Abstract

TNFα-related apoptosis-inducing ligand (TRAIL), specifically initiates programmed cell death, but often fails to eradicate all cells, making it an ineffective therapy for cancer. This fractional killing is linked to cellular variation that bulk assays cannot capture. Here, we quantify the diversity in cellular signaling responses to TRAIL, linking it to apoptotic frequency across numerous cell systems with single-cell mass cytometry (CyTOF). Although all cells respond to TRAIL, a variable fraction persists without apoptotic progression. This cell-specific behavior is nonheritable where both the TRAIL-induced signaling responses and frequency of apoptotic resistance remain unaffected by prior exposure. The diversity of signaling states upon exposure is correlated to TRAIL resistance. Concomitantly, constricting the variation in signaling response with kinase inhibitors proportionally decreases TRAIL resistance. Simultaneously, TRAIL-induced de novo translation in resistant cells, when blocked by cycloheximide, abrogated all TRAIL resistance. This work highlights how cell signaling diversity, and subsequent translation response, relates to nonheritable fractional escape from TRAIL-induced apoptosis. This refined view of TRAIL resistance provides new avenues to study death ligands in general.

Highlights

  • Chemotherapeutic drug resistance is one of the critical impediments to successful malignant tumor treatment in humans

  • To gain a systems-level perspective on TNF-related apoptosis-inducing ligand (TRAIL) resistance, we treated 10 cancer cell lines representing varied cancer types with TRAIL and analyzed their single-cell responses across all three processes using a panel of 30 markers covering apoptotic response, signaling response, cell cycle status, and translation rate with mass cytometry (Fig 1A and Table S1) (Bendall et al, 2011)

  • We profiled the apoptotic status of tumor cells with antibodies to cleaved caspase 3 and cleaved poly (ADP-ribose) polymerase

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Summary

Introduction

Chemotherapeutic drug resistance is one of the critical impediments to successful malignant tumor treatment in humans. Conventional thinking is that a subset of tumor cells variably persists in the face of cytotoxic drugs because of preexisting genetic differences that confer a cell state with a selective survival advantage. It has been shown that genetically identical tumor cells display variable cell states that allow differences in response to chemotherapy drug, thereby highlighting a nongenetic basis of resistance that has yet to be extensively explored in human cancers (Brock et al, 2009; Niepel et al, 2009). Further intercellular differences in translation and degradation drive stochastic differences in the proteome and lead to different cell states despite genetical homogeneity (Brock et al, 2009). In the case of resistance to TNF-related apoptosis-inducing ligand (TRAIL), stochastic variation in levels of proteins involved in apoptosis has been implicated as a nongenetic mechanism of resistance (Spencer et al, 2009; Bertaux et al, 2014)

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