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[Cancer Research 62, 5230-5235, September 15, 2002]
© 2002 American Association for Cancer Research


Experimental Therapeutics

The Human Immunodeficiency Virus (HIV)-1 Protease Inhibitor Saquinavir Inhibits Proteasome Function and Causes Apoptosis and Radiosensitization in Non-HIV-associated Human Cancer Cells1

Frank Pajonk2, Judith Himmelsbach, Katrin Riess, Alfred Sommer and William H. McBride

Department of Radiation Therapy, Radiological University Clinic 79106 Freiburg, Germany [F. P., J. H., K. R., A. S.], and Department of Radiation Oncology, Experimental Division, University of California-Los Angeles School of Medicine, Los Angeles, California [W. H. M.]

Cancer cells frequently show high constitutive activity of the antiapoptotic transcription factor nuclear factor {kappa}B (NF-{kappa}B), which results in their enhanced survival. Activation of NF-{kappa}B classically depends on degradation of its inhibitor I{kappa}B{alpha} by the 26s proteasome. Specific proteasome inhibitors induce apoptosis in cancer cells and, at nonlethal concentrations, sensitize cells to the cytotoxic effects of ionizing radiation and chemotherapeutic drugs. Recently, the protease coded by the HIV-I virus has been shown to share cleavage activities with the proteasome. For this reason, we investigated whether the HIV-I protease inhibitor saquinavir can inhibit NF-{kappa}B activation, block 26s proteasome activity in prostate cancer cells, and promote their apoptosis. The effect of saquinavir on LPS/IFN-{gamma}-induced activation of NF-{kappa}B was assessed by gel-shift assays and by Western analysis of corresponding I{kappa}B{alpha}-levels. Its effect on 20s and 26s proteasome activity was analyzed with a fluorogenic peptide assay using whole cell lysates from LnCaP, DU-145, and PC-3 prostate cancer cells pretreated with saquinavir for 9 h. Proteasome inhibition in living cells was assessed using ECV 304 cells stably transfected with an expression plasmid for an ubiquitin/green fluorescence protein fusion protein (ECV 304/10). Apoptosis was monitored morphologically and by flow cytometry. Saquinavir treatment prevented LPS/IFN-{gamma}-induced activation of NF-{kappa}B in RAW cells and stabilized expression of I{kappa}B{alpha}. It inhibited 20s and 26s proteasome activity in lysates from LnCaP, DU-145, and PC-3 prostate cancer cells with an IC50 of 10 µM and caused the accumulation of an ubiquitin/green fluorescence protein fusion protein in living ECV 304/10 cells. Incubation of PC-3 and DU-145 prostate cancer, U373 glioblastoma, and K562 and Jurkat leukemia cells with saquinavir caused a concentration-dependent induction of apoptosis. In the case of PC-3 and DU-145, saquinavir sensitized the surviving cells to ionizing radiation. We conclude that saquinavir inhibits proteasome activity in mammalian cells as well as acting on the HIV-I protease. Because saquinavir induced apoptosis in human cancer cells, HIV-I protease inhibitors might become a new class of cytotoxic drugs, alone or in combination with radiation or chemotherapy.




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Copyright © 2002 by the American Association for Cancer Research.