
[Cancer Research 60, 5995-6000, November 1, 2000]
© 2000 American Association for Cancer Research
Biochemistry and Biophysics |
Activation of Caspase-3 and c-Jun NH2-terminal Kinase-1 Signaling Pathways in Tamoxifen-induced Apoptosis of Human Breast Cancer Cells1
Sandhya Mandlekar2,
Rong Yu,
Tse-Hua Tan and
Ah-Ng Tony Kong3
Department of Pharmaceutics and Pharmacodynamics, Center for Pharmaceutical Biotechnology, University of Illinois at Chicago, Chicago, Illinois 60612 [S. M., R. Y., A-N. T. K.], and Department of Microbiology and Immunology, Baylor College of Medicine, Houston, Texas 77030 [T-H. Y.]
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ABSTRACT
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Tamoxifen (TAM) is widely used in the treatment of breast cancer. The
cytostatic effects of TAM have been attributed to the antagonism of
estrogen receptor (ER) and inhibition of estrogen-dependent
proliferative events. However, the mechanism by which TAM is also
effective against certain ER-negative breast tumors remains to be
elucidated. Here we report that TAM induced the activity of
caspase-3-like proteases in ER-negative breast cancer cell lines
MDA-MB-231 and BT-20, as evidenced by the cleavage of fluorogenic
tetrapeptide substrate and of poly(ADP-ribose) polymerase. The
activation of caspase-3-like proteases preceded TAM-induced chromatin
condensation and nuclear fragmentation, the typical apoptotic
morphologies. Pretreatment of cells with a specific inhibitor of
caspase-3, acetyl-Asp-Glu-Val-Asp-aldehyde, or with a general inhibitor
of caspases, benzyloxycarbonyl-Val-Ala-Asp-fluoromethyl ketone,
prevented TAM-induced apoptosis. TAM also stimulated c-Jun
NH2-terminal kinase (JNK) 1 activity, and interfering with
the JNK pathway by overexpressing a DN JNK1 mutant attenuated
TAM-induced apoptosis. In addition, treatment of cells with a
lipid-soluble antioxidant vitamin E blocked TAM-induced caspase-3 and
JNK1 activation as well as apoptosis, whereas water-soluble
antioxidants N-acetyl L-cysteine and
glutathione had little effect. Thus, this study demonstrates that TAM
induces apoptosis in ER-negative breast cancer cells through
caspase-3 and JNK1 pathways, which are probably initiated at the cell
membrane by an oxidative mechanism.
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INTRODUCTION
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TAM,4
a nonsteroidal triphenylethylene derivative, has been used extensively
in the treatment of both advanced and early-stage breast cancer
(1)
. Recently, the efficacy of TAM in reducing the
incidence of breast cancer in a high-risk population was established by
a National Cancer Institute study that began in 1992 (2)
.
TAM is a potent ER antagonist, and its pharmacology has been reviewed
extensively (3)
. Inhibition of ER by TAM blocks the
secretion of polypeptide growth factors, such as epidermal growth
factor and transforming growth factor
, leading to growth arrest of
ER-positive cells. In addition to its cytostatic effects mediated
through the ER, TAM has also been shown to be cytotoxic to both
ER-positive and ER-negative cells (4
, 5) , and such a
cytotoxic effect is believed to be mediated by the induction of
apoptosis (6
, 7)
. Although several signaling
intermediates, such as PKC (8
, 9)
, transforming growth
factor ß (10)
, and c-myc (11)
, have been
implicated, the precise molecular mechanism of TAM-induced apoptosis
remains unclear.
One of the key events in apoptosis is the activation of a cascade of
intracellular cysteine proteases known as caspases (12)
.
To date, at least 13 caspases have been identified in mammalian cells
(13)
. These have been classified into three families,
depending on their functions in the caspase cascade (14)
.
The caspases with a death effector domain comprise caspase-8 and -10.
They are associated with the cell membrane DRs of TNF-
, Fas, or
TNF-related apoptosis-inducing ligand via their death domains. The
caspases with a caspase recruiting domain include caspase-1, -4, -5,
-2, and -9. Finally, the effector or downstream caspases include
caspases 3, 6, and 7. They are activated by death effector domain
caspases or by caspases with a caspase recruiting domain by
cleavage at specific tetrapeptide residues. Caspase-3
(15)
, a downstream caspase, has been shown to play a
pivotal role in the terminal, execution phase of apoptosis induced by
diverse stimuli. On proteolytic activation by upstream caspases,
caspase-3 is able to cleave a variety of substrates, including PARP
(15)
, DNA fragmentation factor (16)
, PKC-
(17)
, and others. The cleavage of various substrates
contributes to the typical morphological and biochemical features
observed in apoptosis. Because of the diversity of its substrates,
caspase-3 is thought to be a general mediator of physiological as well
as stress-induced apoptosis.
JNK1 is a member of the of mitogen-activated protein kinase family that
has been shown to regulate a number of physiological and pathological
processes, including chemical-induced cell transformation
(18)
and apoptosis (19
, 20)
. JNK1 is strongly
activated by anticancer (21, 22, 23)
and chemopreventive
(24
, 25)
agents. JNK1 activation by cytotoxic
agents was shown to be mediated by oxidative or mechanical
stress in the form of ROS or microtubule perturbations, respectively
(21
, 22)
. The molecular ordering of JNK1 and caspase
pathways seems to be stimulus dependent. Induction of caspase activity
by the anticancer drugs etoposide and camptothecin has been shown to be
mediated by JNK1 activation (26)
, whereas in doxorubicin-
or death ligand-induced apoptosis, caspase activation appears to be
independent of the JNK pathway (27)
. Thus, although a
growing body of evidence suggests that both caspase and JNK are
important mediators of apoptosis induced by various agents, the
relationship between these two pathways remains elusive.
In this study, we investigated the role of caspase and JNK in
TAM-induced apoptosis. Our results showed that TAM-induced apoptosis in
breast cancer cell lines MDA-MB-231, BT-20, and MCF-7 was mediated by
both caspase-3 and JNK1.
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MATERIALS AND METHODS
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Cell Culture, Chemicals, and Treatment.
Human breast cancer cell lines MCF-7 and BT-20 were obtained from
American Type Culture Collection. The human breast cancer cell line
MDA-MB-231 was provided by Dr. Carol Westbrook (Department of
Hematology and Oncology, College of Medicine, University of Illinois at
Chicago, Chicago, IL). MCF-7 and BT-20 were maintained in MEM, and
MDA-MB-231 was maintained in RPMI 1640. Both media were supplemented
with 10% FBS, 100 units/ml penicillin, and 100 µg/ml streptomycin.
TAM, NAC, V-E (
-tocopherol), and DAPI were obtained from Sigma (St.
Louis, MO). The fluorogenic tetrapeptide substrates of caspase-3
(Ac-DEVD-MCA), caspase-1 (Ac-YVAD-MCA), and caspase-6 (Ac-VEID-MCA)
were obtained from Peptides International (Louisville, KY), and the
substrates of caspase-8 (Acetyl-Ile-Glu-Thr-Asp-methylcoumaryl-7-amide
(Ac-IETD-MCA) and caspase-9
(Acetyl-Leu-Glu-His-Asp-trifluoromethylcoumaryl-7-amide
(Ac-LEHD-FCA) and caspase inhibitors Ac-DEVD-CHO and
z-VAD-FMK were purchased from Calbiochem (San Diego, CA). Before
TAM treatment, cells (at approximately 80% confluence) were cultured
in serum-free MEM. For pretreatment, the cells were incubated with the
indicated agents for 1 h before challenge with TAM.
MTS Assay for Cell Viability.
Cells were plated at a density of 104
cells/well
into 96-well plates and cultured overnight before challenge with a
series of concentrations of TAM for 24 h. Cell viability was
determined by CellTiter96 Non-Radioactive Cell
Proliferation Assay Kit (Promega, Madison, WI) using MTS as substrate.
Nuclear Staining Assay.
After treatment, detached cells were collected in the medium, and the
attached cells were harvested by trypsinization and combined with the
detached fraction. Cells were centrifuged at 1000 x g for 5 min, washed once with PBS, and fixed in a solution
of methanol:acetic acid (3:1) for 30 min. The fixed cells were placed
on slides and stained with 2 µg/ml DAPI for 15 min. Excess dye was
washed off with PBS. Nuclear morphology was observed under a
fluorescence microscope.
Internucleosomal DNA Fragmentation Assay.
After treatment, cells were harvested as described above. The
cell pellet was resuspended in a lysis buffer containing 10
mM Tris (pH 7.4), 150 mM NaCl, 5 mM
EDTA, and 0.5% Triton X-100. Cell lysate was left on ice for 30 min.
DNA was extracted by adding an equal volume of neutral
phenol:chloroform:isoamyl alcohol mixture (pH 8.0; Fisher Scientific)
and precipitated with 0.1 volume of 5 M sodium chloride and
2 volumes of 100% ethanol at -20°C overnight. The DNA sample was
dissolved in TE buffer [10 mM Tris (pH 8.0) and 1
mM EDTA] and treated with 1 µg/ml RNase at 37°C for
2 h. DNA fragments were resolved by electrophoresis in a 1.5%
agarose gel and visualized by ethidium bromide staining.
Caspase Activity Assay.
After treatment, cells were washed twice with ice-cold PBS and
harvested as described previously (28)
. The catalytic
activity of caspases was measured with their fluorogenic substrate
(28)
. Briefly, 10 µg of total protein, as determined by
the Bio-Rad (Richmond, VA) protein assay, was incubated with 200
µM fluorogenic peptide substrates Ac-DEVD-MCA,
Ac-YVAD-MCA, Ac-VEID-MCA, Ac-IETD-MCA, or Ac-LEHD-FCA in
a 50-µl assay buffer at 37°C for 2 h. The release of AMC was
measured with a spectrofluorometer (PerSeptive Biosystems, Inc.,
Framingham, MA) at an excitation wavelength of 360 nm and an emission
wavelength of 460 nm. The release of 7-amido-4-trifluoromethylcoumarin
was monitored at 360/530 nm.
Western Blotting Analysis of PARP Cleavage.
Cells were harvested in a lysis buffer as described previously
(28)
. Fifty µg of total cytosolic protein, as determined
by Bio-Rad protein assay, were resolved in 10% SDS-PAGE and
transferred to polyvinylidene difluoride membrane (Millipore) using a
semidry transfer system (Fisher Scientific). The membrane was
blocked with 5% nonfat dry milk in TBS for 1 h at room
temperature and then incubated with 2 µg/ml primary polyclonal
antihuman PARP antibody (Upstate Biotechnology Inc.) in TBS (containing
3% nonfat milk) at 4°C overnight. The membrane was washed three
times with TBS and blotted with a horseradish peroxidase-conjugated
secondary antibody (1:2000 dilution; Santa Cruz Biotechnology) at room
temperature for 1 h and then washed in TBS three times. The
protein was visualized using enhanced chemiluminescence system
(Amersham).
In Vitro Immunocomplex Kinase Assay for JNK1
Activity.
The JNK1 assay was performed as described previously
(24)
. Briefly, after cell harvesting, equal amounts of
protein were incubated with rabbit anti-JNK1 antiserum (Ab101) for
2 h at 4°C in the presence of protein A-Sepharose 4B conjugate.
The immunocomplexes were precipitated by centrifugation at high speed
for 1 min and washed twice with lysis buffer and twice with kinase
buffer. Kinase reactions were initiated by adding 30 µl of kinase
assay buffer containing 10 µg of GSH
S-transferase-c-Jun179(179) fusion protein, 2 µCi of
[
-32P]ATP, and 20 µM
ATP. After incubation for 30 min at 30°C, the reactions were
terminated by adding 10 µl of 4x Laemmli buffer and by heating at
94°C for 5 min. The phosphorylation products were resolved in 10%
SDS-PAGE and visualized by autoradiography.
Transient Transfection Cell Death Assay.
Cells were plated in 6-well plates 12 h before transfection at a
density of 1.5 x 105 cells/well.
Cells were cotransfected with the indicated plasmids by using calcium
phosphate precipitation method. After removing the transfection medium,
cells were incubated in culture medium for 12 h and then treated
with 2.5 µM TAM for 24 h. Cells were then washed
with PBS and fixed in 1% paraformaldehyde for 5 min on ice. The fixed
cells were washed once in PBS and stained overnight in a solution
containing 1 mM MgCl2, 10
mM K4Fe(CN)6,
10 mM
K3Fe(CN)6, and 1
mM X-gal in PBS. The ß-galactosidase-expressing
cells (blue-stained cells) were counted under a light microscope
from five randomly chosen fields. Cell survival was determined as
follows: (percentage of blue-stained cells in treated group/percentage
of blue-stained cells in untreated group) x 100% (25)
.
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RESULTS
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TAM-induced Cytotoxicity in Breast Cancer Cells Is Due to Induction
of Apoptosis.
We compared the cell viability of TAM-treated ER-positive MCF-7 and
ER-negative BT-20 and MDA-MB-231 breast cancer cells using the MTS
assay. Treatment with TAM caused a dose-dependent reduction in cell
survival. Regardless of their ER status, the three cell lines showed a
similar IC50 (approximately 910
µM; Fig. 1
). Because the clinically relevant concentrations of TAM are close to 5
µM (29)
, we used the concentration of 5
µM for all subsequent treatments.

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Fig. 1. Determination of the IC50 value of TAM in
breast cancer cells. ER-positive MCF-7 cells and ER-negative MDA-MB-231
and BT-20 cells were plated in 96-well plates in triplicate and, after
attachment, treated with TAM at various concentrations for 24 h.
The medium was removed, and the cells were treated with MTS assay
reagents as described in the manufacturers protocol. The absorbance
of the formazan product formed was measured at 340 nm. The percentage
of survival was equal to the following formula: (absorbance of treated
cells/absorbance of untreated cells) x 100. Data
shown are the means of two independent experiments;
bars, SE.
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It is possible that the decreased cell viability as determined by MTS
assay could be due to either cell growth arrest or cell death. We next
examined whether TAM at toxic concentrations induced cell death.
MDA-MB-231 cells were treated with 5 µM TAM for various
time periods. Cell death was assayed by two methods, trypan blue
staining, which determines membrane integrity, and DAPI staining, which
detects nuclear morphology. TAM-induced cell death was a relatively
late event, occurring only after 24 h of treatment with 5
µM TAM. The number of both the trypan blue-positive cells
and the condensed and fragmented nuclei increased with TAM treatment
(Fig. 2, A and B)
, indicating that TAM-induced cell death
was due to apoptosis in ER-negative MDA-MB-231 cells. This was
further confirmed by an independent method, the DNA fragmentation assay
(Fig. 2C)
. Similar results were obtained when ER-negative
BT-20 cells were treated with TAM (data not shown).

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Fig. 2. Induction of apoptosis in breast cancer cells by TAM.
A, determination of cell death by trypan blue and DAPI
staining. After treatment with 5 µM TAM for indicated
time periods, MDA-MB-231 cells were harvested. A portion of cells was
stained with 0.1% trypan blue solution, and the remaining portion was
fixed and stained with DAPI as described above. Trypan blue-stained
cells were counted as blue or white cells in a hemocytometer, and
DAPI-stained nuclei were counted as normal or condensed nuclei.
Percentage of death was determined by the percentage of trypan
blue-positive cells and condensed nuclei. Data shown are means of three
independent experiments; bars, SE. B,
nuclear condensation. MDA-MB-231 cells were treated with either 0.1%
DMSO or 5 µM TAM for 24 h. Cells were harvested and
fixed in methanol:acetic acid (3:1) for 15 min. The fixed cells were
treated with 1 µg/ml DAPI for 15 min, and the nuclei were examined by
fluorescence microscopy. Arrows, apoptotic cells with
condensed nuclei. C, genome digestion. Cells were
treated with 5 µM TAM for indicated time periods.
Cellular DNA was extracted and analyzed by agarose gel
electrophoresis.
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TAM Induces the Activity of Caspase-3-like Proteases, Which
Precedes Apoptosis.
To measure the activation of caspases in TAM-treated cells, we took
advantage of different fluorogenic tetrapeptide substrates,
Ac-IETD-AMC, Ac-LEHD-AFC, Ac-YVAD-AMC, Ac-VEID-AMC, and
Ac-DEVD-AMC, which have been shown to be specific for caspase-8, -9,
-1, -6, and -3, respectively. As shown in Fig. 3A
, TAM at the apoptosis-inducing concentration (5
µM) strongly stimulated caspase-3-like activity
in MDA-MB-231 cells. Under similar conditions, TAM also activated
caspase-8, -9, and-6, although to a lesser extent. Furthermore, the
activation of these caspases preceded the onset of apoptosis as
determined by DAPI and trypan blue staining. Similar results were
obtained in BT-20 cells (data not shown). However, in MCF-7 cells, we
did not detect any increased activity of caspase-3 and -6 after TAM
treatment, although caspase-8 and -9 were activated to a level similar
to that seen in MDA-MB-231 and BT-20 cells (data not shown). In
contrast to a large peak of caspase-3 activity, little caspase-1
activity was observed throughout the experiment in either of these cell
lines.

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Fig. 3. A, induction of caspase activity by
TAM. MDA-MB-231 cells were treated with 5 µM TAM for the
indicated time periods and harvested and lysed in caspase lysis buffer.
Enzymatic activity of caspase-1-, caspase-3-, caspase-6- and
caspase-9-like proteases was determined by incubation of 10 µg of
total protein with fluorogenic substrates Ac-YVAD-MCA, Ac-DEVD-MCA,
Ac-VEID-MCA, and Ac-LEHD-AFC, respectively, for 2 h at
37°C. The release of AMC or AFC was monitored
spectrofluorometrically (360/460 nm and 360/530 nm, respectively). Fold
induction in caspase activity was calculated as a ratio of the
fluorescence of TAM-treated samples to that of untreated samples. Data
shown are the means of three independent experiments;
bars, SE. B, cleavage of PARP by TAM and
the effect of caspase inhibitors and V-E. MDA-MB-231 cells were treated
with 5 µM TAM for 24 h either alone or in the
presence of 50 µM Ac-DEVD-CHO, 50 µM
z-VAD-fmk, or 0.5 mM V-E. Cells were harvested, and PARP
cleavage was analyzed by Western blotting as described in "Materials
and Methods." The blot shown is from one of three independent
experiments.
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To provide further evidence for the activation of caspases, we measured
the cleavage of PARP, an endogenous substrate of caspase-3, whose
cleavage is considered to be a hallmark of apoptosis. Treatment of
MDA-MB-231 cells with TAM (5 µM) resulted in cleavage of
PARP to an 85-kDa fragment (Fig. 3B)
. The cleavage of PARP
was inhibited by pretreatment of cells with Ac-DEVD-CHO, a
caspase-3-specific inhibitor, or with z-VAD-FMK, a general inhibitor of
caspases. The lipid-soluble antioxidant V-E also inhibited TAM-induced
PARP cleavage (Fig. 3B)
.
Caspase Inhibitors Ac-DEVD-CHO and z-VAD-fmk Block the Induction of
Apoptosis by TAM.
The above-mentioned results indicate that caspases are activated
in TAM-treated cells. To define the role of such caspase activation in
TAM-induced apoptosis, we treated MDA-MB-231 cells with caspase
inhibitors before challenge with TAM. The broad specificity caspase
inhibitor, z-VAD-fmk (25 µM), abrogated the induction of
apoptosis by TAM as measured by the number of fragmented nuclei and
trypan blue-positive cells (Fig. 4A)
. Similar results were obtained in both MCF-7 and BT-20
cells (data not shown). The caspase-3-specific inhibitor, Ac-DEVD-CHO
(50 µM), also attenuated TAM-induced apoptosis
in MDA-MB-231 cells (Fig. 4A)
. The caspase inhibitors also
abrogated caspase-3 activity in MDA-MB-231 cells (Fig. 4B)
.
These results demonstrate that TAM induces apoptosis in breast cancer
cells in a caspase-dependent manner.

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Fig. 4. Effects of caspase inhibitors on caspase-3-like
activity and apoptosis induced by TAM. A, inhibition of
TAM-induced apoptosis by caspase inhibitors. MDA-MB-231 cells were
pretreated with 50 µM of either caspase-3 inhibitor
Ac-DEVD-CHO or general caspase inhibitor z-VAD-fmk for 1 h,
followed by 5 µM TAM for 24 h, and the percentage of
cell death was assessed by both DAPI and trypan blue staining as
described in the Fig. 2
legend. Data shown are the means of three
independent experiments; bars, SE. B,
abrogation of caspase-3-like activity by caspase inhibitors. Cells were
treated as described above. The enzymatic activity of caspse-3-like
proteases was determined as described in A.
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TAM Stimulates JNK1 Activity, Which Is Not Affected by Caspase
Inhibitors.
To measure the JNK1 activity in TAM-treated cells, we performed
in vitro immunocomplex kinase assays. JNK1 activity began to
increase after treatment with 0.5 µM TAM for
1 h and reached a maximum level after treatment with 10
µM TAM. However, the induced JNK1
activity declined when the concentration of TAM reached more than 25
µM (Fig. 5A)
. Thus, the activation of JNK1 by TAM is dose dependent.
JNK1 activation by TAM is also time dependent, with maximum activation
being achieved 1 h after treatment with 5
µM TAM (Fig. 5B)
. This earlier
kinetics of JNK1 activation as compared with caspase activation
suggests that JNK1 is either upstream or independent of caspases.
Consistent with this notion, pretreatment of cells with caspase
inhibitor z-VAD-fmk or Ac-DEVD-CHO had no significant effect on JNK1
activation by TAM (Fig. 5C)
.

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Fig. 5. Activation of JNK1 by TAM and the effect of caspase
inhibitors on JNK1 activity. A, dose-response of JNK1
activation by TAM. MDA-MB-231 cells were treated for 1 h with
different concentrations of TAM. Cells were harvested, and JNK1
activity was determined by an in vitro immunocomplex
kinase assay as described in "Materials and Methods."
B, kinetics of JNK1 activation by TAM. Cells were
treated with 5 µM TAM for different time periods, and
JNK1 activity was determined as described above. C,
effect of caspase inhibitors on TAM-induced JNK1 activity. Cells were
pretreated for 30 min with 50 µM Ac-DEVD-CHO or
z-VAD-FMK, followed by 5 µM TAM for 1 h. JNK1
activity was determined as described previously. All data shown are
from one of three independent experiments.
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Blockade of JNK1 Pathway Attenuates TAM-induced Apoptosis.
Activation of JNK1 is essential in radiation-induced
(20)
or ceramide-induced (30)
apoptosis. To
examine whether JNK1 activation has a similar role in TAM-induced
apoptosis, we transfected MDA-MB-231 cells with the expression vectors
for wild-type JNK1 or a DN JNK1 mutant, JNK1(APF), along with a vector
encoding ß-galactosidase (pCMV-ßgal). The transfected cells were
treated with TAM (5 µM) for 24 h and then assayed
for cell death by staining with a ß-galactosidase substrate, X-gal.
The survival rate of TAM-treated transfected cells was calculated as
the percentage of blue cells in the treated group divided by the
percentage of blue cells in the untreated group (25)
. As
shown in Fig. 6A
, overexpression of DN JNK1(APF) prevented cell death
induced by TAM. The JNK1 activity in DN JNK1-transfected cells was not
induced in response to TAM treatment (Fig. 6B)
. This result
suggests that JNK1 participates in the regulation of TAM-induced
apoptosis.

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Fig. 6. Attenuation of TAM-induced apoptosis by blocking the JNK
pathway. A, effect of DN JNK1 on TAM-induced cell death.
MDA-MB-231 cells were cotransfected in duplicate with pCMV-ßgal (2
µg) and wild-type JNK1-expressing- or DN JNK1
[JNK1(APF)]-expressing plasmid vectors (3 µg) using the calcium
phosphate method. After transfection, the cells were incubated in
culture medium for 12 h and were either left untreated or treated
with 2.5 µM TAM for 24 h. After fixing and staining
with X-gal, the ß-galactosidase-positive cells (blue-stained cells)
were counted under a microscope from five randomly chosen fields. Cell
survival was determined as follows: (percentage of blue-stained cells
in the treated group/percentage of blue-stained cells in the untreated
group) x 100%. The data presented are the
means ± SD of three experiments. B,
effect of DN JNK1 on TAM-induced JNK1 activation. The JNK1 activity in
MDA-MB-231 cells transfected with either wild-type or DN JNK1 was
determined by an in vitro immunocomplex kinase assay as
described in "Materials and Methods." Average data from three
experiments are presented.
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V-E Blocks TAM-induced Caspase-3 and JNK1 Activation and Inhibits
Apoptosis.
Cytotoxicity of TAM has been attributed to the generation of oxidative
stress (9
, 31)
. Accordingly, we examined the role of
oxidative stress in the TAM-induced caspase and JNK1 signaling pathways
and apoptosis. Pretreatment of MDA-MB-231 cells with lipid-soluble
antioxidant V-E (
-tocopherol) prevented TAM-induced activation of
caspase-3-like proteases, and JNK1 and also abolished TAM-induced
apoptosis (Fig. 7
, AC). In contrast, water-soluble antioxidants
NAC or GSH had little effect. Similar results were obtained in MCF-7
and BT-20 cells (data not shown). These data suggest that oxidative
stress generated in the cell membrane is responsible for the initiation
of JNK1 and caspase pathways that ultimately lead to apoptosis in
TAM-treated breast cancer cells.

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Fig. 7. Effect of lipid- and water-soluble antioxidants on
TAM-induced caspase-3 and JNK1 activity and cell death.
A, effect of V-E and NAC on caspase-3 activity.
MDA-MB-231 cells were pretreated for 1 h with 0.5 mM
V-E or 20 mM NAC, followed by 5 µM TAM for
24 h. Caspase-3 activity was determined as described previously.
B, effect of V-E and NAC on JNK1 activity. Cells were
pretreated for 30 min with V-E or NAC, followed by 5 µM
TAM for 1 h. JNK1 activity was determined as described previously.
C, effect of V-E and NAC on cell death. Cells were
pretreated for 1 h with V-E or NAC, followed by 5 µM
TAM for 24 h. The percentage of cell death was assessed as
described in the Fig. 2
A legend. All data shown are the
means of three independent experiments; bars, SE.
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DISCUSSION
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TAM has been effectively used in the treatment of breast
cancer for more than three decades, yet the molecular mechanisms
underlying TAM-induced cytotoxicity in breast cancer remain elusive.
The purpose of this study was to investigate the role of caspases and
JNK1 in TAM-induced apoptosis in ER-positive and ER-negative breast
cancer cells and the possible signaling intermediates in the two
pathways. To provide a plausible mechanism for the observed clinical
efficacy of TAM in treatment of breast cancer, we used TAM at a
concentration of 5 µM in breast cancer cells, which is
close to the breast tumor concentration achieved in patients
(29)
. As confirmed by two different methods, nuclear
staining and genome digestion, this concentration of TAM did indeed
induce apoptotic cell death in breast cancer cells. The induction of
apoptosis by TAM was preceded by induction of the activity of
caspase-3-like proteases, which was proven by two lines of evidence.
TAM treatment resulted in (a) a time-dependent increase in
the release of AMC from the fluorogenic caspase-3-specific substrate,
Ac-DEVD-MCA, and (b) in cleavage of PARP, an endogenous
substrate of caspase-3, to its 85-kDa degradation product. The role of
caspase-3 in TAM-induced apoptosis was further substantiated by our
results showing that Ac-DEVD-CHO, the synthetic peptide inhibitor of
caspase-3, blocked TAM-induced apoptosis. The absence of caspase-3
activation in MCF-7 cells raised the possibility that TAM induces
apoptosis via a caspase-independent pathway in ER-positive MCF-7 cells.
But even other stress stimuli, such as UV radiation, TNF-
, or
anticancer drugs like camptothecin and etoposide that act independent
of the ER and are known to induce apoptosis via the caspase cascade,
failed to activate the caspase-3 in MCF-7 cells (data not shown). One
explanation of the observed phenomenon is provided in two recent
reports (32
, 33)
that document the absence of caspase-3
activity in MCF-7 cells due to a mutation in exon 3 of the
CASP-3 gene. This may also explain the absence of
genome digestion in MCF-7 cells. Thus, other caspases may be operative
in TAM-induced apoptosis in MCF-7 cells. This was supported by our
results that the general caspase inhibitor z-VAD-fmk completely blocked
TAM-induced apoptosis in MCF-7 cells (data not shown). The activation
of caspase-8 by TAM in breast cancer cell lines is intriguing,
suggesting that TAM, like other anticancer drugs, may induce the
expression of DRs or apoptotic ligands such as TNF-
, Fas ligand, or
TNF-related apoptosis-inducing ligand or signal through death
domain-containing adapter proteins (27
, 34)
. Caspase-9 can
be activated by caspase-8 or activated independently by apoptotic
protease-activating factor 1 on binding of cytochrome c
released from the mitochondria (Ref. 35
and the references
therein). Indeed, the involvement of mitochondria in the proapoptotic
action of TAM was implicated by a time-dependent reversal of both the
calcium-induced mitochondrial membrane depolarization and calcium
release in TAM-treated rat liver microsomes, suggesting that the effect
was on the permeability transition pore (36)
. The
activation by TAM of the effector caspases, caspase-3 and -6, could
then be explained by proteolytic cleavage by these activated upstream
caspases. Caspase-1, however, did not seem to play a role in
TAM-induced apoptosis because no activation was detected under
experimental conditions. Thus, DR- or mitochondria-mediated activation
of the caspase cascade may be a potential mechanism underlying
TAM-induced apoptosis in breast cancer.
TAM also activated JNK1 under conditions that induced apoptosis.
Kinetically, the JNK1 activation was a much earlier event as compared
with caspase activation and apoptosis. Furthermore, neither of the
caspase inhibitors significantly blocked JNK1 activation, although DN
JNK1, at least partially inhibited TAM-induced apoptosis. This suggests
that JNK1 is upstream of the caspase cascade. Thus, our results
indicate that both the caspase and JNK pathways are required in
TAM-induced apoptosis in breast cancer cells because interfering with
either pathway blocked apoptosis. Importantly, the lipid-soluble
antioxidant V-E also blocked both JNK1 and caspase-3 activation and
completely abolished TAM-induced cell death, implicating the
involvement of oxidative stress. Two possibilities exist for generation
of oxidative stress by TAM: either autoxidation of the phenolic moiety,
producing superoxides and hydrogen peroxide through redox cycling, or
local effects in the membrane due to TAM partitioning into lipid
bilayer. Ferlini et al. (31)
demonstrated the
generation of ROS in Jurkat and A2780 ovarian cancer cells treated with
TAM. In the current study, the water-soluble antioxidants NAC and GSH
failed to block caspase or JNK activation and cell death. Thus,
generation of ROS alone may not be sufficient to activate the signaling
pathways leading to apoptosis. V-E, on the other hand, inhibits cell
membrane oxidation (37)
. Hence, membrane oxidation by TAM
seems to play an important role in caspase and JNK signaling and
apoptosis. In this regard, the actions of TAM may be similar in part to
UV radiation. Therefore, it will be interesting to test whether
TAM-induced ceramid accumulation (38)
, PKC translocation
(39)
, or other second messengers contribute to the
activation of JNKs and caspases by TAM. A recent study
demonstrating protective effect of V-E against TAM-induced lysis of erythrocytes suggests that disruption of structural
characteristics of biomembranes and release of peripheral membrane-,
cytoskeleton-, or membrane-bound cytosol proteins by TAM
contributes to its anticancer action (42)
.
In summary, it is tempting to speculate that TAM, by virtue of
its high lipophilicity and partitioning in the cell membrane, generates
a transmembrane signal transduction cascade leading to the early
activation of JNK1 and subsequent activation of caspases. The
caspase-dependent apoptotic effect of TAM may be of clinical relevance in determining sensitivity versus resistance of human
breast cancer to TAM.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Tayeb Quazi for help with the DNA fragmentation assay,
Drs. Anning Lin and Michael Karin (University of California, San Diego,
CA) for GSH S-transferase-c-jun plasmid, and the
University of Illinois at Chicago Cancer Center for allowing the use of
the equipment.
 |
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 Supported in part by the NIH Grants R01-ES06887
and R01-CA73647 (to A-N. T. K.). 
2 Present address: DuPont Pharmaceuticals Company,
1094 Elkton Road, P. O. Box 30, Newark, DE 19711. 
3 To whom requests for reprints should be
addressed, at Department of Pharmaceutics and Pharmacodynamics, Center
for Pharmaceutical Biotechnology, M/C 865, College of Pharmacy,
University of Illinois at Chicago, 833 South Wood Street, Chicago, IL
60612. Phone: (312) 413-9646; Fax: (312) 413-9303; E-mail: KongT{at}uic.edu 
4 The abbreviations used are: TAM, tamoxifen; ER,
estrogen receptor; PKC, protein kinase C; JNK, c-Jun
NH2-terminal kinase; PARP, poly(ADP-ribose) polymerase;
DAPI, diamidinophenylindole; AMC, 7-amino-4-methyl coumarin; V-E,
vitamin E; NAC, N-acetyl L-cysteine;
Ac-DEVD-CHO, acetyl-Asp-Glu-Val-Asp-aldehyde; z-VAD-fmk,
benzyl-Val-Ala-Asp-fluoromethyl ketone; DR, death receptor; TNF, tumor
necrosis factor; Ac-DEVD-MCA,
Acetyl-Asp-Glu-Val-Asp-methylcoumaryl-7-amide; Ac-YVAD-MCA,
Acetyl-Tyr-Val-Ala-Asp-methylcoumaryl-7-amide; Ac-VEID-MCA,
Acetyl-Val-Glu-Ile-Asp-methylcoumaryl-7-amide; MTS,
3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium;
TBS, Tris-buffered saline [20 mM Tris-HCl (pH 7.4) and 8
grams/liter NaCl]DN, dominant negative; GSH, glutathione; ROS,
reactive oxygen species; X-gal,
5-bromo-4-chloro-3-indoyl-ß-O-galactoside. 
Received 4/ 5/00.
Accepted 9/ 1/00.
 |
REFERENCES
|
|---|
-
Love R. R. Tamoxifen therapy in primary breast cancer: biology, efficacy, and side effects. J. Clin. Oncol., 7: 803-815, 1989.[Abstract]
-
Marshall E. Tamoxifen: "a big deal," but a complex hand to play. Science (Washington DC), 280: 196 1998.[Free Full Text]
-
Furr B. J. A., Jordan V. C. The pharmacology and clinical uses of tamoxifen. Pharmacol. Ther., 25: 127-205, 1984.[Medline]
-
Goldenberg G. J., Froses E. K. Drug and hormone sensitivity of estrogen receptor-positive and negative human breast cancer cells in vitro. Cancer Res., 42: 5147-5151, 1982.[Abstract/Free Full Text]
-
Taylor C. M., Blanchard B., Zava D. T. Estrogen receptor-mediated and cytotoxic effects of antiestrogens tamoxifen and 4-hydroxytamoxifen. Cancer Res., 44: 1409-1414, 1984.[Abstract/Free Full Text]
-
Perry R. R., Kang Y., Greaves B. S. Effects of tamoxifen on growth and apoptosis of estrogen- dependent and -independent human breast cancer cells. Ann. Surg. Oncol., 2: 238-245, 1995.[Abstract]
-
Gelmann E. P. Tamoxifen induction of apoptosis in estrogen receptor-negative cancers: new tricks for an old dog?. J. Natl. Cancer Inst., 88: 224-226, 1996.[Free Full Text]
-
Horgan K., Cooke E., Hallett M. B., Mansel R. E. Inhibition of protein kinase C-mediated signal transduction by tamoxifen: importance for antitumor activity. Biochem. Pharmacol., 35: 4463-4465, 1986.[Medline]
-
Gundimeda U., Chen Z-H., Gopalakrishna R. Tamoxifen modulates protein kinase C via oxidative stress in estrogen receptor-negative breast cancer cells. J. Biol. Chem., 271: 13504-13514, 1996.[Abstract/Free Full Text]
-
Perry R. R., Yang Y., Greaves B. R. Relationship between tamoxifen-induced transforming growth factor-ß1 expression, cytostasis, and apoptosis in human breast cancer cells. Br. J. Cancer, 72: 1441-1446, 1995.[Medline]
-
Kang Y., Cortina R., Perry R. R. Role of c-myc in tamoxifen-induced apoptosis in estrogen-independent breast cancer. J. Natl. Cancer Inst., 88: 279-284, 1996.[Abstract/Free Full Text]
-
Jacobson M. D., Weil M., Raff M. C. Programmed cell death in animal development. Cell, 88: 347-354, 1997.[Medline]
-
Alnemri E. S., Livingston D. J., Nicholson D. W., Salvesen G., Thornberry N. A., Wong W. W., Yuan J. Y. Human ICE/CED-3 protease nomenclature. Cell, 87: 171-175, 1996.[Medline]
-
Thornberry N., Lazebnik Y. Caspases: enemies within. Science (Washington DC), 281: 1312-1316, 1998.[Abstract/Free Full Text]
-
Tewari M., Quan L. T., ORourke K., Desnoyers S., Zeng Z., Beidler D. R., Poirer G. G., Salvesen G. S., Dixit V. M. Yama/CPP32b, a mammalian homologue for CED-3, is a crmA-inhibitable protease that cleaves the death substrate poly(ADP-ribose) polymerase. Cell, 81: 801-809, 1995.[Medline]
-
Liu X., Zou H., Slaughter C., Wang X. DFF, a heterodimeric protein that functions downstream of caspase-3 to trigger DNA fragmentation during apoptosis. Cell, 89: 175-184, 1997.[Medline]
-
Datta R., Kojima H., Yoshida K., Kufe D. Caspase-3-mediated cleavage of protein kinase C in induction of apoptosis. J. Biol. Chem., 272: 20317-20320, 1997.[Abstract/Free Full Text]
-
Huang C., Li J., Ma W. Y., Dong Z. JNK activation is required for JB6 cell transformation induced by tumor necrosis factor-
but not by 12-O-tetradecanoylphorbol-13-acetate. J. Biol. Chem., 274: 29672-29676, 1999.[Abstract/Free Full Text]
-
Sluss H. K., Barrett T., Derijard B., Davis R. J. Signal transduction by tumor necrosis factor mediated by JNK protein kinase. Mol. Cell. Biol., 14: 8376-8384, 1994.[Abstract/Free Full Text]
-
Chen Y. R., Wang X., Templeton D., Davis R. J., Tan T-H. The role of c-jun N-terminal kinase (JNK) in apoptosis induced by UV C and
radiation. J. Biol. Chem., 271: 31929-31936, 1996.[Abstract/Free Full Text]
-
Yu R., Shtil A., Tan T-H., Roninson I. B., Kong A-N. T. Adriamycin activates c-Jun N-terminal kinase in human leukemic cells: a relevance to apoptosis. Cancer Lett., 107: 73-81, 1996.[Medline]
-
Shtil A. A., Mandlekar S., Yu R., Walter R. J., Hagen K., Tan T. H., Roninson I. B., Kong A. N. Differential regulation of mitogen-activated protein kinases by microtubule-binding agents in human breast cancer cells. Oncogene, 18: 377-384, 1999.[Medline]
-
Huang C., Ma W. Y., Li J., Dong Z. Arsenic induces apoptosis through a c-Jun N-terminal kinase-dependent, p53-independent pathway. Cancer Res., 59: 3053-3058, 1999.[Abstract/Free Full Text]
-
Yu R., Jiao J-J.,, Duh J-L,, Tan T-H.,, Kong A-N. T. Phenethyl isothiocyanate, a natural chemopreventive agent, activates c-Jun N-terminal kinase 1. Cancer Res., 56: 2954-2959, 1996.[Abstract/Free Full Text]
-
Chen Y. R., Wang W., Kong A-N. T.,, Tan T-H. Molecular mechanisms of c-Jun N-terminal kinase-mediated apoptosis induced by anticarcinogenic isothiocyanates. J. Biol. Chem., 273: 1769-1775, 1998.[Abstract/Free Full Text]
-
Seimiya H., Mashima T., Toho M., Tsuruo T. C-jun N-terminal kinase-mediated activation of interleukin-1-ß-converting enzyme/CED-3-like protease during anticancer drug-induced apoptosis. J. Biol. Chem., 272: 4631-4636, 1997.[Abstract/Free Full Text]
-
Herr I., Wilhelm D., Bohler T., Angel P., Debatin M. JNK/SAPK activity is not sufficient for anticancer therapy-induced apoptosis involving CD95-L, TRAIL and TNF-
. Int. J. Cancer, 80: 417-424, 1999.[Medline]
-
Yu R., Mandlekar S., Harvey K., Ucker D. S., Lei W., Kong A-N. T. Chemopreventive isothiocyanates induce apoptosis and caspase-3-like protease activity.. Cancer Res., 58: 402-408, 1998.[Abstract/Free Full Text]
-
Peyrade F., Frenay M., Etienne M-C., Ruch F., Guillemare C., Francois E., Namer M., Ferrero J. M., Milano G. Age-related differences in tamoxifen disposition. Clin. Pharmacol. Ther., 59: 401-406, 1996.[Medline]
-
Verheij M., Bose R., Lin X-H., Yao B., Jarvis W. D., Grant S., Birrer M. J., Szabo E., Zon L. I., Kyriakis J. M., Haimovitz-Friedman A., Fuks Z., Kolesnick R. N. Requirement for ceramide-initiated SAPK/JNK signaling in stress-induced apoptosis. Nature (Lond.), 380: 75-79, 1996.[Medline]
-
Ferlini C., Scambia G., Marone M., Distefano M., Gaggini C., Farradina G., Fattorossi A., Isola G., Benedetti Panici, P., Mancuso S. Tamoxifen induces oxidative stress and apoptosis in estrogen receptor-negative human cancer cell lines. Br. J. Cancer, 79: 257-263, 1999.[Medline]
-
Zapata J. M., Krajewska M., Krajewski S., Huang R-P., Takayama S., Wang H-G., Adamson E., Reed J. C. Expression of multiple apoptosis-regulatory genes in human breast cancer cell lines and primary tumors. Breast Cancer Res. Treat., 47: 129-140, 1998.[Medline]
-
Janicke R. U., Sprengart M. L., Wati M. R., Porter A. G. Caspase-3 is required for DNA fragmentation and morphological changes associated with apoptosis. J. Biol. Chem., 273: 9357-9360, 1998.[Abstract/Free Full Text]
-
Micheau O., Solary E., Hammann A., Dimanche-Boitrel M. T. Fas-ligand-independent, FADD-mediated activation of the Fas death pathway by anticancer drugs. J. Biol. Chem., 274: 7987-7992, 1999.[Abstract/Free Full Text]
-
Green D. R., Reed J. C. Mitochondria and apoptosis. Science (Washington DC), 281: 1309-1312, 1998.[Abstract/Free Full Text]
-
Custodio J. B., Moreno A. J., Wallace K. B. Tamoxifen inhibits induction of the mitochondrial permeability transition by Ca2+ and inorganic phosphate. Toxicol. Appl. Pharmacol., 152: 10-17, 1998.[Medline]
-
Niki E., Yamamoto Y., Komour M., Miyana Y. Inhibition of oxidation of biomembranes by tocopherol Diplock A. T. Machlin L. J. Packer L. Pryor W. A. eds. . Vitamin E: Biochemistry and Health Implications, : 23-25, Annals of the New York Academy of Science New York 1989.
-
Lavie Y., Cao H., Volner A., Lucci A., Han T.-Y., Geffen V., Giuliano A. E., Cabot M. C. Agents that reverse multidrug resistance, tamoxifen, verapamil and cyclosporin A, block glycsphingolipid metabolism by inhibiting ceramide glycosylation in human cancer cells. J. Biol. Chem., 272: 1682-1687, 1997.[Abstract/Free Full Text]
-
Cabot M. C., Zhang Z., Cao H., Lavie Y., Giuliano A. E., Han T. Y., Jones R. C. Tamoxifen activates cellular phospholipase C and D and elicits protein kinase C translocation. Int. J. Cancer, 70: 567-574, 1997.[Medline]
-
Cabot C. M., Zhang Z-C., Giuliano A. E. Tamoxifen elicits rapid transmembrane lipid signal response in human breast cancer cells. Breast Cancer Res. Treat., 36: 299-306, 1995.[Medline]
-
Chen N., Ma W., Huang C., Dong Z. Translocation of protein kinase C
and protein kinase C
to membrane is required for UV B-induced activation of mitogen-activated protein kinases and apoptosis. J. Biol. Chem., 274: 15389-15394, 1999.[Abstract/Free Full Text]
-
Cruz Silva, M. M., Madeira V. M., Almeida L. M., Custodio J. B. Hemolysis of human erythrocytes induced by tamoxifen is related to disruption of membrane structure. Biochim. Biophys. Acta, 1464: 49-61, 2000.[Medline]
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