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Updated: Oct 5, 2026

Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
Constitutive activation of nuclear factor-kappaB prevents TRAIL-induced apoptosis in renal cancer cells
M Oya1, M Ohtsubo, A Takayanagi
1Department of Urology, Keio University School of Medicine, Shinjuku-ku, Tokyo 160-8582, Japan. moto-oya@med.keio.ac.jp
Abstract:
TRAIL has gained much attention for its specific induction of apoptosis in cancer cells but not in normal cells. This phenomenon has been explained thus: that cancer cells dominantly express death receptors while normal cells express decoy receptors. However, recent reports have shown that some cancer cell lines are resistant to TRAIL-induced apoptosis despite the absence of decoy receptors and the presence of death receptors. This suggested the existance of an inhibitory factor. We herein showed that NF-kappaB is a key molecule underlying the TRAIL-resistant mechanism in renal cell carcinoma (RCC) cell lines. We observed that NF-kappaB is constitutively activated in resistant cell lines. Forced expression of antisense cDNA of IkappaBalpha, a specific inhibitor of NF-kappaB, in TRAIL-sensitive cell lines with a low NF-kappaB activity result in constitutive activation of NF-kappaB and resistance to TRAIL-induced apoptosis. Adenoviral expression of a stable form of IkappaBalpha in the TRAIL-resistant cell lines induced apoptosis. These data suggest that RCC can be classified into two subsets: TRAIL-sensitive RCC with a low NF-kappaB activity and TRAIL-resistant RCC with constitutively activated NF-kappaB. In the former group TRAIL can be a treatment option, while in the latter group a molecular approach targeting NF-kappaB appears to be a promising therapy.
Insights
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) resistance in renal cell carcinoma is linked to NF-kappaB activation. Targeting NF-kappaB may offer a promising therapy for resistant cancer cells.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- TRAIL induces apoptosis in cancer cells via death receptors.
- Some cancer cells exhibit TRAIL resistance despite receptor expression.
- An inhibitory factor is implicated in TRAIL resistance.
Purpose of the Study:
- Investigate the mechanism of TRAIL resistance in renal cell carcinoma (RCC).
- Identify key molecular players in TRAIL-resistant RCC.
- Explore therapeutic strategies for TRAIL-resistant RCC.
Main Methods:
- Assessed NF-kappaB activity in TRAIL-sensitive and resistant RCC cell lines.
- Manipulated IkappaBalpha expression (inhibitor of NF-kappaB) in RCC cells.
- Utilized antisense cDNA and adenoviral vectors for gene expression.
Main Results:
- Constitutive NF-kappaB activation was observed in TRAIL-resistant RCC cell lines.
- Inhibition of NF-kappaB (via IkappaBalpha expression) restored TRAIL sensitivity.
- Forced NF-kappaB activation induced TRAIL resistance in sensitive cells.
Conclusions:
- NF-kappaB is a critical factor in TRAIL resistance in RCC.
- RCC can be categorized into TRAIL-sensitive (low NF-kappaB) and TRAIL-resistant (high NF-kappaB) subsets.
- TRAIL is a potential treatment for sensitive RCC, while NF-kappaB targeted therapies are promising for resistant RCC.
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