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Division of Molecular Therapeutics, Department of Hematology-Oncology, St. Jude Childrens Research Hospital, Memphis, Tennessee
| ABSTRACT |
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isoform contributed significantly to the inhibition of TRAIL-induced apoptosis. These findings suggest that CKI
plays an antiapoptotic role through the generation of phosphorylated sites at the level of the death-inducing signaling complex, thereby conferring resistance to caspase cleavage mediated by TRAIL. | INTRODUCTION |
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Early biochemical events resulting in apoptosis induction by ligand-induced cross-linking initiate trimerization of the receptor and the formation of a death-inducing signaling complex (3 , 4) . Cross-linking of the TRAIL receptors DR4 or DR5 results in the recruitment of Fas-associated death domain (FADD) and procaspase-8 to the death-inducing signaling complex (3, 4, 5) , similar to the death-inducing signaling complex formed after Fas ligation (5 , 6) . In a homotypic interaction, the death domain of FADD binds to the death domain of the receptor. The death effector domain of FADD in turn interacts with the death effector domain of caspase-8, thereby recruiting this pro-enzyme to the death-inducing signaling complex, where it is activated by dimerization (7 , 8) . Activated caspase-8 subsequently initiates the apoptosis-executing caspase cascade (9) . This cascade is further controlled by "cross-talk" between the intrinsic (mitochondrial) and extrinsic (death receptor) cell death pathways, thereby modulating the outcome of death receptor triggering (10) .
Proapoptotic signaling downstream of TRAIL can be blocked by Bcl-2 or Bcl-xL overexpression in some cell types (11) , whereas others cannot be protected by overexpression of these inhibitory molecules, leading to the concept of two different cell types that use distinct signaling pathways with (type II) or without (type I) the necessity for mitochondrial processing of the cell death signal (6) . Additional complexity is added to the regulatory pathways involved in death receptor sensitivity by proteins that are capable of inhibiting active caspases. These proteins, the inhibitor-of-apoptosis proteins (IAPs), include XIAP, c-IAP1, and c-IAP2, and block apoptosis by directly inhibiting caspases (12) .
In the mitochondrial pathway, a variety of death signals trigger the release of several pro-apoptotic proteins (cytochrome c, Smac/DIABLO, HtrA2/Omi, AIF, and endonuclease G) from the mitochondria to the cytosol or nucleus where they are actively involved in the process of cell death (13) . Once released, cytochrome c forms a complex with Apaf-1 and procaspase-9 in the presence of dATP or ATP, resulting in the activation of this initiator caspase (12) . In contrast, Smac/DIABLO or HtrA2/Omi promotes caspase activation by direct binding to and inhibition of the IAP family of caspase inhibitors, in particular XIAP (12 , 13) . The sensitivity of type II cells to death receptor-mediated apoptosis may be modulated by different mechanisms (6) , including phosphorylation-based signaling pathways (14) . Stimulation of the mitogen-activated protein kinase (MAPK) pathway has antagonized TRAIL-induced apoptosis downstream of Bid cleavage in human breast cancer MCF-7 cells (15) . Furthermore, activation of protein kinase C has inhibited TRAIL-induced caspase activation, mitochondrial events, and apoptosis in a human leukemic T-cell line (16) . Conversely, inhibition of death receptormediated ERK1/2 activation was sufficient to sensitize MCF-7 cells to apoptotic signaling induced by TRAIL (15 , 17) . Phosphorylation has also been reported to interfere with the apoptotic cascade downstream of death-inducing signaling complex activation but upstream of full cleavage of caspase-8 or the cleavage of Bid (18 , 19) and can inhibit the cleavage of Bid by caspase-8 (20) .
Casein kinase I (CKI) was one of the first serine/threonine protein kinases to be isolated and characterized (21)
. It is a ubiquitous enzyme that can be found in the nucleus and in the cytosol, bound to the cytoskeleton and membranes. The CKI family consists of multiple isoforms encoded by seven different genes (CKI
, -ß, -
1, -
2, -
3, -
, and -
). These isoforms exhibit >50% amino acid homogeneity within the NH2-terminal catalytic domain but contain divergent COOH termini (21)
. CKI has been shown to phosphorylate the p75 tumor necrosis factor receptor and to negatively regulate p75-mediated apoptosis (22)
and may also play a constitutive and protective role in Fas-mediated apoptosis (20)
. Inhibition of CKI has accelerated Fas-mediated apoptosis of HeLa cells, whereas overexpression of CKI delayed the death of these cells exposed to agonistic anti-Fas antibody (20)
. In addition, CKI can phosphorylate Bid close to the recognition site for caspase-8 cleavage, thereby preventing cells from undergoing apoptosis (20)
. In this study, a mutant of Bid that cannot be phosphorylated was found to be highly sensitive to caspase-8-induced cleavage.
To further investigate mechanisms of resistance to TRAIL in malignant cell lines and how this may be circumvented, we analyzed the role of CKI in the inherent resistance of colon carcinoma and pediatric rhabdomyosarcoma cell lines to TRAIL. We have demonstrated that inhibition of CKI function effectively sensitizes these cell lines to TRAIL at the level of the death-inducing signaling complex by enhancing the recruitment of FADD and procaspase-8 to the receptor complex. Enhancement of death-inducing signaling complex formation is followed by acceleration of TRAIL-induced apoptosis. In isogenic cell lines constructed using HT29, which differ only in the presence or expression level of DN-FADD, Bcl-2, or Bcl-xL, respectively, we demonstrated that sensitization to TRAIL-induced apoptosis in the presence of the specific inhibitor of CKI (CKI-7) involved the enhanced recruitment of FADD and procaspase-8 to the death-inducing signaling complex with enhanced caspase-8 cleavage. Furthermore, activation of mitochondrial signaling pathways necessary for inhibition of the function of XIAP or c-IAP1 were also confirmed. After inhibition of the expression of CKI
by employing a short hairpin RNA (23)
, TRAIL sensitivity was dramatically enhanced in HT29 cells. These findings demonstrate that CKI inhibition augments TRAIL-induced cell death, modulates TRAIL-induced death-inducing signaling complex formation in the absence of elevated TRAIL receptors expression, and enhances the activation of mitochondrial signaling pathways.
| MATERIALS AND METHODS |
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Kinase Assays.
The kinase assay is based on phosphorylation of a CKI-specific peptide substrate using the transfer of the
-phosphate of [
-32P]ATP by CKI kinase. Whole-cell extracts from HT29 cells (20 µg) were assayed for CKI kinase activity at 30°C for 15 minutes in kinase buffer [250 mmol/L Tris-HCL (pH 7.5), 250 mmol/L NaCl, 250 mmol/L KCl, 50 mmol/L MgCl2, 250 µmol/L Na3VO4, and 5 µCi of [
-32P]ATP) containing 1 mmol/L peptide as substrate. An assay for CK2 activity was conducted in the same buffer using 5 µCi of [
-32P]GTP and 1 mmol/L peptide substrate. The phosphorylated substrate was separated from residual 5-µCi [
-32P]ATP or 5-µCi [
-32P]GTP using P81 phosphocellulose paper. Incorporation of [32P] into the substrate was measured using a scintillation counter. The synthetic peptides DDDEESITRR (CKI specific), and RRREEETEEE (CKII specific) were synthesized in the Hartwell Center, St. Jude Childrens Research Hospital. Inhibition of CKII activity was achieved by incubation of cells with 5,6-dichlorobenzimidazole (40 µmol/L; Calbiochem; ref. 25
) or apigenin (60 µmol/L; Sigma-Aldrich, St. Louis, MO; ref. 25
).
Production of Recombinant Human Tumor Necrosis FactorRelated Apoptosis-Inducing Ligand.
The cDNA of the extracellular domain of TRAIL corresponding to amino acids 114 to 281 was subcloned into the pET17/b (Novagen, Madison, WI) bacterial expression vector and expressed in the BL21(DE3)pLysE (Novagen) bacterial host. After induction of TRAIL expression using isopropyl-ß-thio-galactosidase (1 mmol/L), bacterial pellets were harvested, and TRAIL was purified after passage through a nickel column (nickel-nitrilo-triacetic acid) followed by a size exclusion column (Amersham Biosciences, Piscataway, NJ) according to published procedures (1
, 6)
.
Apoptosis Assays.
Cells were plated at a density of 200,000 cells per well in 12-well plates and after overnight attachment were treated with TRAIL (1050 ng/mL) in either the absence or presence of the specific CKI inhibitor, CKI-7 (400 µmol/L; Seikagaku Corp., Tokyo, Japan) for up to 24 hours. Cells were subsequently stained with 10 µL of propidium iodide (50 ng/mL) according to the manufacturers instructions, incubated for 15 minutes at room temperature in the dark, and immediately analyzed for forward scatter by FACscan (Becton Dickinson, San Jose, CA; ref. 24
). In some experiments, apoptosis was measured by staining with allophycocyanin (APC)-conjugated annexin V according to the manufacturers instructions. Cells were also pretreated with the pancaspase inhibitor z-VAD-fmk (50 µmol/L; Enzyme Systems Products, Livermore, CA) for 1 hour before TRAIL treatment.
Analysis of the Death-Inducing Signaling Complex.
Immunoprecipitation of receptor complexes after treatment of cells for time periods of up to 2 hours with 0.5 µg/mL flag-tagged TRAIL (Upstate, Lake Placid, NY) and analysis of components of the death-inducing signaling complex were conducted as described previously (3)
.
Western Blot Analysis.
Western blot analyses were conducted as described previously (6)
. Primary antibodies for the detection of caspase-8, Smac/DIABLO, and XIAP were from MBL (Watertown, MA) and for caspase-3, Bid, and poly(ADP-ribose) polymerase (PARP), from BD PharMingen (San Diego, CA). The cytochrome c monoclonal antibody was purchased from Clontech (Palo Alto, CA). Anti-AIF was obtained from Santa Cruz Biotechnology (Santa Cruz, CA), and anti-HtrA2/Omi antibody was kindly provided by Dr. Emad Alnemri (Kimmel Cancer Institute, Philadelphia, PA). The c-IAP1 monoclonal antibody was purchased from Alexis Biochemicals (San Diego, CA). Anti-CK1
was purchased from BD Transduction Laboratories (San Jose, CA), and anti-CK1
was purchased from Santa Cruz Biotechnology. Anti-DR5 was from Oncogene (Cambridge, MA). Recognized proteins were detected using horseradish peroxidaselabeled secondary antibodies (Amersham Biosciences).
Effect of Casein Kinase-7 on Expression of DR4 and DR5.
Cells were incubated at 37° for 2 and 24 hours with CKI-7 (400 µmol/L). After washing once with ice-cold PBS, cells were detached by brief trypsinization; incubated with monoclonal antibodies against DR4 (HS101), DR5 (HS201), or control murine immunoglobulin G1; and subsequently incubated with phycoerythrin-conjugated goat antimouse immunoglobulin (Alexis Biochemicals). Monoclonal antibodies were from Alexis Biochemicals. Cells (104) were analyzed by FACScan (Becton Dickinson).
Measurement of Caspase-3 Activation.
Before making the protein extract, floating cells were collected and combined with cells growing on the dish and washed two times with PBS. The cells were lysed in caspase lysis buffer [25 mmol/L HEPES-NaOH (pH 7.4), 0.1% sucrose, 1% CHAPS, 2 mmol/L EDTA, and 10 mmol/L dithiothreitol]. Cell lysates were mixed with caspase assay buffer [25 mmol/L HEPES-NaOH (pH 7.4), 10 mmol/L dithiothreitol, and 50 µmol/L concentration of the fluorogenic substrate Ac-DEVD-AMC (caspase-3)]. After incubation at 37°C for 1 hour, the fluorometric detection of leaved AMC product was performed on a CytoFluor Multi-well plate Reader series 2350 (Millipore, Bedford, MA) using a 400-nm excitation filter and a 530-nm emission filter. Detection of leaved AMC was shown to reflect caspase activity by incubation with 50 µmol/L zVAD-fmk for 30 minutes at 37°C before addition of Ac-DEVD-AMC substrate.
Plasmid Vectors and Transfection.
The retroviral expression vectors pMSCV-I-GFP [expressing green fluorescent protein (GFP)], and pMSCV-DN-FADD (expressing the death domain only of FADD) were kind gifts from Dr. Jill M. Lahti and Dr. Vincent J. Kidd (St. Jude Childrens Research Hospital). The retroviral expression vectors pMSCV-Bcl-xL (expressing human Bcl-xL and GFP) and pMSCV-Bcl-2 (expressing human Bcl-2 protein) were kindly provided by Dr. John Cleveland (St. Jude Childrens Research Hospital). Retroviral supernatants were prepared as described previously (26)
. HT29 cells were incubated overnight in a 50% mixture of RPMI 1640 and retroviral supernatants in the presence of Polybrene (8 µg/mL), subsequently washed, and placed in fresh medium; and after 48 hours, cells were sorted for GFP expression by fluorescence-activated cell sorting. The expression of Bcl-2, Bcl-xL, and DN-FADD were confirmed by Western blotting.
Plasmids Expressing Short Hairpin Ribonucleic Acids and Transfection.
The short hairpin RNA sequences were designed using designated software found on the OligoRetriever Database and were prepared by the Hartwell Center, St. Jude Childrens Research Hospital. The sequences encoded inverted repeats of 27 to 29 bp separated by an eight-nucleotide spacer corresponding to nucleotides 193 to 221 (sh193) or 238 to 266 (sh238) of CKI
cDNA. These were subsequently ligated to the U6 promoter vector (pSHAg-1) compatible with the GATEWAY system (Invitrogen, Carlsbad, CA), used to transport the short hairpin RNA expression cassette into the recipient MSCV-I-GFP retroviral vector. HT29 cells were incubated overnight in a 50% mixture of RPMI 1640 and retroviral supernatants in the presence of Polybrene (8 µg/mL), subsequently washed, and placed in fresh medium; and after 48 hours, cells were tested for GFP expression. The U6 promoter vector pSHAG-1 and the recipient vector MSCV-I-GFP were kindly provided by Dr. Gregory J. Hannon (Cold Spring Harbor Laboratory, Cold Spring Harbor, NY). Design of short hairpin RNA primers from gene accession numbers was conducted from the RNAi OligoRetriever Database.1
Cellular Fractionation.
Cytosolic extracts were prepared using the ApoAlert kit (Clontech) with a Dounce homogenizer and subjected to centrifugation at 700 x g to pellet nuclei. The post-nuclear supernatant was centrifuged at 10,000 x g to pellet the mitochondria-enriched heavy membrane fraction, and the resulting supernatant was further centrifuged at 100,000 x g to obtain the cytosolic fraction. Total proteins (15 µg) were subjected to immunoblot analysis.
| RESULTS |
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IAPs such as XIAP exert their antiapoptotic function at least in part, downstream of the mitochondrial checkpoint by inhibiting proteolytically processed caspases including caspase-3, caspase-7, and caspase-9. In addition, XIAP has been recently reported to act as a ubiquitin-ligase for activated caspase-3 or caspase-7, thereby promoting the degradation of activated caspases (28)
. XIAP expression was therefore examined by Western analysis. After TRAIL treatment in the presence of CKI-7, XIAP was down-regulated in HT29 vector control cells (GFP), whereas cleavage of XIAP was strongly reduced in Bcl-2 and Bcl-xL transfected cells (Fig. 5F)
. The same profile was observed for c-IAP1. This indicates that apoptosis was blocked downstream of mitochondria by reduction of the cleavage of XIAP and c-IAP1 proteins in HT29 cells transfected with Bcl-2 or Bcl-xL. A possible explanation for the results in Fig. 5A
showing failure of Bcl-xL to reduce caspase-8, Bid, and caspase-3 cleavage after TRAIL treatment in the presence of CKI-7 is that caspase-8 is activated upstream of mitochondria and HT29 cells require down-regulation of XIAP to increase the autocatalytic activity of caspase-3 and breakdown of one of its substrates, PARP. It was recently shown that the conversion of the p20 fragment of cleaved caspase-3 by autocatalysis to the smaller p17 subunit was accelerated by down-regulation of XIAP (29)
. To test whether caspase-3 activity was abrogated in cells overexpressing Bcl-2 or Bcl-xL, the proteolytic activity of caspase-3 was measured by testing the cytosolic extracts for their ability to cleave the fluorometric substrate Ac-DEVD-AMC, which is specific for caspase-3. Fig. 5G
shows that in HT29 cells transfected with Bcl-2 or Bcl-xL and treated with TRAIL+ CKI-7, caspase-3 activity was dramatically reduced compared with control (GFP) cells. This activity was due to caspases, because zVAD-fmk blocked the activity (Fig. 5G)
.
Short Hairpin Ribonucleic Acid Modulates Casein Kinase I
Expression and Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand Sensitivity in HT29 Cells.
Recent data has suggested that CKI
or CKI
may play a protective role in Fas-mediated apoptosis (20)
. After examination of the levels of expression of both CKI isoforms in HT29, HCT8, and JR1 cells by Western analysis, all cell lines expressed constitutively high levels of CKI
, in contrast to the expression of CKI
, which demonstrated low-level expression in HT29 (Fig. 6A)
. Therefore, to examine whether modulation of CKI expression, in particular CKI
, could influence TRAIL-induced apoptosis, two retroviral vectors containing short hairpin RNA targeting CKI
, designated sh193 or sh238 were prepared, and their ability to influence CKI
levels was determined. Transfection of short hairpin RNAs into HT29 cells resulted in suppression of CKI
expression by sh193, with no effect mediated by sh238 (Fig. 6B)
. No effect on the expression of ß-actin was detected. Subsequently, it was determined whether reduction in CKI
levels with sh193 could sensitize HT29 cells to TRAIL-induced apoptosis. Transfected cells were treated for 24 hours with varying concentrations of TRAIL (10100 ng/mL). Transfection of HT29 with sh193 resulted in dramatic sensitization of HT29 cells to TRAIL-induced apoptosis to >90%, whereas transfection with sh238 demonstrated no effect (Fig. 6B)
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| DISCUSSION |
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Accumulating evidence suggests that CKI may be involved in the regulation of numerous cellular functions (21 , 30) , although there is a paucity of data clearly suggesting a role for CKI as an antiapoptotic factor following ligation of death receptors of the tumor necrosis factor receptor superfamily. One study, however, has demonstrated that CKI can phosphorylate the p75 tumor necrosis factor receptor and negatively regulate p75-mediated apoptosis (22) . In the present study, we have demonstrated that inhibition of CKI leads to sensitization of tumor cells derived from human colon carcinomas and rhabdomyosarcomas to TRAIL-induced apoptosis, in part by controlling the most apical point of intracellular signaling in the TRAIL signaling pathway, the recruitment of FADD and procaspase-8, and activation of caspase-8, at the level of the death-inducing signaling complex. CKI inhibition by a CKI-specific inhibitor (CKI-7; ref. 21 ) resulted in enhanced recruitment of FADD and procaspase-8 to the death-inducing signaling complex in HT29 cells after TRAIL stimulation and also enhanced the extent of caspase-8 cleavage at the death-inducing signaling complex in HCT8 and JR1. These effects occurred in the absence of any effect of inhibition of CKI function on the level of expression of either DR4 or DR5 in the three cell lines and are consistent with inhibition by CKI-7 of the ability of CKI to phosphorylate specific sites on these receptors, thereby enhancing the recruitment of adaptor proteins. The data demonstrate that TRAIL-induced death-inducing signaling complex formation can be modulated by CKI inhibition and that the inhibitory function of CKI on the induction of apoptosis may be more generally applicable to malignant cells derived from different lineages.
After activation of caspase-8 at the death-inducing signaling complex, the cytosolic substrate Bid is rapidly cleaved, leading to the generation of a truncated form of Bid, tBid (31)
. Cleaved/truncated Bid translocates to the mitochondria (32)
upon its myristoylation (33)
, where it triggers initiation of mitochondrial disruption and additional amplification of the death cascade. Phosphorylation of Bid by CKI
or CKI
has been reported to render Bid resistant to caspase-8 cleavage (20)
. Recent studies have shown that CKI phosphorylates Bid in the vicinity of the recognition site for caspase-8 and that this phosphorylation renders Bid resistant to cleavage by caspase-8 and protects cells from Fas-induced apoptosis, whereas inhibition of Bid phosphorylation sensitizes cells to Fas-mediated apoptosis (20)
. In the current investigation, acceleration of both caspase-8-mediated Bid cleavage and TRAIL-induced apoptosis was demonstrated in cells treated with the CKI inhibitor, CKI-7. Overexpression of DN-FADD in HT29, HCT8, and JR1 cells abrogated TRAIL-induced cell death in the presence of CKI-7, confirming that events upstream of the mitochondria are involved in the mechanism of CKI-7-induced sensitization to TRAIL-induced apoptosis. The current data also suggest that enhanced death-inducing signaling complex formation and activation of caspase-8 also contribute to the enhanced cleavage of Bid when cells are treated with TRAIL in the absence of CKI function.
Signaling events downstream of TRAIL receptor ligation and death-inducing signaling complex formation still remain to be thoroughly explored, in particular the role of mitochondrial signaling pathways for TRAIL-induced apoptosis. In some cell lines, TRAIL-induced apoptosis was shown to be largely independent of mitochondrial pathways (34
, 35)
; however, others have demonstrated that Bcl-xL protected pancreatic carcinoma cells from TRAIL-induced apoptosis (36)
; and inactivation of Bax was recently shown to confer resistance to TRAIL-induced apoptosis in colon cancer cell lines (37)
. Taken together, data support the view that cell typespecific differences downstream of active initiator caspases are important in the fate of a cell after ligation of the TRAIL receptors. In HT29 cells overexpressing Bcl-2 or Bcl-xL, TRAIL-induced apoptosis in the presence of CKI-7 was completely inhibited. Even though similar processing of caspase-8, Bid, and caspase-3 was observed in HT29Bcl-xL and HT29GFP, cleavage of PARP was detected only in HT29GFP. These data are consistent with reports demonstrating that in cells overexpressing Bcl-2 or Bcl-xL, Fas-mediated cell death was markedly reduced, despite caspase-8 being processed and active (38)
. Thus, the inhibition of caspase-3 activity in Bcl-xL-transfected cells was not limited to the Fas signaling pathway and is also apparent in the TRAIL pathway. The failure of Bcl-xL to reduce caspase-8, Bid, and caspase-3 cleavage after TRAIL treatment in the presence of CKI-7 (Fig. 5A)
may be due to caspase-8 being activated upstream of mitochondria, followed by Bid and caspase-3 cleavage. It is conceivable that active caspase-3 (p17 subunit) was inhibited by one of the IAP family members, which was reported by others to bind to and inhibit the activity of caspase-3, as well as caspase-7 and caspase-9 (39)
. It was particularly noticeable that XIAP and c-IAP1 were significantly down-regulated in HT29 cells transfected with vector control (GFP) compared with HT29 cells overexpressing Bcl-2 or Bcl-xL. Degradation of XIAP and c-IAP1 correlated with the caspase-3 activity detected in the lysates of HT29 cells transfected with vector control (GFP). This activity was strongly reduced in HT29 cells overexpressing Bcl-2 or Bcl-xL. These data suggest that XIAP and c-IAP1 were mainly responsible for the inhibition of the autocatalytic activity of caspase-3 and breakdown of one of its substrates, PARP. As reported by others (29
, 39
, 40)
, conversion of the p20 fragment of cleaved caspase-3 by autocatalysis to the smaller p17 subunit was accelerated by down-regulation of XIAP. The smaller p17 subunit of caspase-3 was not detectable in Western analyses, possibly due to rapid degradation in the cellular lysates.
We have also demonstrated that inhibition of CKI enhanced TRAIL-induced release of proapoptotic factors from mitochondria with concomitant inhibition of the function of members of the IAP family, in the absence of release of proapoptotic factors after TRAIL treatment alone. Both Bcl-2 and Bcl-xL were able to block TRAIL-induced release of cytochrome c and down-regulation of XIAP in the presence of CKI-7. Data demonstrate that activation of the mitochondrial apoptotic pathway is required for the execution of TRAIL-induced apoptosis in both colon carcinoma and rhabdomyosarcoma cells.
In Jurkat cells, CKI
was determined to be the major isoform of CKI expressed, with CKI
as a minor component, although both influenced the phosphorylation of Bid or the induction of Fas-mediated apoptosis (20)
. HT29, HCT8, and JR1 cells all expressed CKI
, whereas HT29 expressed low levels of CKI
. Using short hairpin RNA to inhibit the function of CKI
, TRAIL-induced apoptosis was significantly enhanced to the same level observed when cells were treated with TRAIL in the presence of CKI-7, demonstrating the critical function of CKI in attenuating TRAIL-induced apoptosis.
Based on the current data, we propose a new mechanism promoted by CKI upstream of the function of caspase-8, in that CKI mediates TRAIL resistance at the level of recruitment of adaptor proteins to the receptors. Thus, modulation of CKI is one mechanism by which resistance of human cancer cells to TRAIL may be circumvented, a mechanism that may span cancers derived from different histotypes.
| FOOTNOTES |
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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.
Requests for reprints: Janet A. Houghton, Division of Molecular Therapeutics, Department of Hematology-Oncology, St. Jude Childrens Research Hospital, 332 North Lauderdale Street, Memphis, TN 38105. Phone: 901-495-3456; Fax: 901-495-3966; E-mail: janet.houghton{at}stjude.org
1 Internet address: http://www.cshl.org/public/science/hannon.html. ![]()
Received 3/ 2/04. Revised 8/ 9/04. Accepted 8/26/04.
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