foci assays, AnnexinV staining, cell cycle analysis, 3D colony forming assays and Western blotting (cellular IAP1 (cIAP1) and cIAP2, Survivin, X-linked IAP (XIAP)).ResultsBV6 treatment decreased cell viability and significantly increased irradiation-induced apoptosis as analyzed by Caspase 3/7 activity, AnnexinV-positive and subG1 phase cells. While basal 3D clonogenic survival was decreased in a cell line-dependent manner, BV6 significantly enhanced cellular radiosensitivity of all cell lines in a concentration-dependent manner and increased the number of radiation-induced γH2AX/53BP1-positive foci. Western blot analysis revealed a markedly reduced cIAP1 expression at 4 h after BV6 treatment in all cell lines, a substantial reduction of XIAP expression in SW480 and HT-29 cells at 24 h and a slightly decreased cIAP2 expression in HCT-15 cells at 48 h after treatment. Moreover, single or double knockdown of cIAP1 and XIAP resulted in significantly increased residual γH2AX/53BP1-positive foci 24 h after 2 Gy and radiosensitization relative to control small interfering RNA (siRNA)-treated cells.ConclusionThe SMAC mimetic BV6 induced apoptosis and hampered DNA damage repair to radiosensitize 3D grown colorectal cancer cells. Our results demonstrate IAP targeting as a promising strategy to counteract radiation resistance of colorectal cancer cells.Electronic supplementary materialThe online version of this article (doi:10.1186/s13014-015-0507-4) contains supplementary material, which is available to authorized users.

Highlights

  • In the present study, we aimed to investigate the effect of counteracting inhibitor of apoptosis (IAP) proteins using the small molecule Second Mitochondria-derived Activator of Caspase (SMAC) mimetic BV6 in combination with ionizing radiation on apoptosis, cell cycle regulation, DNA double-strand break (DSB) repair, three-dimensional (3D) clonogenic survival and expression of IAPs in colorectal carcinoma cells

  • We aimed to examine cytotoxicity, apoptosis, cell cycle distribution, expression of IAPs Survivin, cellular IAP1 (cIAP1), cIAP2 and X-linked IAP (XIAP) and used the more physiologic three-dimensional (3D) clonogenic survival assay in three colorectal cancer cell lines, pretreated with BV6 followed by exposure to different doses of ionizing radiation

  • A 24 h BV6 treatment reduced SW480, HT-29 and HCT-15 colorectal cancer cell viability in a concentration- and cell line-dependent manner with a significant reduction of viability following sole BV6 treatment. This effect was further enhanced by additional irradiation (2 or 8 Gy) at 4 h after BV6 treatment, most pronounced in SW480 and HT-29 cells (Fig. 1a)

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Summary

Introduction

We aimed to investigate the effect of counteracting inhibitor of apoptosis (IAP) proteins using the small molecule Second Mitochondria-derived Activator of Caspase (SMAC) mimetic BV6 in combination with ionizing radiation on apoptosis, cell cycle regulation, DNA double-strand break (DSB) repair, three-dimensional (3D) clonogenic survival and expression of IAPs in colorectal carcinoma cells. Tumor cells frequently develop strategies to escape cell death upon radio- and/or chemotherapeutic treatment which. In this context, members of the inhibitor of apoptosis (IAP) protein family recently gained attention as attractive target molecules for sensitizing tumor cells to radiation therapy [5, 6]. Overexpression of Survivin and a second well-studied member of this protein family, X-linked IAP (XIAP), is associated with a resistant phenotype in advanced rectal cancer after preoperative radiochemotherapy marked by increased local failure rates, distant metastasis and decreased overall survival [10, 11]

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