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Experimental Therapeutics, Molecular Targets, and Chemical Biology |
1 Center for Radiological Research, College of Physicians and Surgeons and 2 Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York
Requests for reprints: Vladimir N. Ivanov, Center for Radiological Research, Columbia University, VC11-204, 630 West 168th Street, New York, NY 10032. Phone: 212-305-9667; Fax: 212-305-3229; E-mail: vni3{at}columbia.edu.
| Abstract |
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-irradiation for most melanoma cells is growth arrest at the G2-M phase of cell cycle. However, radiation-induced signaling pathways may affect numerous additional targets in cancer cells. We show in the present study that
-irradiation, as well as
-particle exposure, dramatically increases the susceptibility of melanoma cells to recombinant tumor necrosis factorrelated apoptosis-inducing ligand (TRAIL)-mediated apoptosis via up-regulation of surface TRAIL-receptor 1/receptor 2 (DR4/DR5) levels and to Fas ligandmediated apoptosis via up-regulation of surface Fas levels. Additionally, increased dynamin-2 expression after irradiation is critically important in the translocation of death receptor to the cell surface. Moreover, sodium arsenite treatment may up-regulate expression of endogenous TRAIL and induces its translocation to cell surface and further down-regulates cFLIP levels in melanoma cells. We have evaluated the effects of sequential
-irradiation and arsenite treatment of melanoma cells for the induction of death signaling. Such treatment results in an efficient TRAIL-mediated apoptosis via a paracrine mechanism. These data highlight the efficacy of combined modality treatment involving radiation and arsenite in clinical management of this often fatal form of skin cancer. [Cancer Res 2007;67(11):5397407] | Introduction |
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The tumor necrosis factorrelated apoptosis-inducing ligand (TRAIL) has a strong antitumor potential by inducing apoptosis in a wide variety of human TRAIL-receptor 1positive (TRAIL-R1/DR4) and TRAIL-receptor 2positive (TRAIL-R2/DR5) cancer cells but not in most normal human cells that often contain high levels of decoy receptors TRAIL-R3 and TRAIL-R4 on cell surface, thereby preventing induction of apoptotic signaling (3, 4). However, many metastatic tumors, including advanced melanomas, acquired the secondary resistance to apoptotic signaling induced by TRAIL. Actually,
60% of tumor cell lines are resistant to TRAIL (5, 6). In an addition to the presence of decoy receptors, such resistance may occur at different points of the TRAIL-induced death signaling pathway. Suppression of surface expression of the death receptors (TRAIL-R1/DR4 and TRAIL-R2/DR5), dysfunction of death receptors due to mutations, suppression of caspase-8 or caspase-3 functions, and overexpression of endogenous inhibitors of apoptosis, such as cFLIP, cIAP, XIAP, Bcl-2, and Bcl-xL, directly correlate with resistance to TRAIL in many types of cancer, including melanomas (7). There is evidence that progression in melanoma is often linked with decreased surface expression of TRAIL-R1/R2. Furthermore, general activations of the nuclear factor-
B (NF-
B), phosphatidylinositol 3-kinase (PI3K)-AKT, and Ras-BRAF-mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (ERK) kinase-ERK signaling pathways, which are characteristic features of advanced tumors (8, 9), often result in protection against TRAIL-mediated apoptosis via up-regulation of gene expression of antiapoptotic proteins (10, 11).
The direct consequences of
-irradiation of cancer cells are either growth arrest due to activation of specific signaling pathways following DNA damage or radiation-induced cell death via apoptosis or necrosis. Radiation-induced apoptotic signaling could use both p53-dependent and p53-independent pathways (12). Ionizing radiation is an important treatment modality for cancer (
50% of all types of cancer). However, it is not effective for treatment of melanomas, which are largely radioresistant. On the other hand, rationally designed combined treatment, including
-irradiation and chemotherapy or biochemotherapy, which simultaneously targets several critical functions of cancer cells, may be effective in some cancer treatments (13).
In the present study, we address the question of whether it would be possible to increase surface expression of death receptors and to suppress, simultaneously, antiapoptotic functions in melanoma cells to effectively induce the death signaling cascade. The results obtained show that sequential treatment of melanoma cells with
-irradiation or
-particle irradiation and recombinant TRAIL may substantially increase apoptotic response of TRAIL-resistant melanoma cells. Furthermore, many types of cancer cells, including melanomas, contain intracellular pools of Fas ligand (FasL), TRAIL, or both that could be translocated to cell surface following stress signaling (14, 15). We have previously used sodium arsenite as a stress inducer for initiation of the endogenous TRAIL translocation to cell surface (16). As a consequence, such combined treatment of melanoma cells with
-radiation and sodium arsenite efficiently induces apoptotic signaling via paracrine TRAIL/TRAIL-receptor mechanisms.
| Materials and Methods |
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Cell lines. Human melanoma cell lines LU1205 (also known as 1205lu), WM9, and WM35 (17) were maintained in DMEM supplemented with 10% fetal bovine serum, L-glutamine, and antibiotics.
Irradiation procedures. 3He
-particles (125 keV/µm) were delivered to the melanoma cells using 4-MV Van de Graff accelerator at the Radiological Research Accelerator Facilities of Columbia University. Control and irradiated cells were collected 24 h after irradiation. Cultures were trypsinized and counted with a Coulter counter, and aliquots of the cells were replated into 100-mm-diameter dishes for colony formation or flow cytometry assay. Cultures for clonogenic survival assays were incubated for 12 days, at which time they were fixed with formaldehyde and stained with Giemsa.
To determine sensitivity to
-rays, the plates with melanoma cells were exposed to radiation from a GammaCell 40 137Cs irradiator (dose rate, 0.82 Gy/min) of Columbia University. Six to 24 h after irradiation, cells have been used for flow cytometry or for additional treatments.
Fluorescence-activated cell sorting analysis of TRAIL, TRAIL-R1/R2 (DR4/DR5), and Fas levels. Surface levels of TRAIL on human melanomas were determined by staining with the phycoerythrin (PE)-conjugated anti-human TRAIL monoclonal antibody (mAb; eBioscience) and subsequent flow cytometry. Surface levels of TRAIL-R1/DR4, TRAIL-R2/DR5, and Fas were determined by staining with the PE-labeled mAbs from eBioscience and BD Biosciences PharMingen. PE-conjugated nonspecific mouse IgG1 was used as an immunoglobulin isotype control. A FACSCalibur flow cytometer (Becton Dickinson) combined with the CellQuest program was used to do flow cytometric analysis. All experiments were independently repeated four to five times.
Transfection and luciferase assay. The NF-
B luciferase reporter containing two
B-binding sites, Jun2-Luc reporter and empty vector tk-Luc (18), and GAS-Luc reporter containing three repeats of GAS sites from the Ly6A/E promoter were used to determine NF-
B, activator protein-1 (AP-1), and signal transducers and activators of transcription (STAT) transactivation, respectively. Additional reporter constructs used included the following: 2.5-kb p21-WAF1-promoter-Luc (19), 1.5-kb TRAIL-promoter-Luc (20), 1.8-kb DR4/TRAIL-R1-promoter-Luc (21), DR5/TRAIL-R2-full-Luc, which contained 1.6 kb upstream of the ATG site through intron 2 in the DR5 genomic locus (22), and 1-kb cFLIP-promoter-Luc (23, 24). Transient transfection of different reporter constructs (1 µg) together with pCMV-ßgal (0.25 µg) into 5 x 105 melanoma cells was done using LipofectAMINE (Life Technologies-Invitrogen). Proteins were prepared for ß-galactosidase and luciferase analysis 16 h after transfection. Luciferase activity was determined using the Luciferase Assay System (Promega) and normalized based on ß-galactosidase levels.
In some experiments, melanoma cells were transfected with reporter constructs together with certain expression vectors (ratio, 1:3), including the following: pCMV-I
B
N (25), pcDNA3-IKKßS178E/S181E (26),
MEKK1 expression vector (27), pcDNA3-FLAG-MKK7ß1 (28), dominant-negative JNK1-APF, and dominant-negative form of cJun/TAM67 in the presence of pCMV-ßgal. Sixteen to 24 h after transfection, luciferase activity was determined.
Apoptosis studies. Cells were exposed to soluble TRAIL (50 ng/mL), alone or in combination with cycloheximide (2 µg/mL), to soluble FasL (50 ng/mL) and sodium arsenite (5 µmol/L). Apoptosis was then assessed by quantifying the percentage of hypodiploid nuclei undergoing DNA fragmentation. Flow cytometric analysis was done on a FACSCalibur flow cytometer.
cFLIP suppression by RNA interference. The pSUPER retro RNA interference (RNAi) system (OligoEngine), which has been used for the production of small RNAi transcripts, was used to suppress cFLIP expression. Two variants of RNAi of 19 nucleotides designed to target human cFLIP were expressed using vector pSUPER.retro.puro (pSR-puro). RNAi cFLIP-92 (UGUGGUUCCACCUAAUGUC) was the most efficient in the corresponding mRNA targeting.
Western blot analysis. Total cell lysates (50 µg protein) were resolved on 10% SDS-PAGE and processed according to standard protocols. The antibodies used for Western blotting included the following: monoclonal anti-ß-actin (Sigma); monoclonal anti-FLIP (NF6; Axxora); monoclonal anti-XIAP (BD Biosciences); monoclonal anti-cyclooxygenase-2 (COX-2; Cayman Chemical Co.); monoclonal anti-p21-WAF1 (Cell Signaling); monoclonal anti-dynamin-2 (Upstate); polyclonal antibodies to TRAIL (human); TRAIL-R1/DR4 and TRAIL-R2/DR5 (Axxora); polyclonal anti-Fas (BD Biosciences PharMingen); and polyclonal antibodies against phosphorylated p53 (Ser20) and total p53, phosphorylated stress-activated protein kinase/JNK (Thr183/Tyr185) and JNK, phosphorylated p44/p42 MAPK (Thr202/Tyr204) and p44/p42 MAPK, and phosphorylated AKT (Ser473) and AKT (Cell Signaling). Optimal dilutions of primary antibodies were 1:1,000 to 1:5,000. The secondary antibodies anti-mouse or anti-rabbit were conjugated to horseradish peroxidase (dilution, 1:5,000 to 1:10,000); signals were detected using the enhanced chemiluminescence system (Amersham).
Electrophoretic mobility shift assay. Electrophoretic mobility shift assay (EMSA) was done for the detection of NF-
B DNA-binding activity as previously described using the labeled double-strand oligonucleotide AGCTTGGGGACTTTCCAGCCG (binding site is italicized). Ubiquitous NF-Y DNA-binding activity was used as an internal control (29).
| Results |
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2-fold higher in WM9 cells (Fig. 1B). Modest and low levels of expression of TRAIL-R1/DR4 have also been detected on the surface of WM9 and LU1205 cells, respectively. We showed previously that another important difference between WM9 and LU1205 cells was linked to the levels of antiapoptotic cFLIP protein, which have been significantly diminished in WM9 cells (16). In addition, we used early (radial growth phase) WM35 melanoma cells, which express relatively low levels of DR5 on cell surface and show only a modest response to either TRAIL alone or in combination with cycloheximide (Fig. 1A and B).
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On the other hand, WM9 and LU1205 metastatic cell lines exhibited different degrees of radiosensitivity. In WM9 cells, a modest apoptosis, which was accompanied by the secondary necrosis, was detected 48 h after
-irradiation (2.55 Gy). In contrast, LU1205 cells showed a pronounced G2-M arrest under these conditions (Fig. 1C) as was previously reported for this melanoma line (31). Radiation-induced death of WM9 cells accompanied by DNA fragmentation (Fig. 1C) was, however, insensitive to caspase inhibitors (Fig. 1D) or to anti-TRAIL inhibitory mAb (data not shown). As expected, LY294002 (50 µmol/L) and U0126 (10 µmol/L) additionally increased the level of radiation-induced death in WM9 cells (Fig. 1C and D). In contrast to WM9 cells, the effect of LY294002 (50 µmol/L) on radiosensitivity of LU1205 cells was less pronounced, inducing low-level apoptosis and a release from G2-M arrest (Fig. 1C). WM35 early melanoma cells also exhibited radioresistance similarly to LU1205 cells (data not shown). Analysis of clonogenic survival of cancer cells after
-irradiation confirmed a higher degree of radiosensitivity of WM9 compared with LU1205 cells (data not shown). Differential response to
-irradiation, however, was not connected with the p53 status that was wild-type for both melanoma lines (31).
Effects of
-irradiation on cell signaling and surface expression of death receptors. In spite of the absence of pronounced apoptotic response,
-irradiation of LU1205 melanoma cells affected many signaling pathways that activated stress-induced transcription factors, such as NF-
B and p53 and their target genes. We initially observed up-regulation of nuclear NF-
B DNA-binding activity determined by EMSA (Fig. 2A
) and also increased NF-
Bdependent reporter activity (Fig. 2C). We also detected increased p53 and phosphorylated Ser20-p53 levels by Western blot analysis (Fig. 2B). Furthermore, up-regulation of the p21-WAF1 promoter activity and general AP-1dependent reporter activities was also observed 6 h after irradiation (Fig. 2C).
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-irradiation (Fig. 2B; refs. 16, 32).
Hence, irradiation of melanoma cells was accompanied by notable up-regulation of the transcription and total protein levels of death receptors, Fas, DR4, and DR5, which were regulated by p53 in concert with NF-
B, AP-1, and STAT (Fig. 2B and C; refs. 21, 22). Furthermore, dynamin-2 level, a cytoskeleton protein previously shown to control Fas receptor trafficking through trans-Golgi network to cell surface (33, 34), substantially increased after
-irradiation (Fig. 2B). This suggested that the up-regulation of surface expression of death receptors after irradiation of cancer cells was attributable to increased efficiency of protein translocation in the cell. Indeed, 24 h after
-irradiation of LU1205 cells, a profound increase in surface Fas levels and in TRAIL-R2/DR5 levels, as well as modest increase in TRAIL-R1/DR4 surface levels, has been detected (Fig. 2D). Of note, dose-dependent increase of surface expression was observed for Fas at 2.5 to 10 Gy and for DR5 at 2.5 to 5 Gy, whereas DR4 levels increased relatively similarly after irradiation with dose 2.5 to 5 Gy (Fig. 2D). Furthermore,
-irradiation (2.55 Gy) had also prominent effects in the up-regulation of surface expression of Fas and DR5 in WM9 cells, whereas only a modest effect was detected in early melanoma WM35 cells (see Fig. 1B).
To determine a direct effect of
-irradiation on Fas translocation in cells, LU1205 cells were transfected with fused Fas-green fluorescent protein (GFP) construct (Fig. 2E; ref. 35). As expected, surface expression of Fas-GFP, which was detected using PE-labeled mAb to the Fas extracellular domain, was notably increased (at least 2-fold) 6 h after irradiation based on an increase in medium fluorescence intensity (MFI) from 210 to 460 and in percentage cells with high levels of surface Fas.
Brefeldin A (100 ng/mL), an inhibitor of protein translocation from the endoplasmic reticulum to Golgi, also suppressed endogenous surface expression of Fas and DR4/DR5 induced by irradiation (data not shown). Taken together, these results show that
-irradiation is involved not only in transcriptional control of death receptor expression but also in regulation of their translocation to cell surface.
Sequential treatment of melanoma cells with
-irradiation and recombinant TRAIL or FasL. Changes observed in death receptor levels following
-irradiation have a functional significance. We have used soluble recombinant TRAIL (50 ng/mL) combined with cycloheximide (2 µg/mL) to induce apoptosis in LU1205 cells 24 to 48 h after
-irradiation (Fig. 3A and B
). Detailed analysis showed a substantial increase in apoptotic levels (from 25% to 48% after an additional 24 h and from 56% to 94% after an additional 48 h of TRAIL treatment for melanoma cells), which were preexposed with
-irradiation (Fig. 3A and B). Interestingly, an additional suppression of basal levels of cFLIP (both long and short forms) by specific RNAi (16) accelerated development of apoptosis in preirradiated melanoma cells 24 h after treatment with TRAIL and cycloheximide (48 h after
-irradiation; Fig. 3C and D).
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Role of dynamin-2 in death receptor translocation. To further confirm a probable role of dynamin-2 expression in regulation of death receptor translocation to cell surface in irradiated cells, we took advantage of previously established LU1205 melanoma lines expressing dominant-negative dynamin-2 constructs: Dyn-2K44A and Dyn-Y231F/Y597F (Dyn-2FF; ref. 33). Dominant-negative interference of dynamin-2 (36) that partially suppressed death receptor protein translocation from trans-Golgi network to cell surface (33, 37) caused dramatic down-regulation of
-irradiationinduced levels of DR5 (after 2.5 Gy) and Fas (2.5 Gy) in LU1205 cells 24 h after treatment (Fig. 4A and C
). This was followed by decreased levels of TRAIL-mediated apoptosis in cells where dynamin-2 functions have been suppressed (Fig. 4B). We have also observed similar effects for recombinant FasL-mediated apoptosis in irradiated cells (Fig. 4D).
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-Particle irradiation of melanoma cells. An increased effectiveness of
-particle irradiation versus
-irradiation has been shown in numerous studies for both initial and delayed responses to radiation, including development of apoptosis. Therefore,
-particles are very promising tool for cancer therapy, especially for isolated metastatic cells, as is observed in leukemia because of their high linear energy transfer and short effective path length. Our experiments showed that
-particle irradiation of melanoma cells, similarly to
-irradiation, increased surface expression of death receptors in a dose-dependent manner in both WM9 (Fig. 5A
) and LU1205 cells (data not shown). Furthermore, a combination of low-dose
-particle irradiation with decreased concentrations of soluble TRAIL may also effectively induce TRAIL-mediated apoptosis in WM9 cells (Fig. 5B), providing additional flexibility for rational treatment design. Indeed, exposure of WM9 cells to
-particles (1 Gy) caused accelerating apoptosis induced by lower doses of TRAIL (20 ng/mL instead 50 ng/mL; Fig. 5B).
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-particle irradiation by itself shows dose-dependent effects on cancer cell survival 12 days after exposure (Fig. 5C). Moreover, sequential treatment with low-dose
-particle irradiation (0.5 Gy) and TRAIL (1050 ng/mL) additionally decreased cell survival and accelerated cancer cell death conditions (Fig. 5D), which might substantially improve the effectiveness of treatment.
Sodium arsenite treatment may partially substitute recombinant TRAIL. Both types of treatment (sodium arsenite and
-irradiation) caused up-regulation of the TRAIL promoter activity in melanomas (Fig. 6A
). The TRAIL promoter contains binding sites for transcription factors NF-
B, AP-1, and STAT (11, 38). Permanently active MEKK1
, which activates both the NF-
B and MAPK signaling pathways, strongly induced the TRAIL promoter activity in transfected melanoma cells, whereas permanently active IKKßS178E/S181E and MKK7-ß1 (JNK kinase) showed average induction of the TRAIL promoter activity (Fig. 6A). In contrast, superstable inhibitor of NF-
B, I
B
N, dominant-negative JNK1-APF, and dominant-negative form of cJun, TAM67, partially suppressed the basal TRAIL promoter activity. Permanently active AKTmyr, which inhibited JNK activity, also strongly blocked TRAIL promoter activity (Fig. 6A).
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and IKKß overexpression on NF-
B activity and negative effects of AKT overexpression on JNK activity in LU1205 cells have been described in our previous publications (33, 39). Arsenite-induced or
-irradiationinduced TRAIL promoter activation is primarily mediated by JNK-cJun and could be suppressed with pharmacologic inhibitor of JNK, SP600125 (10 µmol/L; Fig. 6A). The NF-
B signaling pathway seems to play an additional role in the induction of TRAIL promoter only after
-irradiation.
Our recent observations indicate that metastatic melanomas contain a pool of intracellular TRAIL that could be transferred to the cell surface following sodium arsenite treatment (16). Interestingly, in contrast to arsenite,
-irradiation did not efficiently induce TRAIL translocation to cell surface in melanomas (Fig. 6C). Biochemical events in TRAIL translocation from cytoplasm to the cell surface are still largely unknown.
Because sodium arsenite induced surface expression of endogenous TRAIL, we decided to use arsenite instead of soluble TRAIL in a combined treatment with irradiation. We
-irradiated (5 Gy) LU1205 and WM9 melanoma cells and observed increasing death receptor surface expression, which was followed after 24 h by an induction of surface expression of TRAIL using arsenite (5 µmol/L, 24 h; Fig. 6B and C). Furthermore, both types of treatment (arsenite and
-irradiation) down-regulated cFLIP levels in LU1205 cells (Fig. 2B; ref. 16). Therefore, we detected strong synergistic effects in the development of apoptosis in melanoma lines LU1205 and WM9 after combined treatment (Fig. 6D). Introduction of anti-TRAIL mAb (2 µg/mL) in the cell medium partially protected melanoma cells against apoptosis, further highlighting a role of TRAIL-mediated signaling in the development of apoptosis (Fig. 6D). FasL-Fas pathway was only slightly involved in the mediation of apoptosis after such combined treatment of melanomas because arsenite was nonefficient inducer of FasL translocation (15). A substantial proportion of TRAIL-independent apoptosis that was observed in these conditions, however, indicated the multiple effects of sodium arsenite in acceleration of apoptosis.
On the other hand, overactivation of AKT in LU1205 cells stably transfected with AKTmyr (39) was accompanied by down-regulation of basal DR5 surface levels and suppression of an inducible increase in these levels after irradiation and arsenite treatment. AKT overexpression also partially suppressed an induction of surface expression of TRAIL following treatment of melanoma cells with arsenite (data not shown). Finally, it resulted in partial suppression of TRAIL-mediated apoptosis in melanoma cells on these conditions. Taken together, the results of our study show that sequential treatment of melanoma cells with
-radiation (for increasing DR5 surface levels) and sodium arsenite (for induction of endogenous TRAIL translocation to the cell surface and suppression of cFLIP) efficiently induces apoptotic signaling probably via paracrine TRAIL/TRAIL-receptor mechanisms. The activation of the PI3K-AKT pathway may suppress the development of apoptotic signaling in these conditions at the multiple levels.
| Discussion |
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Resistance of cancer cells to TRAIL can occur at different steps in the death signaling pathways. However, decreased levels of surface expression of death receptors and simultaneous overexpression of inhibitors of apoptosis, such as cFLIP or XIAP, seem to be the most frequent events (13). On the other hand, radiotherapy is widely used for cancer treatment, but the resistance to radiation is a serious problem for melanoma treatment. Our attempts to increase radiation-induced death of melanoma cells via silencing COX-2 were unsuccessful due to strong up-regulation of p21-WAF1 levels and dramatic increase in the level of G2-M arrest in melanoma cells that competed with induction of cell death pathway. Recent studies done on other cancer cell lines also showed negative effects of p21 on irradiation-induced apoptosis (43). However, in this case, the main target was cyclin-dependent kinasemediated caspase-9 activation that does not occur in our cell lines after
-irradiation that shows caspase independence.
Additional effects of
-particle irradiation and
-irradiation (that were complementary to direct induction of cell death) have been observed in the present study, such as a strong up-regulation of surface expression of death receptors, Fas and DR5, and down-regulation of an antiapoptotic protein cFLIP in melanoma cells. Some of these effects have been previously shown for prostate cancer cells (44) and leukemic cells (45). In the absence of death ligands, irradiation often did not induce a rapid apoptotic signaling, leaving cells arrested at the G2-M phase that may result in slow necrotic death. However, subsequent treatment of irradiated cells with recombinant TRAIL was very effective in the initiation of melanoma cell apoptosis similar to previous finding in prostate cancer cells (44).
It is well known that
-irradiation can affect transcriptional activity of the promoters of death receptor genes, especially DR5 and Fas, via p53 and NF-
B activation (22, 46). JNK, however, plays opposite roles in the regulation of Fas and DR5 promoter activities, with JNK-cJun as a negative regulator of the Fas promoter (39) and JNK-SP1 as a positive regulator of the DR5 promoter (47). In contrast, PI3K-AKT pathway that suppresses JNK and STAT3 up-regulates Fas gene expression and translocation (39) but has negative effects on DR5 expression and subsequent TRAIL-mediated apoptosis as we observed in the present study.
The post-translational levels of the death receptor expression, including translocation of receptor precursors in the cell, have not been well studied. The present study further shows a role of dynamin-2, a large GTFase that supports vesicle trafficking, in the regulation of death receptor translocation not only for Fas receptor (33) but also for DR5. Treatment by
-radiation is linked with substantial up-regulation of dynamin-2 levels in the cell (48) that probably facilitates protein transport from trans-Golgi network to cell surface and results in efficient up-regulation of surface expression of death receptors.
An important feature of many cancer cells, including advanced melanomas, is the presence of the intracellular pools of TRAIL (16) or FasL (14) that could be expressed on cell surface at the specific circumstances (e.g., under stress conditions). An implication of expression of death ligands by cancer cells and their probable role in tumor counterattack is still subject of numerous investigations (42). Based on our recent study (16), we have used a treatment with sodium arsenite that may induce translocation of endogenous TRAIL to cell surface with simultaneous strong down-regulation of cFLIP antiapoptotic protein levels. In the present study, such sequential treatment of melanoma cells with
-irradiation and sodium arsenite resulted in an induction of apoptosis, which is partially mediated by TRAIL/TRAIL-receptor via paracrine mechanisms, in initially resistant LU1205 melanoma cells.
Arsenite is a two-sided sword: on the one hand, it is a well-established human carcinogen, and on the other hand, it has been used successfully in the treatment of acute promyelocytic leukemia by inducing apoptosis (49). However, most melanomas are resistant to sodium arsenite treatment. We have previously shown that only
20% of human melanoma cell lines are sensitive to apoptosis induction by arsenite alone (29). A recent clinical trial in the use of single regimen of arsenite trioxide in the treatment of metastatic melanoma failed to produce any significant improvement in clinical outcome (50). These findings suggest that multimodality regimen is required in the design of treatment strategy, a primary motivation for the present study. A better understanding in the apoptotic signaling pathways induced by arsenic treatment in melanoma cells with concurrent modulator of proapoptotic and suppression of antiapoptotic pathways will provide a useful mechanistic rationale for effective treatment design for this often fatal cancer.
| Acknowledgments |
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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.
We thank Drs. Z. Ronai, R. Davis, M. Karin, W.S. El-Deiry, G.J. Gores, J. Hiscott, S-Y. Sun, A.N. Shajahan, and H. Wajant for plasmid constructs and Dr. M.A. Partridge for critical reading of the manuscript.
Received 2/ 9/07. Revised 3/27/07. Accepted 4/ 6/07.
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V. N. Ivanov, H. Zhou, M. A. Partridge, and T. K. Hei Inhibition of Ataxia Telangiectasia Mutated Kinase Activity Enhances TRAIL-Mediated Apoptosis in Human Melanoma Cells Cancer Res., April 15, 2009; 69(8): 3510 - 3519. [Abstract] [Full Text] [PDF] |
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