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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
Enhanced TRAIL sensitivity by p53 overexpression in human cancer but not normal cell lines
K Kim1, R Takimoto, D T Dicker
1Laboratory of Molecular Oncology and Cell Cycle Regulation, Howard Hughes Medical Institute, Department of Medicine, Philadelphia, PA 19104, USA.
Abstract:
The cytotoxic ligand TRAIL is a promising anti-cancer agent that is entering into clinical trials. We previously identified a major subgroup of TRAIL resistant cancer cell lines with absent, or reduced DR4 expression containing a K441R polymorphism or harboring elevated levels of the caspase activation inhibitor FLIP. In the present study, we explored the use of a gene therapeutic approach utilizing p53, delivered by an adenovirus-p53 (Ad-p53) vector, which directly controls expression of the TRAIL receptor KILLER/DR5 in a panel of 8 cell lines including normal and TRAIL sensitive or resistant cancers. The functional status of the delivered p53 was monitored by detection of induced p21WAF1 expression by immunocytochemistry. In normal cells, which are TRAIL resistant, TRAIL did not reduce cell viability over and above the effect of Ad-p53 alone. All cancer cell lines were sensitive to Ad-p53 and up-regulated expression of the TRAIL receptor KILLER/DR5. TRAIL-resistant cancer cells became more sensitive to TRAIL at low Ad-p53 multiplicities of infection but TRAIL resistance was not completely overcome in one TRAIL-resistant cell line probably because of a high level of expression of FLIP. The results reveal that Ad-p53 induces the TRAIL receptor KILLER/DR5 and, like radiation or chemotherapy may effectively reverse TRAIL resistance.
Insights
Adenovirus-p53 (Ad-p53) gene therapy can re-sensitize TRAIL-resistant cancers to TRAIL by upregulating the KILLER/DR5 receptor. This approach shows promise in overcoming resistance mechanisms, enhancing anti-cancer efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL) is a promising anti-cancer therapeutic.
- TRAIL resistance in cancer is often associated with reduced DR4 expression or elevated FLIP levels.
- Gene therapy offers a potential strategy to overcome TRAIL resistance.
Purpose of the Study:
- To investigate the efficacy of adenovirus-p53 (Ad-p53) gene therapy in overcoming TRAIL resistance.
- To determine if Ad-p53 can modulate TRAIL receptor expression (KILLER/DR5) in cancer cells.
- To assess the impact of Ad-p53 on TRAIL-induced apoptosis in TRAIL-resistant cancer cell lines.
Main Methods:
- Utilized an adenovirus-p53 (Ad-p53) vector for gene delivery.
- Tested Ad-p53 and TRAIL treatment on a panel of 8 cell lines (normal and cancer).
- Monitored p53 functional status via p21WAF1 induction using immunocytochemistry.
- Assessed changes in KILLER/DR5 receptor expression and cell viability.
Main Results:
- Ad-p53 treatment alone did not significantly affect normal cell viability.
- All cancer cell lines exhibited sensitivity to Ad-p53, with increased KILLER/DR5 receptor expression.
- TRAIL-resistant cancer cells demonstrated enhanced sensitivity to TRAIL when combined with low Ad-p53 doses.
- Complete overcoming of TRAIL resistance was not achieved in one cell line, likely due to high FLIP levels.
Conclusions:
- Ad-p53 gene therapy effectively induces KILLER/DR5 receptor expression in cancer cells.
- This induction can reverse TRAIL resistance, similar to radiation or chemotherapy.
- Combining Ad-p53 with TRAIL presents a potential strategy to enhance anti-cancer therapy efficacy.
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