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Division of Molecular Therapeutics, Department of Hematology-Oncology, St. Jude Childrens Research Hospital, Memphis, Tennessee 38105
| ABSTRACT |
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, sensitized five of six cell lines to TRAIL-induced apoptosis, suggesting that PKC
may be involved in the mechanism of TRAIL resistance. Transfection of HCT116 with a proapoptotic cleaved fragment of PKC
or an antiapoptotic full-length PKC
did not influence the sensitivity of HCT116 to TRAIL. Furthermore, the incubation of HCT116 or RKO with phorbol myristate acetate for 16 h, which down-regulated the expression of novel PKC isoforms, also did not influence sensitivity to TRAIL either in the absence or presence of rottlerin. However, after 15-min incubation with rottlerin, mitochondrial membrane potential (
m) was dramatically reduced in RKO cells, and, in cells subsequently treated with TRAIL, rapid apoptosis was evident within 8 h. Calphostin c, but not Go6976, also caused a decrease in 
m. In RKO, rottlerin induced the release of cytochrome c, HtrA2/Omi, Smac/DIABLO, and AIF from the mitochondria, potentiated in combination with TRAIL, with concomitant caspase activation and down-regulation of XIAP. In HT29, the release of proapoptotic factors was demonstrated only when rottlerin and TRAIL were combined, and Bcl-2 overexpression inhibited this release and the induction of apoptosis. TRAIL-induced apoptosis was not influenced by rottlerin or Bcl-2 overexpression in type I (GC3/c1) cells. Data suggest that rottlerin affects mitochondrial function independent of PKC
, thereby sensitizing cells to TRAIL, and that mitochondria constitute an important target in overcoming inherent resistance to TRAIL in colon carcinomas. | INTRODUCTION |
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TRAIL resistance in malignant cells has not generally correlated with the relative levels of expression of DR4 and DR5 or the decoy receptors (17)
, suggesting the involvement of alternate mechanisms. PKC isoforms have been implicated in the mechanism of attenuation of death receptor-induced apoptosis (18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
. PKC constitutes a family of serine-threonine kinases comprising 12 different isoforms, which have been classified into three major groups based on their structures and on their activation mechanisms: conventional (
, ßI, ßII,
), novel (
,
,
,
), and atypical (
,
,
ß Ref. 19
). PKCs play critical roles in cell proliferation, differentiation, neoplastic transformation, and apoptosis. The classic
, ßI; (18)
, novel
(20, 21, 22, 23, 24)
,
(19
, 25)
, or
(25
, 26)
and atypical
(27)
PKC isoforms have demonstrated a role in the regulation of death receptor-induced apoptosis. Activation of PKC by phorbol esters has delayed Fas-mediated apoptosis (28)
, whereas the inhibition of PKC has enhanced Fas-induced (28
, 29)
and TRAIL-induced (19)
cell death. A requirement for the induction of apoptosis in the presence of PKC (PKC
or PKC
) appears to be cleavage of the protein to a catalytically active fragment, mediated by caspase-3 (20
, 26)
.
In the present investigation, we have demonstrated that inhibitors of novel isoforms of PKC sensitized human colon carcinoma cell lines to TRAIL-induced apoptosis. In particular, rottlerin, which has demonstrated selective action in the inhibition of PKC
activity (30, 31, 32, 33, 34)
, was highly effective in sensitizing cell lines to TRAIL, suggesting that PKC
may play a critical role in attenuating TRAIL-induced apoptosis. However, studies demonstrated that the modulation of PKC
, either by genetic regulation or by PMA treatment, did not influence TRAIL-induced apoptosis, indicating that the mechanism of rottlerin action was independent of PKC
. More recently, rottlerin has been found to act in a PKC
-independent manner by acting as an uncoupler of oxidative phosphorylation, thereby disrupting the 
m (35
, 36) in a manner similar to classic mitochondrial uncouplers such as carbonyl cyanide p-trifluoromethoxyphenylhydrazone (FCCP; Ref. 35
). We subsequently demonstrated in human colon carcinoma cell lines that rottlerin induced a significant loss in 
m within 15 min, and accelerated the onset of TRAIL-induced apoptosis in TRAIL-resistant lines. These data demonstrate that rottlerin disrupts mitochondrial function independent of PKC and suggest that the mitochondria may constitute an important target in the sensitization of human colon carcinoma cells to TRAIL.
| MATERIALS AND METHODS |
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Production of Recombinant Human TRAIL.
The cDNA of the extracellular domain of TRAIL corresponding to amino acids 114281 was subcloned into the pET17/b (Novagen) bacterial expression vector and expressed in the BL21(DE3)pLysE (Novagen) bacterial host. After induction of TRAIL expression using isopropyl-ß-thio-galactosidase (IPTG; 1 mM), bacterial pellets were harvested, and TRAIL was purified after passage through a nickel column (Ni-NTA) followed by a size exclusion column (Amersham), according to published procedures (38)
.
Apoptosis Assays.
Cells were plated at a density of 150,000200,000 cells/well in 12-well plates and, after overnight attachment, were treated with TRAIL (2100 ng/ml) either in the absence or presence of calphostin c [an inhibitor of both classic (
, ß,
) and novel (
,
,
,
) PKC isoforms; 0.10.25 µM; Ref. 39
], or Go6976 (inhibitor of classic PKC isoforms; 120 µM; Ref. 40
), or the PKC
inhibitor rottlerin (110 µM) for up to 24 h. GC3/c1 cells were pretreated for 2 h with rottlerin (210 µM) and subsequently cotreated with TRAIL (0.52 ng/ml) for 16 h. RKO cells were also treated with TRAIL (550 ng/ml) simultaneously and after 2 h pretreatment with the caspase inhibitors z-VAD-fmk (50 µM), z-DEVD-fmk (20 µM), or the control z-FA-fmk (20 µM; Enzyme Systems Products) for 24 h before the determination of the extent of apoptosis. Both the floating cells and the attached cells were pooled after trypsinization, were fixed in 70% ethanol, and were stored at -20° before analysis. Apoptotic cells were detected as a sub-G1 fraction after propidium iodide staining and analysis using a Becton Dickinson FACScan (41)
. Alternatively, the extent of apoptosis was determined by Annexin-V-phycoerythrin (Alexis) and 17-aminoactinomycin-D (7-AAD; Molecular Probes) using a double staining procedure (42)
.
Transfection of PKC
Constructs.
A full-length PKC
cDNA (PKC
FL), a PKC
catalytically active fragment (PKC
CF), or a PKC
kinase-inactive fragment [PKC
CF(K-R)] cloned into a modified pSVß plasmid (Clontech) containing GFP were kind gifts from Dr. Donald Kufe, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA (24)
. HCT116 cells were plated at a density of 20 x 106 cells in T-175 flasks and, after overnight attachment, were transfected with 37.5 µg of the respective cDNAs in the presence of 111 µl of fugene (Roche Diagnostics) for 48 h. Cells were subsequently sorted by FACS for expression of GFP-containing cells that also contained the respective cDNA, subsequently plated at a density of 150,000 cells/well in 12-well plates, and treated with TRAIL (2 ng/ml) for an additional 16 h. The extent of apoptosis was subsequently determined by FACS analysis of the sub-G1 compartment after propidium iodide staining.
Determination of 
m.
RKO was plated at a density of 150,000 cells/well in 12-well plates and, after overnight attachment, were treated with rottlerin (10 µM), calphostin c (0.25 µM), or Go6976 (20 µM) for 15 min. Cells were subsequently incubated in either the absence or the presence of TRAIL (50 ng/ml) for 416 h, followed by incubation for 15 min at 37° with DiOC6 (2 µM), centrifuged at 200 x g for 5 min, resuspended in 0.5 ml of PBS, and analyzed by FACS for fluorescence (FL1) intensity (43)
.
HT29 Isogenic Cell Lines.
The retroviral expression vector pMSCV-I-GFP (expressing GFP) was a kind gift from Dr. Jill M. Lahti and Dr. Vincent J. Kidd (St. Jude Childrens Research Hospital) and has been described previously (44)
; and pMSCV-Bcl-2 (expressing human Bcl-2 protein) was kindly provided by Dr. John Cleveland (St. Jude Childrens Research Hospital). Retroviral supernatants were prepared as described previously (45)
. HT29 cells were incubated overnight in a 50% mixture of RPMI 1640 and supernatant in the presence of Polybrene (8 µg/ml; Sigma). After replacement of this medium with fresh viral supernatants and culture medium, HT29 cells were incubated at 37° for an additional 48 h. The viral-transferred cells were sorted by expression of GFP using FACS, and stable GFP-positive cells were selected. The expression of Bcl-2 was confirmed by Western blotting.
Cellular Fractionation.
RKO, HT29GFP, or HT29/Bcl-2 were plated at a density of 5 x 106 cells in T-162 flasks and allowed to proliferate for 3 days before treatment and then lysis and cellular fractionation into mitochondrial, nuclear, and cytosolic fractions using the ApoAlert cellular fractionation kit (Clontech) according to the manufacturers directions.
Western Analysis.
Western analyses were conducted as described previously (16
, 46) . Primary antibodies to the novel PKC isoforms PKC
, PKC
, PKC
, and PKC
, Bcl-2, and Bid were from Becton Dickinson, caspase-3 from Santa Cruz Biotechnology, and caspases-8 and -9 from MBL. The secondary antibody was HRP-conjugated sheep antimouse IgG1 (Amersham). Expression of novel PKC isoforms was also determined in RKO and HCT116 cell extracts after treatment with PMA (100 nM) for 16 h. Release of cytochrome c, HtrA2/Omi, Smac/DIABLO, or AIF from the mitochondria and expression of XIAP or c-IAP1 were determined by Western analysis. Primary antibodies were: cytochrome c (Clontech), HtrA2/Omi (a generous gift from Dr. Emad Alnemri, Thomas Jefferson University, Philadelphia, PA), Smac/DIABLO (MBL), AIF and XIAP (Santa Cruz Biotechnology), and c-IAP1 (Alexis Biochemicals). Secondary antibodies were sheep-antimouse Ig-HRP or donkey antirabbit Ig-HRP (Amersham).
Adenoviral Transduction of Bcl-2.
Subcloning of a Bcl-2 cDNA into the pAVS6.DNA adenoviral vector (Genetic Therapy, Gaithersburg, MD) and amplification of Bcl-2-Adv or the vector alone (EV-Adv) have been described previously (47)
. GC3/c1 cells were plated as described were and transduced with the Bcl-2-Adv or EV-Adv (MOI = 10) for 48 h before exposure to TRAIL (02 ng/ml) for 16 h. Apoptosis was determined by FACS analysis of the sub-G1 compartment, as described.
| RESULTS |
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and PKC
.
and PKC
isoforms, as determined by Western analysis (Fig. 3)
|
(30, 31, 32, 33, 34)
, was subsequently evaluated for the ability to sensitize human colon carcinoma cell lines to TRAIL-induced apoptosis during 24 h coincubation (Fig. 4)
|
in Influencing TRAIL-induced Apoptosis.
in modulating the sensitivity of human colon carcinoma cell lines to TRAIL, we transfectedHCT116 with an antiapoptotic full-length PKC
cDNA (PKC
FL), a proapoptotic PKC
catalytically active fragment PKC
CF, or a PKC
kinase-inactive fragment [PKC
CF(K-R); Ref. 44
; Fig. 5
FL nor PKC
CF influenced the sensitivity of HCT116 to TRAIL. Subsequently, HCT116 and RKO cells were treated with PMA (100 nM) for 16 h, and the effect on expression of novel PKC isoforms was examined by Western analysis (Fig. 6C)
and PKC
were down-regulated in the presence of PMA. When HCT116 (Fig. 6A)
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m in RKO Cells.
m (35
, 36)
. To elucidate whether rottlerin may initiate a loss in 
m in human colon carcinoma cell lines and to further elucidate the mechanism by which rottlerin sensitizes colon carcinoma cells to TRAIL-induced apoptosis, we treated RKO cells with rottlerin (10 µM) for 416 h in the absence or presence of TRAIL (50 ng/ml), and we examined the effect on 
m by FACS analysis after cellular staining with DiOC6 (Fig. 7)
m from 519 to a mean fluorescence intensity of 4.3 at 4 h. Additional experiments demonstrated that this change in 
m occurred within 15 min of rottlerin treatment (data not shown). Similarly, treatment of RKO with calphostin c (0.25 µM) for 416 h also induced loss in 
m, to a mean fluorescence intensity of 331 at 4 h and 299 at 16 h (Fig. 7)
m in RKO cells (Fig. 7)
m in RKO at the times examined. When RKO cells were pretreated with rottlerin (10 µM) for 15 min and subsequently treated with TRAIL (50 ng/ml), rapid apoptosis was induced within 8 h, and the cells became highly sensitive to TRAIL (Fig. 8)
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m, rottlerin (10 µM; 15 min) ± TRAIL induced cytochrome c release and the release of HtrA2/Omi from the mitochondria at 8 h (Fig. 9A)
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| DISCUSSION |
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B (30
, 50)
. Phosphorylation by PKC isoforms can inhibit the function of inhibitor of nuclear factor-
B (I
B
) in the activation of nuclear factor-
B (51)
, and can negatively regulate TNF family receptors (18
, 52)
. Furthermore, PKC isoforms have mediated these effects by phosphorylation and inactivation of Bad (25
, 26)
, inhibition of DISC formation, FADD recruitment, and caspase-8 activation (49)
, or inhibition of death receptor expression (18
, 52)
. PKC also functions in type II cells that require amplification via the mitochondria in induction of an apoptotic response, and not in type I cells (53)
.
In the present study, human colon carcinoma cell lines demonstrated a wide spectrum of sensitivity to TRAIL, demonstrating exquisite sensitivity (GC3/c1) or innate resistance (RKO, HCT8) to the ligand. The high degree of TRAIL-induced apoptosis obtained in five of the six cell lines when TRAIL was coincubated with calphostin c, which inhibits both classic and novel isoforms of PKC, and the lack of effect of Go6976, which inhibits only the classic isoforms of PKC, suggested that novel PKCs may be important in the attenuation of TRAIL-induced apoptosis in this cell type. In this regard, a similar degree of sensitization to TRAIL-induced apoptosis in the presence of the PKC
inhibitor, rottlerin, and the expression of PKC
in each cell line, suggested that this isoform of PKC may be important in influencing TRAIL-induced apoptosis. However, transfection of PKC
constructs with both proapoptotic and antiapoptotic function did not influence the sensitivity of HCT116 to TRAIL. In addition, when novel PKC isoforms were down-regulated after prolonged administration of PMA in either RKO or HCT116, no sensitization to TRAIL was obtained, and cells continued to be sensitized to TRAIL-induced apoptosis by rottlerin. These data, therefore, suggested that the mechanism of rottlerin-induced sensitization to TRAIL was independent of PKC.
PKC
translocates to several compartments within cells including the mitochondria (54
, 55)
and has been reported to play multiple roles in apoptosis involving distinct roles both upstream and downstream of the mitochondria (32
, 56
, 57)
, as well as contributing to the loss of 
m caused by agents that induce apoptosis (58)
. PKC
has also initiated a cell death pathway in keratinocytes that involves direct interaction with mitochondria and alterations of mitochondrial function (55)
, and has amplified ceramide formation via mitochondrial signaling in prostate cancer cells (21)
. However in the present study, no direct role of PKC
in influencing TRAIL-induced apoptosis was demonstrated in colon carcinoma cells. Rottlerin was originally identified as an inhibitor of PKC
(30, 31, 32, 33, 34)
and, in immunokinase assays, specifically inhibited the activity of PKC
(31)
. However, the inhibition of PKC
activity by rottlerin may be secondary to its effects at the level of the mitochondria, resulting in the inhibition of tyrosine phosphorylation of PKC
(35)
. It was recently reported that rottlerin acts as a mitochondrial uncoupler independent of its effects as an inhibitor of PKC
(35)
. In the RKO cells examined, rottlerin induced a dramatic loss in 
m, which was clearly independent of its role as an inhibitor of PKC
. Of interest was that calphostin c, which also sensitized five of six colon carcinoma cell lines to TRAIL-induced apoptosis, also induced loss of 
m in RKO cells, in contrast to Go6976, which did not sensitize RKO to TRAIL and did not induce loss in 
m. These data suggest that disruption of the 
m plays a major role in TRAIL signaling and the subsequent induction of apoptosis. Of interest was the exquisite sensitivity of GC3/c1 to TRAIL, which was not further sensitized in the presence of either calphostin c or rottlerin. This is consistent with a type I signaling mechanism for TRAIL in GC3/c1, in which apoptosis commenced rapidly, at 2 h; and, in addition, overexpression of Bcl-2 did not protect cells from TRAIL-induced apoptosis, further indicating the requirement for mitochondrial involvement in rottlerin-induced sensitization to TRAIL-induced apoptosis in type II cells.
Decreased 
m results in changes in the inner mitochondrial membrane function accompanied by an increase in outer membrane permeability, leading to the release of soluble intermembrane proteins that promote cell death into the cytosol (43)
, including cytochrome c (59
, 60)
, HtrA2/Omi (61, 62, 63)
, Smac/DIABLO (64
, 65)
, and AIF (66
, 67)
. Cytochrome c forms a multimeric complex with Apaf-1 in an ATP-requiring reaction, subsequently recruiting caspase-9, followed by activation of caspase-9 and activation of downstream caspases (68
, 69)
. Several members of the IAP family including XIAP, c-IAP1, and c-IAP2 are potent direct inhibitors of caspases-3, -7 and -9 thereby blocking enzymatic activity, XIAP being the most potent (70)
. Mitochondrial release of HtrA2/Omi (61, 62, 63)
or Smac/DIABLO (64
, 65)
destabilizes these complexes, leading to the quenching of the caspase-inhibitory function of IAPs. Furthermore, the apoptosis-inducing-factor AIF may play a role in caspase-independent cell death (43
, 67) and activate DNases (71)
. In RKO cells, rottlerin treatment, either alone or in combination with TRAIL, caused the release of cytochrome c, HtrA2/Omi, Smac/DIABLO, and AIF into the cytosol. XIAP was also down-regulated, and apoptosis was significantly enhanced only when rottlerin and TRAIL were combined, apoptosis occurring as early as 8 h after the initiation of TRAIL treatment. This appeared to be mediated by activation of a classic type II signaling pathway after release of proapoptotic factors with subsequent activation of caspases-8, -9, and -3 and cleavage of Bid. Cell death induced by rottlerin alone was not detected until considerably later (48 h; data not shown). The induction of apoptosis in RKO cells induced by rottlerin in combination with TRAIL could be completely inhibited by the caspase inhibitors z-VAD-fmk and z-DEVD-fmk. Further evidence of apoptosis induced by rottlerin + TRAIL requiring mitochondrial involvement was demonstrated in the HT29 isogenic cell line HT29Bcl-2, in which overexpression of Bcl-2 inhibited TRAIL-induced apoptosis in both the absence and the presence of rottlerin, consistent with the effect of Bcl-2 in inhibiting apoptosis induced by mitochondrial uncoupling (72)
. In addition, the release of cytochrome c, HtrA2/Omi, Smac/DIABLO, and AIF into the cytosol, and reduced expression of the IAP protein c-IAP1 (but not XIAP) occurred only when TRAIL and rottlerin were combined, and these effects were also inhibited in the presence of Bcl-2 overexpression.
In summary, we have demonstrated that rottlerin is effective in sensitizing human colon carcinoma cell lines to TRAIL-induced apoptosis via direct effects at the level of the mitochondria, prevented by inhibitors of caspase activation, and inhibited by Bcl-2, independent of its effects as an inhibitor of the novel PKC isoform PKC
. The finding that TRAIL resistance can be overcome by initially inducing changes in the 
m in TRAIL-resistant cells followed by administration of TRAIL suggests that the mitochondria may constitute an important target in sensitizing human colon carcinoma cells to therapeutic approaches involving cytotoxic ligands of the TNF family. Additional studies on the relationship between loss in 
m and events leading to the induction of apoptosis, therefore, appear warranted.
| FOOTNOTES |
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1 Supported by NIH Awards CA 32613 and CA 21765 and by the American Lebanese Syrian Associated Charities ![]()
2 To whom requests for reprints should be addressed, at Division of Molecular Therapeutics, Department of Hematology-Oncology, St. Jude Childrens Research Hospital, 332 North Lauderdale, Memphis, TN 38105. Phone: (901) 495-3456; Fax: (901) 495-3966. ![]()
3 The abbreviations used are: TNF, tumor necrosis factor; TRAIL, TNF-related apo-ptosis-inducing ligand; TNFR, TNF receptor; DISC, death-inducing signaling complex; PKC, protein kinase C; PMA, phorbol myristate acetate; GFP, green fluorescence protein; FACS, fluorescence-activated cell sorting; MOI, multiplicity/multiplicities of infection; 
m, mitochondrial membrane potential; IAP, inhibitor of apoptosis protein; dFBS, dialyzed fetal bovine serum. ![]()
Received 1/10/03. Revised 5/15/03. Accepted 6/ 3/03.
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J. I. Geller, K. Szekely-Szucs, I. Petak, B. Doyle, and J. A. Houghton P21Cip1 Is a Critical Mediator of the Cytotoxic Action of Thymidylate Synthase Inhibitors in Colorectal Carcinoma Cells Cancer Res., September 1, 2004; 64(17): 6296 - 6303. [Abstract] [Full Text] [PDF] |
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J. Sonnemann, V. Gekeler, A. Sagrauske, C. Muller, H.-P. Hofmann, and J. F. Beck Down-regulation of protein kinase C{eta} potentiates the cytotoxic effects of exogenous tumor necrosis factor-related apoptosis-inducing ligand in PC-3 prostate cancer cells Mol. Cancer Ther., July 1, 2004; 3(7): 773 - 781. [Abstract] [Full Text] [PDF] |
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Z. N. Demidenko and M. V. Blagosklonny Flavopiridol Induces p53 via Initial Inhibition of Mdm2 and p21 and, Independently of p53, Sensitizes Apoptosis-Reluctant Cells to Tumor Necrosis Factor Cancer Res., May 15, 2004; 64(10): 3653 - 3660. [Abstract] [Full Text] [PDF] |
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