
[Cancer Research 60, 5988-5994, November 1, 2000]
© 2000 American Association for Cancer Research
Biochemistry and Biophysics |
Inhibition of BAD Phosphorylation Either at Serine 112 via Extracellular Signal-regulated Protein Kinase Cascade or at Serine 136 via Akt Cascade Sensitizes Human Ovarian Cancer Cells to Cisplatin
Jun Hayakawa,
Masahide Ohmichi1,
Hirohisa Kurachi,
Yuki Kanda,
Koji Hisamoto,
Yukihiro Nishio,
Kazushige Adachi,
Keiichi Tasaka,
Toru Kanzaki and
Yuji Murata
Department of Obstetrics and Gynecology, Osaka University Medical School, Osaka 565-0871 [J. H., M. O., Y. K., K. H., Y. N., K. A., K. T., T. K., Y. M.], and Department of Obstetrics and Gynecology, Yamagata University School of Medicine, Yamagata 990-9585 [H. K.], Japan
 |
ABSTRACT
|
|---|
We studied the roles of the phosphatidylinositol 3-kinase
(PI-3K)-protein kinase B/Akt-BAD cascade in both
cisplatin-resistant Caov-3 and -sensitive A2780 human ovarian cancer
cell lines. Treatment of both Caov-3 and A2780 cells with cisplatin but
not with the trans-diaminodichloroplatinum
(transplatin) isomer stimulated the activation of Akt, and the PI-3K
inhibitor wortmannin blocked the cisplatin-induced activation of Akt.
Treatment of both Caov-3 and A2780 cells with cisplatin but not with
the trans-diaminodichloroplatinum isomer also stimulated
the phosphorylation of BAD at both the Ser-112 and Ser-136 sites.
Whereas the phosphorylation of BAD at Ser-136 was blocked by treatment
with wortmannin, its phosphorylation at Ser-112 was blocked by a
MAP/ERK kinase inhibitor, PD98059. Exogenous expression of a
dominant-negative Akt in both Caov-3 and A2780 cells decreased the cell
viability after treatment with cisplatin. In contrast, no sensitization
to cisplatin was observed in cells expressing wild-type Akt. We further
examined the role of BAD in the viability after cisplatin treatment
using BAD mutants. Exogenous expression of each of the singly
substituted BADS112A or BADS136A in both Caov-3 and A2780 cells
decreased the viability after treatment with cisplatin to a degree
intermediate between that caused by exogenous expression of wild-type
BAD and doubly substituted BAD2SA. Cisplatin did not stimulate the
phosphorylation of BAD Ser-136, but did stimulate the
phosphorylation of BAD Ser-112 in cells expressing a
dominant-negative Akt, suggesting that BAD Ser-136 but not
Ser-112 was phosphorylated by Akt. Our findings suggest that
cisplatin-induced DNA damage causes the phosphorylation of both BAD
Ser-112 via an extracellular signal-regulated protein kinase (ERK)
cascade and BAD Ser-136 via a PI-3K-protein kinase B/Akt cascade and
that inhibition of either of these cascades sensitizes ovarian cancer
cells to cisplatin.
 |
INTRODUCTION
|
|---|
The homeostasis of normal tissues is a balance between cell
proliferation and death. Alterations of both pathways contribute to the
clonal expansion of cancer cells. Apoptosis, or programmed cell death,
is an active form of cell suicide. Recently, a signaling pathway by
which extracellular stimuli suppress apoptosis has been characterized.
One of the first reports on survival signaling linked activation of the
MAP2
kinase cascade with survival in PC-12 cells (1)
. Another
signaling pathway requiring PI-3K activity was associated with
antiapoptotic signaling in neurons, fibroblasts, and hematopoietic
cells (2, 3, 4)
. Subsequently, the serine/threonine kinase
termed Akt, or PKB, was identified as a downstream component of
survival signaling through PI-3K (5, 6, 7, 8, 9)
. Akt may be
regulated by both phosphorylation and by the direct binding of PI-3K
lipid products to the Akt pleckstrin homology domain. Akt plays a
central role in promoting the survival of a wide range of cell types
(5, 6, 7, 8, 9, 10, 11)
. Recently BAD, a proapoptotic member of the bcl-2
family, was found to be a substrate of Akt, identifying an intersection
point of pro- and antiapoptotic regulatory cascades (12
, 13)
. Whereas BAD can be phosphorylated at either Ser-112 or
Ser-136 (14)
, Akt phosphorylates BAD specifically at
Ser-136 (phospho-BAD-136; Refs. 12
, 13
). BAD is capable of
forming heterodimers with the antiapoptotic proteins
Bcl-XL or Bcl-2 and antagonizes their
antiapoptotic activity (15)
. Importantly, phospho-BAD-136
is sequestered in the cytoplasm by interacting with 14-3-3 and cannot
bind either Bcl-XL or Bcl-2 (14)
, a
process that neutralizes its apoptotic effects dependent on the
association with Bcl-2 and Bcl-XL
(16)
.
Various cellular stimuli that control cell growth and differentiation
cause a rapid increase in the enzymatic activity of a family of
serine/threonine kinases known as the MAP kinase family. The MAP kinase
family has been classified into three subfamilies: ERKs, including ERK1
and ERK2; stress-activated protein kinases, also termed JNKs,
including JNK1 (46 kDa) and JNK2 (55 kDa); and p38 kinase, a homologue
of the yeast HOG1 (high-osmolarity glycerol response-1) kinase
(17)
. We recently reported that both ERK and JNK are
activated by cisplatin-induced DNA damage and are required for cell
survival after cisplatin treatment (18)
. The involvement
of MEK upstream of BAD phosphorylation (19)
and the
promotion of cell survival by the Ras-MAPK signaling pathway by
phosphorylation of BAD at Ser-112 (20, 21, 22)
were reported
recently. However, the effect of certain DNA-damaging agents on the
PI-3K-Akt-BAD cascade remains to be elucidated. Therefore, we sought to
determine whether the PI-3K-Akt-BAD cascade plays a role in the
cellular stress response to the chemotherapeutic agent cisplatin, which
damages DNA through the formation of bifunctional platinum adducts. For
our study, we used both Caov-3 human ovarian cancer cells, which
are resistant to cisplatin, and A2780 human ovarian cancer cells, which
are sensitive to cisplatin. Here we provide evidence that cisplatin but
not transplatin, which does not readily damage DNA (23
, 24)
, induced the activation of Akt and phosphorylation of BAD.
Moreover, inhibition of Akt and BAD markedly decreased cell viability
after treatment with cisplatin.
 |
MATERIALS AND METHODS
|
|---|
Materials.
Wortmannin was purchased from Sigma Chemical Co. (St. Louis, MO).
Geneticin was purchased from Life Technologies (Grand Island, NY). ECL
Western blotting detection reagents were obtained from Amersham
Pharmacia Biotech (Arlington Heights, IL). PD98059, rabbit polyclonal
anti-phospho-BAD (Ser-112) and BAD (Ser-136) antibody, rabbit
polyclonal anti-BAD antibody, rabbit polyclonal anti-Akt antibody, and
the Akt kinase assay kit, which included GSK-3 fusion protein and a
phospho-specific GSK-3
/ß antibody, were obtained from New England
Biolabs (Beverly, MA). Rabbit polyclonal anti-HA antibody was obtained
from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). The Cell Titer
96-cell proliferation assay kit was obtained from Promega (Madison,
WI).
Cell Cultures.
Human ovarian papillary adenocarcinoma cell line Caov-3 was obtained
from American Type Culture Collection (Rockville, MD). Human ovarian
cancer cell line A2780, derived from a patient prior to treatment, was
kindly provided by Dr. T. Tsuruo (Institute of Molecular and Cellular
Biosciences, Tokyo, Japan) and Drs. R. F. Ozols and T. C.
Hamilton (Fox Chase Cancer Center, Philadelphia, PA; Refs. 25
, 26
). The cells were cultured at 37°C in DMEM with 10% FBS in
a water-saturated atmosphere of 95% O2 and 5%
CO2.
Constructs.
The vector encoding the various HA-tagged forms of Akt, either
wild-type or kinase-dead (K179M mutant), and the various forms of
HA-tagged BAD, either wild-type (pCDNA3-BAD) or mutants
(pCDNA3-BADS136A, pCDNA3-BADS112A, and pCDNA3-BAD S to A at 112 and
136) used in this study have been described previously
(12)
.
Clone Selection.
Caov-3 and A2780 cells were transfected for 12 h in 6-well tissue
culture plates with 2 µg of the empty vector (CMV-6); with CMV-6
containing the gene for HA-tagged wild-type Akt or HA-tagged Akt K179M
and the neomycin resistance gene; with the empty vector (pCDNA3), which
contains a neomycin resistance gene; or with pCDNA3-BAD,
pCDNA3-BADS136A, pCDNA3-BADS112A, or pCDNA3-BAD S to A at 112 and
136, using Lipofectamine plus (Life Technologies, Gaithersburg,
MD; Ref. 18
). Clonal selection was performed by adding
geneticin to the medium at a final concentration of 200 µg/ml 2 days
after the transfection. After 3 weeks, several clones were isolated
using cloning rings. Selected clones were then maintained in medium
supplemented with geneticin (100 µg/ml), and only low-passage cells
(passage < 10) were used for the experiments described
here. For analysis of the levels of ectopically expressed Akt and BAD
protein products, empty vector (CMV-6)-, wild-type Akt-, or
AktK179M-expressing Caov-3 cells or empty vector (pCDNA3)-, wild-type
BAD-, BADS112A-, BADS136A-, and BAD2SA-expressing Caov-3 cells cultured
in 100-mm dishes were lysed in ice-cold HNTG buffer [50 mM
HEPES (pH 7.5), 150 mM NaCl, 10% glycerol, 1% Triton
X-100, 1.5 mM MgCl2, 1 mM
EDTA, 10 mM sodium PPi, 100
µM sodium orthovanadate, 100 mM NaF, 10
µg/ml aprotinin, 10 µg/ml leupeptin, and 1 mM
phenylmethylsulfonyl fluoride (27)
]. The lysate samples
were immunoprecipitated with anti-HA antibody. Immune complexes were
precipitated with protein A-Sepharose, and the isolated proteins were
analyzed by electrophoresis on 8% SDS-polyacrylamide gels. Transfer to
nitrocellulose, Western blotting with anti-Akt or anti-BAD antibody,
and washing were performed as described elsewhere (27)
.
Cytotoxicity.
Cell viability (18)
was assessed by the addition for
1 h of cisplatin or transplatin 1 day after seeding 1.0 x 102
test cells into 96-well plates,
followed by exchanging the medium with fresh medium. Because a
significant level of DNA repair after cisplatin-induced DNA damage was
detected 5 days later but not after 2472 h (28)
, the
number of surviving cells was determined 5 days later by determination
of the absorbance at 590 nm (A590 nm)
of the dissolved formazan product after addition of
3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium
inner salt for 1 h as described by the manufacturer (Promega). By
the fifth day, the cells without treatment were growing exponentially
and had achieved a density of 6.06.5 x 103 cells/well. All experiments were carried out
in quadruplicate, and viability is expressed as the ratio of the number
of viable cells with cisplatin or transplatin treatment to the number
without treatment.
Assay of Akt Kinase Activity.
Cells were incubated in the absence of serum for 16 h and then
treated with various materials. Cells were then washed twice with PBS
and lysed in ice-cold lysis buffer [20 mM Tris (pH 7.4),
150 mM NaCl, 1% Triton X-100, 1 mM EDTA, 1
mM EGTA, 2.5 mM sodium
PPi, 1 mM ß-glycerophosphate, 1
mM sodium orthovanadate, 1 µg/ml leupeptin, and 1
mM phenylmethylsulfonyl fluoride]. The extracts were
centrifuged to remove cellular debris, and the protein content of the
supernatants was determined using the Bio-Rad protein assay reagent.
Two hundred fifty µg of protein from the lysate samples were
incubated with gentle rocking at 4°C overnight with immobilized Akt
antibody cross-linked to agarose hydrazide beads. After Akt was
selectively immunoprecipitated from the cell lysates, the
immunoprecipitated products were washed twice in lysis buffer and twice
in kinase assay buffer [25 mM Tris (pH 7.5), 10
mM MgCl2, 5 mM
ß-glycerophosphate, 0.1 mM sodium orthovanadate and 2
mM DTT], and the samples were resuspended in 40 µl of
kinase assay buffer containing 200 µM ATP and 1 µg
GSK-3
fusion protein. The kinase reaction was allowed to proceed at
30°C for 30 min and stopped by the addition of Laemmli SDS sample
buffer (29)
. Reaction products were resolved by 15%
SDS-PAGE followed by Western blotting with a phospho-GSK-3
antibody.
For analysis of the total amount of Akt, 250 µg of protein from the
lysate samples were resolved by 8% SDS-PAGE, followed by Western
blotting with anti-Akt antibody. For analysis of the effect of
ectopically expressed Akt on Akt activity, empty vector (CMV-6)-,
wild-type Akt-, or AktK179M-expressing Caov-3 cells grown in 100-mm
dishes were treated with 1 mM cisplatin for 3 h. The
lysate samples were immunoprecipitated with anti-HA antibody. Immune
complexes were precipitated with protein A-Sepharose, and the kinase
reaction was carried out in the presence of cold ATP and GSK-3
fusion protein, as described above.
Phosphorylation of BAD.
Cells cultured in 100-mm dishes were transfected with 4 µg of
pCDNA3-BAD, using Lipofectamine plus. At 72 h after transfection,
serum-deprived cells were treated with various materials. They were
then washed twice with PBS and lysed in ice-cold HNTG buffer
(27)
. The lysate samples were immunoprecipitated with
phospho-BAD (Ser-112) or phospho-BAD (Ser-136) antibody. Immune
complexes were precipitated with protein A-Sepharose, and the isolated
proteins were analyzed by electrophoresis on 8% SDS-PAGE. Transfer to
nitrocellulose, Western blotting with phospho-BAD (Ser-112) or
phospho-BAD (Ser-136) antibody, and washing were performed as described
elsewhere (27)
.
For analysis of the total amount of BAD, 250 µg of protein from the
lysate samples were resolved by 8% SDS-PAGE, followed by Western
blotting with anti-BAD antibody. For analysis of the effect of
ectopically expressed BAD on BAD phosphorylation, empty vector
(pCDNA3)-, wild-type BAD-, BADS112A-, BADS136A-, and BAD2SA-expressing
Caov-3 cells grown in 100-mm dishes were treated with 1 mM
cisplatin for 3 h. The lysate samples were immunoprecipitated with
anti-HA antibody. Immune complexes were precipitated with protein
A-Sepharose, and the isolated proteins were resolved by 8% SDS-PAGE,
followed by Western blotting with phospho-BAD (Ser-112) or phospho-BAD
(Ser-136) antibody, as described above.
Statistics.
Statistical analysis was performed using Students t test,
and P < 0.01 was considered significant.
Data are expressed as the mean ± SE.
 |
RESULTS
|
|---|
Activation of Akt.
To evaluate whether Akt is activated by cisplatin in Caov-3 or A2780
human ovarian cancer cells, cultured cells were exposed to 1
mM cisplatin for the indicated times (Fig. 1A)
and at the indicated concentrations for 3 h (Fig. 1B)
. Cell lysates were immunoprecipitated with immobilized
anti-Akt antibody, followed by addition of GSK-3
fusion protein and
Western blotting with anti-phospho-GSK-3
/ß antibody. Activation of
Akt by cisplatin in Caov-3 cells was detected at 1 h, reached a
plateau from 3 h through 6 h, and declined thereafter (Fig. 1A
, top row). We confirmed that the total amount
of Akt in each lane was the same (Fig. 1A
, middle
row). Activation of Akt by cisplatin in A2780 cells was
also detected at 1 h, reached a plateau at 3 h, and declined
thereafter (Fig. 1A
, bottom row). Cisplatin
induced the activation of Akt in a dose-dependent manner in Caov-3
(Fig. 1B)
and A2780 cells (data not shown). It is known that
cisplatin but not transplatin forms covalent cross-links between the N7
position of adjacent guanine or adenine-guanine residues (23
, 24)
. Treatment with transplatin had no apparent effect on Akt
activation, whereas cisplatin clearly induced Akt activation in Caov-3
(Fig. 1C
, top row) and A2780 (Fig. 1C
,
bottom row) cells. Because Akt is an effector of survival
signaling downstream from PI-3K, we next determined whether stimulation
of both types of cells with cisplatin could increase the activity of
Akt through a PI-3K-dependent mechanism. Both types of cells were
stimulated with cisplatin in the presence or absence of wortmannin, a
PI-3K inhibitor, and the kinase activity of Akt was assayed. The
induction of Akt activity by cisplatin was inhibited by wortmannin
(Fig. 1C
, Lane 3). These results indicate that
only the DNA-damaging cisplatin isomer activates Akt activity in both
types of cells through a PI-3K-dependent mechanism.

View larger version (13K):
[in this window]
[in a new window]
[Download PPT slide]
|
Fig. 1. Cisplatin is a stereospecific activator of Akt. Cells were
grown in 100-mm dishes. A, Caov-3 and A2780 cells were
treated with 1 mM cisplatin for the times indicated
(Lanes 25). For analysis of the total amount of Akt,
250 µg of protein from the lysate samples of Caov-3 cells were
resolved by 8% SDS-PAGE, followed by Western blotting with anti-Akt
antibody. O.N., overnight. B, Caov-3
cells were treated with the indicated concentrations of cisplatin for
3 h (Lanes 24). C, Caov-3 and
A2780 cells were pretreated with or without 100 nM
wortmannin for 15 min (Lane 3), followed by treatment
with 1 mM cisplatin for 3 h (Lanes 2
and 3) or 1 mM transplatin for 3 h
(Lane 4). Lysates were subsequently immunoprecipitated
with immobilized anti-Akt antibody, and the kinase reaction was carried
out in the presence of cold ATP and GSK-3 fusion protein, as
described in "Materials and Methods." After reactions were stopped
with Laemmli sample buffer, samples were resolved by 12% SDS-PAGE
followed by Western blotting with an anti-phospho-GSK-3 /ß
antibody. Experiments were repeated three times with essentially
identical results. C, control;
I.P., immunoprecipitation.
|
|
Phosphorylation of BAD.
In recent studies (12, 13, 14)
, BAD has been identified as a
potential target of PKB/Akt, linking the PI-3K pathway directly to the
apoptotic machinery. Therefore, we next examined the effect of
cisplatin on the phosphorylation of BAD. BAD function is modulated by
phosphorylation at two sites, Ser-112 and Ser-136 (14)
.
Caov-3 (Fig. 2
, top rows) or A2780 cells (Fig. 2
, bottom rows)
were transfected with pCDNA3-BAD and exposed to 1
mM cisplatin for 3 h. Cell lysates were
immunoprecipitated with either anti-phospho-BAD (Ser-112; Fig. 2A
) or anti-phospho-BAD (Ser-136; Fig. 2B
)
antibody, followed by Western blotting with the same antibody. Whereas
transplatin had no effect on BAD phosphorylation (Fig. 2
, Lane
4), cisplatin induced the phosphorylation of BAD at Ser-112 and
Ser-136 in Caov-3 and A2780 cells (Fig. 2
, Lane 2).
Moreover, we confirmed that the total amount of BAD in each lane from a
given cell line was the same (Fig. 2C)
. Because cisplatin
induced BAD phosphorylation, the relative amount of nonphosphorylated
BAD was reduced by cisplatin, suggesting that cisplatin-induced BAD
phosphorylation indicated the inhibition of the proapoptotic
effect of BAD. In accordance with reports showing that Akt
phosphorylates BAD specifically at Ser-136 (12
, 13)
,
cisplatin-induced phosphorylation of BAD at Ser-136 was inhibited
by wortmannin (Fig. 2B
, Lane 3). On the other
hand, cisplatin-induced phosphorylation of BAD at Ser-112 was not
inhibited by wortmannin (Fig. 2A
, Lane 3). The
presence of two phosphorylation sites on BAD suggests that the
simultaneous activation of different survival pathways may result in
the concomitant phosphorylation of BAD Ser-112 and Ser-136 by different
kinase cascades (12)
. In addition, the possibility that
MEK is involved upstream of BAD phosphorylation has been reported
(19)
. Therefore, we examined the effect of PD98059, an MEK
inhibitor, on BAD phosphorylation. Although pretreatment with PD98059
had no effect on the phosphorylation of BAD at Ser-136 (Fig. 2B
, Lane 5), it attenuated the phosphorylation of
BAD at Ser-112 (Fig. 2A
, Lane 5).

View larger version (35K):
[in this window]
[in a new window]
[Download PPT slide]
|
Fig. 2. Cisplatin induces stereospecific phosphorylation of
both BAD Ser-112 and BAD Ser-136. Caov-3 and A2780 cells grown in
100-mm dishes were transfected with pCDNA3-BAD. After 72 h, cells
were pretreated with 100 nM wortmannin (Lane
3) or 100 nM PD98059 (Lane 5) for 15
min, followed by treatment with 1 mM cisplatin
(Lanes 2, 3, and 5) or 1
mM transplatin (Lane 4) for 3 h.
Lysates were subsequently immunoprecipitated with anti-phospho-BAD
(Ser-112; A) or anti-phospho-BAD (Ser-136;
B) antibody, and the immunoprecipitated samples were
subjected to SDS-PAGE followed by Western blotting with
anti-phospho-BAD (Ser-112; A) or anti-phospho-BAD
(Ser-136; B) antibody. C, for analysis of
the total amount of BAD, 250 µg of protein from the lysate samples of
Caov-3 and A2780 cells were resolved by 8% SDS-PAGE, followed by
Western blotting with anti-BAD antibody. Experiments were repeated
three times with essentially identical results.
|
|
Kinase-deficient Akt Sensitizes Caov-3 and A2780 Cells to Cisplatin
but not Transplatin.
To determine whether Akt activation is necessary for cell survival
signaling after cisplatin-induced DNA damage, the effect of cisplatin
treatment on the viability of Caov-3 (Fig. 3B)
and A2780 cells (Fig. 3C)
expressing a
kinase-deficient Akt (AktK179M) was compared with that of an empty
vector (CMV-6)-expressing control line. AktK179M cells express an Akt
derivative rendered kinase-inactive by a point mutation within the
catalytic domain (5
, 30
, 31)
. We first confirmed the
overexpression of ectopically expressed Akt protein products (Fig. 3A
, bottom row) and the negative effects of the
expression of HA-AktK179M on Akt activity (Fig. 3A
,
top row). The viability of Caov-3 cells was not
affected by increasing concentrations of cisplatin of >100
µM. Further titrations revealed
IC50 values of 380 and 422
µM for parental and empty vector-expressing
Caov-3 cells, respectively (Table 1)
. In contrast, the AktK179M-expressing Caov-3 cells exhibited an
IC50 as low as 84 µM,
indicating a >5.2-fold greater sensitivity to cisplatin than the empty
vector-expressing Caov-3 cells (Fig. 3B
and Table 1
). On the
other hand, the IC50 value of A2780 cells was 84
µM (Table 1)
. The AktK179M-expressing A2780
cells exhibited IC50 values of 57
µM, indicating a >1.5-fold greater sensitivity
to cisplatin than the empty vector-expressing A2780 cells (Fig. 3C
and Table 1
).

View larger version (28K):
[in this window]
[in a new window]
[Download PPT slide]
|
Fig. 3. Kinase-deficient Akt sensitizes Caov-3 and A2780 cells to
cisplatin. A, empty vector (CMV-6)-, wild-type Akt-, or
AktK179M-expressing Caov-3 cells grown in 100-mm dishes were treated
with 1 mM cisplatin for 3 h. The lysate samples were
immunoprecipitated (I.P.) with anti-HA antibody
(A-HA). For analysis of the level of ectopically
expressed Akt protein products (bottom row), immune
complexes were precipitated with protein A-Sepharose, and the isolated
proteins were analyzed by electrophoresis on 8% SDS-polyacrylamide
gels, followed by Western blotting with anti-Akt antibody. For analysis
of the effects of ectopically expressed Akt on Akt activity (top
row), immune complexes were precipitated with protein
A-Sepharose, and the kinase reaction was carried out in the presence of
cold ATP and GSK-3 fusion protein, as described in "Materials and
Methods." Cell viability was assessed in empty vector- ( ),
wild-type Akt- ( ), and AktK179M-expressing () Caov-3
(B and D) and A2780 (C)
cells after treatment with the indicated concentrations of cisplatin
(B and C) and transplatin
(D) as described in "Materials and Methods."
|
|
View this table:
[in this window]
[in a new window]
|
Table 1 Effect of AktK179M sensitization of Caov-3 or A2780 cells to
cisplatin-induced cytotoxicity
IC50 values were determined by direct titration of viability
with cisplatin as described in "Materials and Methods."
|
|
Transplatin had no discernible effect on the AktK179M-expressing Caov-3
cells at concentrations at which the viability after treatment with
cisplatin was <40% (Fig. 3D)
. In further titrations, no
significant effect was observed with transplatin even at 250
µM, indicating that the requirement for
sensitization by kinase-deficient Akt depends on the stereospecific
DNA-binding properties of cisplatin, consistent with the results for
the activation of Akt (Fig. 1C)
. Expression of wild-type Akt
did not affect the sensitivity to cisplatin compared with the control
line (Fig. 3, B and C)
. Thus, the sensitization
to cisplatin observed in the kinase-deficient Akt-expressing cells
appeared to be attributable to interference with activated Akt. We
confirmed these results with other clonal derivatives of Akt (data not
shown).
Interference of Phosphorylated BAD at Ser-112 or Ser-136 Sensitizes
Caov-3 and A2780 Cells to Cisplatin but not Transplatin.
We next examined whether the phosphorylation of BAD is also required
for cell viability after cisplatin treatment of Caov-3 (Fig. 4B)
and A2780 cells (Fig. 4C)
. To test the
importance of BAD Ser-112 and Ser-136 for cell viability, we
transfected Caov-3 and A2780 cells with mutant BAD constructs in which
Ser-112 (BADS112A), Ser-136 (BADS136A), or both (BAD2SA) were converted
to alanine so that BAD could no longer be phosphorylated at these sites
(12)
. We first confirmed the overexpression of ectopically
expressed BAD protein products (Fig. 4A
, bottom
row) and the negative effects of the expression of BADS112A,
BADS136A, or BAD2SA on BAD phosphorylation (Fig. 4A
,
top row). BADS112A-, BADS136A-, and BAD2SA-expressing Caov-3
cells exhibited IC50s of 77, 78, and 56
µM, respectively, indicating more than 6.0-,
5.9-, and 8.4-fold greater sensitivity, respectively, to cisplatin than
the empty vector (pCDNA3)-expressing Caov-3 cells (Fig. 4B
and Table 2
). On the other hand, BADS112A-, BADS136A-, and BAD2SA-expressing A2780
cells exhibited IC50 values of 52, 53, and 36
µM, indicating more than 1.5-, 1.5-, and
2.3-fold greater sensitivity, respectively, to cisplatin than the empty
vector (pCDNA3)-expressing A2780 cells (Fig. 4C
and Table 2
).

View larger version (38K):
[in this window]
[in a new window]
[Download PPT slide]
|
Fig. 4. Both BADS112A and BAD136A sensitize Caov-3 and A2780
cells to cisplatin. A, empty vector (pCDNA3)-, wild-type
BAD-, BADS112A-, BADS136A-, or BAD2SA-expressing Caov-3 cells grown in
100-mm dishes were treated with 1 mM cisplatin for 3 h. The lysate samples were immunoprecipitated (I.P.)
with anti-HA antibody (A-HA). Immune complexes were
precipitated with protein A-Sepharose, and the isolated proteins were
analyzed by electrophoresis on 8% SDS-polyacrylamide gels, followed by
Western blotting with anti-BAD antibody for analysis of the level of
ectopically expressed BAD protein products (bottom row)
or with anti-phospho-BAD (Ser-112; top row) or
anti-phospho-BAD (Ser-136; middle row) antibody
for analysis of the effects of ectopically expressed BAD on BAD
phosphorylation. Cell viability was assessed in empty vector (pCDNA3)-
( ), wild-type BAD- ( ), BADS112A- (), BADS136A- ( ), and
BAD2SA-expressing ( ) Caov-3 (B and D)
and A2780 (C) cells after treatment with the indicated
concentrations of cisplatin (B and C) and
transplatin (D) as described in "Materials and
Methods."
|
|
View this table:
[in this window]
[in a new window]
|
Table 2 Effect of BAD mutant sensitization of Caov-3 or A2780 to
cisplatin-induced cytotoxicity
IC50 values were determined by direct titration of viability
with cisplatin as described in "Materials and Methods."
|
|
Expression of wild-type BAD did not affect the sensitivity to cisplatin
compared with the empty vector (pCDNA3)-expressing control lines (Fig. 4, B and C)
. Interestingly, exogenous expression
of either BADS112A or BADS136A in Caov-3 and A2780 cells decreased the
viability after treatment with cisplatin to a level intermediate
between that of cells expressing exogenous wild-type BAD and cells
expressing BAD2SA. Transplatin had no discernible effect on the
BADS112A-, BADS136A-, or BAD2SA-expressing Caov-3 cells at
concentrations at which the viability after treatment with cisplatin
was <40% (Fig. 4D)
. Thus, the sensitization to cisplatin
observed in the mutant BAD-expressing cells appeared to depend on the
stereospecific DNA-binding properties of cisplatin, which is consistent
with the results for the phosphorylation of BAD (Fig. 2)
, and the
sensitization appeared to be attributable to interference with BAD
phosphorylated at Ser-112 and Ser-136. We confirmed this result with
other clonal derivatives of BAD (data not shown).
Effect of Cisplatin on Phosphorylation of BAD in
Kinase-deficient Akt-expressing Cells.
To examine whether Akt acts upstream of BAD, we examined whether
cisplatin induces the phosphorylation of BAD in kinase-deficient Akt
(AktK179M)-expressing Caov-3 cells. Although cisplatin induced the
phosphorylation of BAD at Ser-136 in empty vector (CMV6)-expressing
cells, cisplatin did not induce the phosphorylation of BAD at Ser-136
in the kinase-deficient Akt (AktK179M)-expressing cells (Fig. 5B)
. Interestingly, the phosphorylation of BAD at Ser-112
induced by cisplatin was detected in both empty vector
(CMV6)-expressing cells and kinase-deficient Akt (AktK179M)-expressing
cells (Fig. 5A)
. On the other hand, cisplatin-induced Akt
activity was not changed in cells transfected with BAD mutants (data
not shown). These data confirm that Akt functions upstream of the
phosphorylation of BAD at Ser-136.

View larger version (20K):
[in this window]
[in a new window]
[Download PPT slide]
|
Fig. 5. Cisplatin-induced BAD phosphorylation in kinase-deficient
Akt-expressing Caov-3 cells. Empty vector (CMV-6)- or
AktK179M-expressing Caov-3 cells grown in 100-mm dishes were
transfected with pCDNA3-BAD. After 72 h, cells were treated with 1
mM cisplatin for 3 h. Lysates were subsequently
immunoprecipitated with anti-phospho-BAD (Ser-112; A) or
with anti-phospho-BAD (Ser-136; B) antibody, and the
immunoprecipitated samples were subjected to SDS-PAGE followed by
Western blotting with anti-phospho-BAD (Ser-112; A) or
anti-phospho-BAD (Ser-136; B) antibody. Experiments were
repeated three times with essentially identical results.
C, control.
|
|
 |
DISCUSSION
|
|---|
This study showed that BAD is phosphorylated in cells with
cisplatin-induced DNA damage and that BAD phosphorylation is required
for cell viability after cisplatin treatment in both
cisplatin-resistant and -sensitive cells. We used an Akt derivative
rendered kinase-inactive by point mutation within the Akt catalytic
domain (AktK179M) to block the activation of Akt. Caov-3 and A2780
cells expressing inactive Akt were sensitized to the cytotoxic effects
of cisplatin compared with its effects on parental cells, on an empty
vector-expressing control cell line, or on a line overexpressing
wild-type Akt. In addition, we used BAD derivatives in which Ser-112
(BADS112A), Ser-136 (BADS136A), or both (BAD2SA) were converted to
alanine to block the phosphorylation of BAD. Caov-3 and A2780 cells
expressing BADS112A, BADS136A, or BAD2SA were sensitized to the
cytotoxic effects of cisplatin compared with its effects on parental
cells, on an empty vector-expressing control cell line, or on a line
overexpressing wild-type BAD. The effect of overexpressed wild-type Akt
or BAD on the viability of the cells treated with cisplatin was not
significant, as was also seen in the case of cells in which survival
signaling was modulated (12
, 14
, 32)
. Although the reasons
for the lack of a significant effect on the viability of the cells
overexpressing wild-type Akt or BAD is unknown, it is possible that
endogenous expression of Akt or BAD might mask the effect of
ectopically expressed wild-type Akt or BAD. Whereas the phosphorylation
of BAD at Ser-136 was blocked by the treatment of cells with
wortmannin, its phosphorylation at Ser-112 was blocked by treatment of
the cells with an MEK inhibitor, PD98059. Moreover, although
cisplatin-induced BAD phosphorylation at Ser-136 was blocked in a line
overexpressing kinase-deficient Akt, its phosphorylation at Ser-112 was
not blocked. These results suggest that cisplatin-induced DNA damage
induces the phosphorylation of both BAD Ser-112 via an ERK cascade and
BAD Ser-136 via a PI-3K-PKB/Akt cascade, and that inhibition of either
of these cascades sensitizes ovarian cancer cells to cisplatin.
PI-3K signaling is very important in mitogenesis, protein synthesis,
membrane ruffling, and cell-cycle progression (33
, 34)
.
Sequence homology studies have revealed that the PI-3K domain is
present in a variety of proteins active in DNA repair
(35)
. In addition, it has been shown that wortmannin
induces marked radiosensitivity in murine fibroblasts and human tumor
cells and blocks the induction of p53 after DNA damage
(36)
. Thus, PI-3K signaling is suspected to be involved in
DNA repair. The PI-3K-Akt-BAD cascade is reported to suppress the
apoptotic death induced by a variety of stimuli, including growth
factor withdrawal, cell-cycle discordance, and loss of cell adhesion in
a number of cell types (5, 6, 7, 8, 9, 10, 11)
. However, until recently
there had not been any studies addressing the role of the PI-3K-Akt-BAD
cascade in the DNA repair in cells treated with chemotherapeutic
DNA-damaging drugs. This is the first report showing that cisplatin
induces the PI-3K-Akt-BAD cascade and that this cascade might be
necessary for DNA repair in human ovarian cancer cells treated with
cisplatin.
Resistance to cisplatin is a multifactorial phenomenon, the elements of
which may be placed in three general categories: (a) reduced
accumulation of cisplatin, (b) elevated levels of
glutathione and metallothionein, and (c) increased DNA
damage tolerance or repair (37, 38, 39, 40)
. Because cisplatin
acts by forming DNA-DNA cross-links (both intrastrand and interstrand)
and DNA-protein cross-links, resulting in DNA damage, the repair of the
affected DNA clearly is an important mechanism of resistance to
cisplatin (41)
. However, the mechanism of this DNA repair
is not completely clear. In general, drug-induced apoptosis is
dependent on the balance between cell cycle checkpoints and DNA repair
mechanisms (42)
. Thus, the intracellular signaling that
modulates apoptosis may be involved in DNA repair and may be an
appropriate target for strategies to overcome the resistance to
chemotherapeutic DNA-damaging drugs. This study showed that cisplatin
treatment led to activation of Akt and phosphorylation of BAD, and that
overexpression of kinase-deficient Akt or BAD caused sensitization to
the cytotoxic effects of cisplatin in both sensitive and resistant
cells. Thus, the activation of these cascades by cisplatin and the
related function of these cascades appeared to be not very different
between sensitive and resistant cells, as is also the case in the
activation of the ERK and JNK cascades by cisplatin (18)
.
The reason that Caov-3 is cisplatin-resistant and A2780 is
cisplatin-sensitive is unclear. However, both Akt-dependent
phosphorylation of BAD Ser-136 and ERK-dependent phosphorylation of BAD
Ser-112 seemed to be necessary for maintaining cell viability following
the genotoxic stress of cisplatin, leading to resistance to cisplatin
in the case of sensitive cells and greater resistance to cisplatin in
the case of resistant cells; therefore, blockage of these cascades may
be the candidate for strategies to reverse the resistance to cisplatin.
BAD function is modulated by phosphorylation at two sites, Ser-112 and
Ser-136 (14)
. The presence of two phosphorylation sites in
BAD also suggests that the simultaneous activation of different
survival pathways may result in the concomitant phosphorylation of BAD
Ser-112 and Ser-136 by different kinase cascades (12)
. Akt
primarily triggers BAD phosphorylation at Ser-136, and phosphorylation
at this site is sufficient to promote survival in cerebellar granule
cells (12)
. In other cell types, such as
interleukin-3-dependent hematopoietic cells, prevention of cell death
may involve both BAD Ser-112 and BAD Ser-136 (14)
. Thus,
the role of BAD Ser-112 is different, depending on the type of cell or
extracellular stimulus. Moreover, conflicting evidence regarding the
potential role of MEK-dependent BAD phosphorylation has emerged in
recent years. MEK inhibition had no effect on platelet-derived growth
factor-induced BAD phosphorylation (12)
. In contrast, MEK
inhibition was found to inhibit both interleukin-3 and granulocyte
macrophage colony-stimulating factor-dependent BAD
phosphorylation but to have no effect on cell survival
(19)
. It has been reported very recently that the
MAPK-activated pp90-ribosomal S6 kinase family catalyzed the
phosphorylation of BAD Ser-112 (20)
, and that the Ras-MAPK
pathway was involved in the phosphorylation of BAD Ser-112 (21
, 22)
and its function related to dissociation of BAD from
Bcl-XL (21)
. Cisplatin induced the
phosphorylation of BAD at both Ser-112 and Ser-136 (Fig. 2)
. Whereas
cisplatin-induced phosphorylation of BAD Ser-112 was MEK-dependent,
cisplatin-induced phosphorylation of BAD Ser-136 was
PI-3K-Akt-dependent (Figs. 2
and 5)
. In addition, cisplatin-induced
phosphorylation of both BAD Ser-112 and Ser-136 was involved in
maintaining cell viability after cisplatin treatment (Fig. 4)
. Thus,
our results suggest that the ERK and PI-3K-Akt signaling cascades
converge at BAD to suppress the apoptotic effect of BAD.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Drs. Michael E. Greenberg and Sandeep Robert Datta for
the gift of the vectors encoding the various HA-tagged forms of Akt,
either wild-type or kinase-dead (K179M mutant), and the various forms
of HA-tagged BAD, either wild-type (pCDNA3-BAD) or BAD mutants
(pCDNA3-BADS136A, pCDNA3-BADS112A, and pCDNA3-BAD S to A at 112 and
136).
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 To whom requests for reprints should be
addressed, at Osaka University Medical School, 2-2 Yamadaoka, Suita,
Osaka 565-0871, Japan. Phone: 81-6-6879-3354; Fax: 81-6-6879-3359;
E-mail: masa{at}gyne.med.osaka-u.ac.jp 
2 The abbreviations used are: MAP,
mitogen-activated protein; PI-3K, phosphatidylinositol 3-kinase;
PKB, protein kinase B; ERK, extracellular signal-regulated (protein)
kinase; JNK, c-Jun N-terminal protein kinase; MEK, MAP/ERK kinase;
transplatin, trans-diaminodichloroplatinum; MAPK, MAP
kinase; CMV, cytomegalovirus; HA, hemagglutinin. 
Received 3/ 9/00.
Accepted 8/23/00.
 |
REFERENCES
|
|---|
-
Xia Z., Dickens M., Raingeaud J., Davis R. J., Greenberg M. E. Opposing effects of ERK and JNK-p38 MAP kinases on apoptosis. Science (Washington DC), 270: 1326-1331, 1995.[Abstract/Free Full Text]
-
Minshall C., Arkins S., Freund G. G., Kelley K. W. Requirement for phosphatidylinositol 3'-kinase to protect hemopoietic progenitors against apoptosis depends upon the extracellular survival factor. J. Immunol., 156: 939-947, 1996.[Abstract]
-
Yao R., Cooper G. M. Requirement for phosphatidylinositol-3 kinase in the prevention of apoptosis by nerve growth factor. Science (Washington DC), 267: 2003-2006, 1995.[Abstract/Free Full Text]
-
Yao R., Cooper G. M. Growth factor-dependent survival of rodent fibroblasts requires phosphatidylinositol 3-kinase but is independent of pp70S6K activity. Oncogene, 13: 343-351, 1996.[Medline]
-
Dudek H., Datta S. R., Franke T. F., Birnbaum M. J., Yao R., Cooper G. M., Segal R. A., Kaplan D. R., Greenberg M. E. Regulation of neuronal survival by the serine-threonine protein kinase Akt. Science (Washington DC), 275: 661-665, 1997.[Abstract/Free Full Text]
-
Kauffmann-Zeh A., Rodriguez-Viciana P., Ulrich E., Gilbert C., Coffer P., Downward J., Evan G. Suppression of c-Myc-induced apoptosis by Ras signalling through PI(3)K and PKB. Nature (Lond.), 385: 544-548, 1997.[Medline]
-
Kennedy S. G., Wagner A. J., Conzen S. D., Jordan J., Bellacosa A., Tsichlis P. N., Hay N. The PI 3-kinase/Akt signaling pathway delivers an anti-apoptotic signal. Genes Dev., 11: 701-713, 1997.[Abstract/Free Full Text]
-
Khwaja A., Rodriguez-Viciana P., Wennstrom S., Warne P. H., Downward J. Matrix adhesion and Ras transformation both activate a phosphoinositide 3-OH kinase and protein kinase B/Akt cellular survival pathway. EMBO J., 16: 2783-2793, 1997.[Medline]
-
Kulik G., Klippel A., Weber M. J. Antiapoptotic signalling by the insulin-like growth factor I receptor, phosphatidylinositol 3-kinase, and Akt. Mol. Cell. Biol., 17: 1595-1606, 1997.[Abstract]
-
Ahmed N. N., Grimes H. L., Bellacosa A., Chan T. O., Tsichlis P. N. Transduction of interleukin-2 antiapoptotic and proliferative signals via Akt protein kinase. Proc. Natl. Acad. Sci. USA, 94: 3627-3632, 1997.[Abstract/Free Full Text]
-
Datta S. R., Brunet A., Greenberg M. E. Cellular survival: a play in three Akts. Genes Dev., 13: 2905-2927, 1999.[Free Full Text]
-
Datta S. R., Dudek H., Tao X., Masters S., Fu H., Gotoh Y., Greenberg M. E. Akt phosphorylation of BAD couples survival signals to the cell-intrinsic death machinery. Cell, 91: 231-241, 1997.[Medline]
-
Delpeso L., Gonzalez-Garcia M., Page C., Herrera R., Nunez G. Interleukin-3-induced phosphorylation of BAD through the protein kinase Akt. Science (Washington DC), 278: 687-689, 1997.[Abstract/Free Full Text]
-
Zha J., Harada H., Yang E., Jockel J., Korsmeyer S. J. Serine phosphorylation of death agonist BAD in response to survival factor results in binding to 14-3-3 not BCL-XL. Cell, 87: 619-628, 1996.[Medline]
-
Yang E., Zha J., Jockel J., Boise L. H., Thompson C. B., Korsmeyer S. J. Bad, a heterodimeric partner for Bcl-XL and Bcl-2, displaces Bax and promotes cell death. Cell, 80: 285-291, 1995.[Medline]
-
Franke T. F., Cantley L. C. Apoptosis. A Bad kinase makes good. Nature (Lond.), 390: 116-117, 1997.[Medline]
-
Cano E., Mahadevan L. C. Parallel signal processing among mammalian MAPKs. Trends Biochem. Sci., 20: 117-122, 1995.[Medline]
-
Hayakawa J., Ohmichi M., Kurachi H., Ikegami H., Kimura A., Matsuoka T., Jikihara H., Mercola D., Murata Y. Inhibition of extracellular signal-regulated protein kinase or c-Jun N-terminal protein kinase cascade, differentially activated by cisplatin, sensitizes human ovarian cancer cell line. J. Biol. Chem., 274: 31648-31654, 1999.[Abstract/Free Full Text]
-
Scheid M. P., Duronio V. Dissociation of cytokine-induced phosphorylation of Bad and activation of PKB/akt: involvement of MEK upstream of Bad phosphorylation. Proc. Natl. Acad. Sci. USA, 95: 7439-7444, 1998.[Abstract/Free Full Text]
-
Bonni A., Brunet A., West A. E., Datta S. R., Takasu M. A., Greenberg M. E. Cell survival promoted by the Ras-MAPK signaling pathway by transcription-dependent and -independent mechanisms. Science (Washington DC), 286: 1358-1362, 1999.[Abstract/Free Full Text]
-
Scheid M. P., Schubert K. M., Duronio V. Regulation of Bad phosphorylation and association with Bcl-XL by the MAPK/Erk kinase. J. Biol. Chem., 274: 31108-31113, 1999.[Abstract/Free Full Text]
-
Fang X., Yu S., Eder A., Mao M., Bast R. C., Jr.,, Boyd D., Mills G. B. Regulation of BAD phosphorylation at serine 112 by the Ras-mitogen-activated protein kinase pathway. Oncogene, 18: 6635-6640, 1999.[Medline]
-
Sherman S. E., Gibson D., Wang A. H., Lippard S. J. X-Ray structure of the major adduct of the anticancer drug cisplatin with DNA: cis-. Science (Washington DC), 230: 412-417, 1985.[Abstract/Free Full Text]
-
Zamble D. B., Lippard S. J. Cisplatin and DNA repair in cancer chemotherapy. Trends Biochem. Sci., 20: 435-439, 1995.[Medline]
-
Hamilton T. C., Winker M. A., Louie K. G., Batist G., Behrens B. C., Tsuruo T., Grotzinger K. R., McKoy W. M., Young R. C., Ozols R. F. Augmentation of Adriamycin, melphalan, and cisplatin cytotoxicity in drug-resistant and -sensitive human ovarian carcinoma cell lines by buthionine sulfoximine mediated glutathione depletion. Biochem. Pharmacol., 34: 2583-2586, 1985.[Medline]
-
Louite K. G., Hamilton T. C., Winker M. A., Behrens B. C., Tsuruo T., Klecker R. W., Jr.,, McKoy W. M., Grotzinger K. R., Myers C. E., Young R. C., Ozols R. F. Adriamycin accumulation and metabolism in Adriamycin-sensitive and -resistant human ovarian cancer cell lines. Biochem. Pharmacol., 35: 467-472, 1986.[Medline]
-
Kimura A., Ohmichi M., Kurachi H., Ikegami H., Hayakawa J., Tasaka K., Kanada Y., Jikihara H., Matsuura N., Murata Y. Role of mitogen-activated protein kinase/extracellular signal-regulated kinase cascade in gonadotropin-releasing hormone-induced growth inhibition of a human ovarian cancer cell line. Cancer Res., 59: 5133-5142, 1999.[Abstract/Free Full Text]
-
Potapova O., Haghighi A., Bost F., Liu C., Birrer M. J., Gjerset R., Mercola D. The Jun kinase/stress-activated protein kinase pathway functions to regulate DNA repair and inhibition of the pathway sensitizes tumor cells to cisplatin. J. Biol. Chem., 272: 14041-14044, 1997.[Abstract/Free Full Text]
-
Laemmli U. K. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature (Lond.), 227: 680-685, 1970.[Medline]
-
Franke T. F., Yang S. I., Chan T. O., Datta K., Kazlauskas A., Morison D. K., Kaplan D. R., Tsichlis P. N. The protein kinase encoded by the Akt proto-oncogene is a target of the PDGF-activated phosphatidylinositol 3-kinase. Cell, 81: 727-736, 1995.[Medline]
-
Kohn A. D., Takeuchi F., Roth R. A. Akt, a pleckstrin homology domain containing kinase, is activated primarily by phosphorylation. J. Biol. Chem., 271: 21920-21926, 1996.[Abstract/Free Full Text]
-
Kulik G., Weber M. J. Akt-dependent and -independent survival signaling pathways utilized by insulin-like growth factor I. Mol. Cell. Biol., 18: 6711-6718, 1998.[Abstract/Free Full Text]
-
Ohmichi M., Decker S. J., Saltiel A. R. Activation of phosphatidylinositol-3 kinase by nerve growth factor involves indirect coupling of the trk proto-oncogene with src homology 2 domains. Neuron, 9: 769-777, 1992.[Medline]
-
Carpenter L. C., Auger K. T., Duckworth B. C., Hou W-M., Schaffhasen B., Cantley L. C. A tightly associated serine/threonine protein kinase regulates phosphoinositide 3-kinase activity. Mol. Cell. Biol., 13: 1657-1665, 1993.[Abstract/Free Full Text]
-
Chiarugi V. PI3K signal and DNA repair: a short commentary. Pharmacol. Res., 35: 263-265, 1997.[Medline]
-
Price B. D., Youmell M. B. The phosphatidylinositol 3-kinase inhibitor wortmannin sensitizes murine fibroblasts and human tumor cells to radiation and blocks induction of p53 following DNA damage. Cancer Res., 56: 246-250, 1996.[Abstract/Free Full Text]
-
Masuda H., Ozols R. F., Lai G-M., Fojo A., Rothenberg M., Hamilton T. C. Increased DNA repair as a mechanism of acquired resistance to cis-diamminedichloroplatinum (II) in human ovarian cancer cell linens. Cancer Res., 48: 5713-5716, 1988.[Abstract/Free Full Text]
-
Johnson S. W., Ozols R. F., Hamilton T. C. Mechanisms of drug resistance in ovarian cancer. Cancer (Phila.), 71: 644-649, 1993.[Medline]
-
Perez R. P., Hamilton T. C., Ozols R. F., Young R. C. Mechanisms and modulation of resistance to chemotherapy in ovarian cancer. Cancer (Phila.), 71: 1571-1580, 1993.[Medline]
-
Johnson S. W., Laub P. B., Beesley J. S., Ozols R. F., Hamilton T. C. Increased platinum-DNA damage tolerance is associated with cisplatin resistance and cross-resistance to various chemotherapeutic agents in untreated human ovarian cancer cell lines. Cancer Res., 57: 850-856, 1997.[Abstract/Free Full Text]
-
Peters, G. J., Ruiz van Haperen, V. W., Bergman, A. M., Veerman, G., Smitskamp-Wilms, E., van Moorsel, C. J., Kuiper, C. M., and Braakhuis, B. J. Preclinical combination therapy with gemcitabine and mechanisms of resistance. Semin. Oncol., 23: 1624, 1996.
-
Alaoui-Jamali, M. A., Paterson, J., Al Moustafa, A. E., and Yen, L. The role of erbB-2 tyrosine kinase receptor in cellular intrinsic chemoresistance: mechanisms and implications. Biochem. Cell Biol., 75: 315325, 1997.
This article has been cited by other articles:

|
 |

|
 |
 
S. Mabuchi, C. Kawase, D. A. Altomare, K. Morishige, K. Sawada, M. Hayashi, M. Tsujimoto, M. Yamoto, A. J. Klein-Szanto, R. J. Schilder, et al.
mTOR Is a Promising Therapeutic Target Both in Cisplatin-Sensitive and Cisplatin-Resistant Clear Cell Carcinoma of the Ovary
Clin. Cancer Res.,
September 1, 2009;
15(17):
5404 - 5413.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. UEDA, S. INOUE, Y. ZHANG, T. KUTSUNA, S. INOUE, K. NOTO, N. ARAI, and M. NOGUCHI
Heparin Induces Apoptosis through Suppression of AKt in Oral Squamous Cell Carcinoma Cells
Anticancer Res,
April 1, 2009;
29(4):
1079 - 1088.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. XU, N. SATO, K. YANAI, T. AKIYOSHI, S. NAGAI, J. WADA, K. KOGA, R. MIBU, M. NAKAMURA, and M. KATANO
Enhancement of Paclitaxel-induced Apoptosis by Inhibition of Mitogen-activated Protein Kinase Pathway in Colon Cancer Cells
Anticancer Res,
January 1, 2009;
29(1):
261 - 270.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Merighi, A. Benini, P. Mirandola, S. Gessi, K. Varani, E. Leung, S. Maclennan, P. G. Baraldi, and P. A. Borea
Hypoxia Inhibits Paclitaxel-Induced Apoptosis through Adenosine-Mediated Phosphorylation of Bad in Glioblastoma Cells
Mol. Pharmacol.,
July 1, 2007;
72(1):
162 - 172.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. J. Song, J. Y. An, Y. T. Kwon, and Y. J. Lee
Evidence for Two Modes of Development of Acquired Tumor Necrosis Factor-related Apoptosis-inducing Ligand Resistance: INVOLVEMENT OF Bcl-xL
J. Biol. Chem.,
January 5, 2007;
282(1):
319 - 328.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W.-Z. Ying, H.-G. Zhang, and P. W. Sanders
EGF Receptor Activity Modulates Apoptosis Induced by Inhibition of the Proteasome of Vascular Smooth Muscle Cells
J. Am. Soc. Nephrol.,
January 1, 2007;
18(1):
131 - 142.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Doshida, M. Ohmichi, S. Tsutsumi, J. Kawagoe, T. Takahashi, B. Du, A. Mori-Abe, T. Ohta, M. Saitoh-Sekiguchi, K. Takahashi, et al.
Raloxifene Increases Proliferation and Up-regulates Telomerase Activity in Human Umbilical Vein Endothelial Cells
J. Biol. Chem.,
August 25, 2006;
281(34):
24270 - 24278.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Ohta, M. Ohmichi, T. Hayasaka, S. Mabuchi, M. Saitoh, J. Kawagoe, K. Takahashi, H. Igarashi, B. Du, M. Doshida, et al.
Inhibition of Phosphatidylinositol 3-Kinase Increases Efficacy of Cisplatin in in Vivo Ovarian Cancer Models
Endocrinology,
April 1, 2006;
147(4):
1761 - 1769.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. D. Westfall and M. K. Skinner
Inhibition of phosphatidylinositol 3-kinase sensitizes ovarian cancer cells to carboplatin and allows adjunct chemotherapy treatment
Mol. Cancer Ther.,
November 1, 2005;
4(11):
1764 - 1771.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. J. Fox, P. S. Hammerman, and C. B. Thompson
The Pim kinases control rapamycin-resistant T cell survival and activation
J. Exp. Med.,
January 18, 2005;
201(2):
259 - 266.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Mabuchi, M. Ohmichi, Y. Nishio, T. Hayasaka, A. Kimura, T. Ohta, J. Kawagoe, K. Takahashi, N. Yada-Hashimoto, H. Seino-Noda, et al.
Inhibition of Inhibitor of Nuclear Factor-{kappa}B Phosphorylation Increases the Efficacy of Paclitaxel in in Vitro and in Vivo Ovarian Cancer Models
Clin. Cancer Res.,
November 15, 2004;
10(22):
7645 - 7654.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. J Hausenloy, M. M Mocanu, and D. M Yellon
Cross-talk between the survival kinases during early reperfusion: its contribution to ischemic preconditioning
Cardiovasc Res,
August 1, 2004;
63(2):
305 - 312.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Mabuchi, M. Ohmichi, Y. Nishio, T. Hayasaka, A. Kimura, T. Ohta, M. Saito, J. Kawagoe, K. Takahashi, N. Yada-Hashimoto, et al.
Inhibition of NF{kappa}B Increases the Efficacy of Cisplatin in in Vitro and in Vivo Ovarian Cancer Models
J. Biol. Chem.,
May 28, 2004;
279(22):
23477 - 23485.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Z. Jin, F. Gao, T. Flagg, and X. Deng
Nicotine Induces Multi-site Phosphorylation of Bad in Association with Suppression of Apoptosis
J. Biol. Chem.,
May 28, 2004;
279(22):
23837 - 23844.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Arimoto-Ishida, M. Ohmichi, S. Mabuchi, T. Takahashi, C. Ohshima, J. Hayakawa, A. Kimura, K. Takahashi, Y. Nishio, M. Sakata, et al.
Inhibition of Phosphorylation of a Forkhead Transcription Factor Sensitizes Human Ovarian Cancer Cells to Cisplatin
Endocrinology,
April 1, 2004;
145(4):
2014 - 2022.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Mabuchi, M. Ohmichi, A. Kimura, Y. Ikebuchi, K. Hisamoto, E. Arimoto-Ishida, Y. Nishio, K. Takahashi, K. Tasaka, and Y. Murata
Tamoxifen Inhibits Cell Proliferation via Mitogen-Activated Protein Kinase Cascades in Human Ovarian Cancer Cell Lines in a Manner Not Dependent on the Expression of Estrogen Receptor or the Sensitivity to Cisplatin
Endocrinology,
March 1, 2004;
145(3):
1302 - 1313.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Mabuchi, M. Ohmichi, A. Kimura, Y. Nishio, E. Arimoto-Ishida, N. Yada-Hashimoto, K. Tasaka, and Y. Murata
Estrogen Inhibits Paclitaxel-Induced Apoptosis via the Phosphorylation of Apoptosis Signal-Regulating Kinase 1 in Human Ovarian Cancer Cell Lines
Endocrinology,
January 1, 2004;
145(1):
49 - 58.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Hayakawa, C. Depatie, M. Ohmichi, and D. Mercola
The Activation of c-Jun NH2-terminal Kinase (JNK) by DNA-damaging Agents Serves to Promote Drug Resistance via Activating Transcription Factor 2 (ATF2)-dependent Enhanced DNA Repair
J. Biol. Chem.,
May 30, 2003;
278(23):
20582 - 20592.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Steenbergen, C. A. Afshari, J. G. Petranka, J. Collins, K. Martin, L. Bennett, A. Haugen, P. Bushel, and E. Murphy
Alterations in apoptotic signaling in human idiopathic cardiomyopathic hearts in failure
Am J Physiol Heart Circ Physiol,
January 1, 2003;
284(1):
H268 - H276.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. W. Krystal, G. Sulanke, and J. Litz
Inhibition of Phosphatidylinositol 3-Kinase-Akt Signaling Blocks Growth, Promotes Apoptosis, and Enhances Sensitivity of Small Cell Lung Cancer Cells to Chemotherapy
Mol. Cancer Ther.,
September 1, 2002;
1(11):
913 - 922.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Mabuchi, M. Ohmichi, A. Kimura, K. Hisamoto, J. Hayakawa, Y. Nishio, K. Adachi, K. Takahashi, E. Arimoto-Ishida, Y. Nakatsuji, et al.
Inhibition of Phosphorylation of BAD and Raf-1 by Akt Sensitizes Human Ovarian Cancer Cells to Paclitaxel
J. Biol. Chem.,
August 30, 2002;
277(36):
33490 - 33500.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. G. Stupack and D. A. Cheresh
Get a ligand, get a life: integrins, signaling and cell survival
J. Cell Sci.,
January 10, 2002;
115(19):
3729 - 3738.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Zhang, D. F. Spandau, and A. Roman
E5 Protein of Human Papillomavirus Type 16 Protects Human Foreskin Keratinocytes from UV B-Irradiation-Induced Apoptosis
J. Virol.,
January 1, 2002;
76(1):
220 - 231.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Hayakawa, M. Ohmichi, K. Tasaka, Y. Kanda, K. Adachi, Y. Nishio, K. Hisamoto, S. Mabuchi, S. Hinuma, and Y. Murata
Regulation of the PRL Promoter by Akt through cAMP Response Element Binding Protein
Endocrinology,
January 1, 2002;
143(1):
13 - 22.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Hisamoto, M. Ohmichi, Y. Kanda, K. Adachi, Y. Nishio, J. Hayakawa, S. Mabuchi, K. Takahashi, K. Tasaka, Y. Miyamoto, et al.
Induction of Endothelial Nitric-oxide Synthase Phosphorylation by the Raloxifene Analog LY117018 Is Differentially Mediated by Akt and Extracellular Signal-regulated Protein Kinase in Vascular Endothelial Cells
J. Biol. Chem.,
December 7, 2001;
276(50):
47642 - 47649.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. von Gise, P. Lorenz, C. Wellbrock, B. Hemmings, F. Berberich-Siebelt, U. R. Rapp, and J. Troppmair
Apoptosis Suppression by Raf-1 and MEK1 Requires MEK- and Phosphatidylinositol 3-Kinase-Dependent Signals
Mol. Cell. Biol.,
April 1, 2001;
21(7):
2324 - 2336.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
K. Hisamoto, M. Ohmichi, H. Kurachi, J. Hayakawa, Y. Kanda, Y. Nishio, K. Adachi, K. Tasaka, E. Miyoshi, N. Fujiwara, et al.
Estrogen Induces the Akt-dependent Activation of Endothelial Nitric-oxide Synthase in Vascular Endothelial Cells
J. Biol. Chem.,
January 26, 2001;
276(5):
3459 - 3467.
[Abstract]
[Full Text]
[PDF]
|
 |
|