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Updated: Aug 29, 2026

Identification of Intracellular Signaling Events Induced in Viable Cells by Interaction with Neighboring Cells Undergoing Apoptotic Cell Death
Published on: December 27, 2016
Low extracellular pH augments TRAIL-induced apoptotic death through the mitochondria-mediated caspase signal
Yong J Lee1, Jae J Song, Jin H Kim
1Department of Surgery and Cancer Institute, School of Medicine, University of Pittsburgh, PA 15213, USA. leeyj@msx.upmc.edu
Abstract:
Tumor necrosis factor-related apoptosis inducing ligand (TRAIL/APO-2L), a member of the tumor necrosis factor (TNF) gene family, is considered as one of the most promising cancer therapeutic agents due to its ability to selectively kill tumor cells. Although microenvironments of solid tumors (hypoxia, nutrient deprivation, and low pH) often affect the effectiveness of chemotherapy, few studies have been reported on the relationship between tumor microenvironments and TRAIL. In this study, we investigated whether low extracellular pH affects TRAIL-induced apoptotic death. When human prostate carcinoma DU145 cells were treated with 200 ng/ml His-tagged TRAIL for 4 h, the survival was approximately 10% at pH 6.3-6.6 and 61.3% at pH 7.4. Similar results were observed in human colorectal carcinoma CX-1 cell line. The TRAIL-mediated activation of caspase, cytochrome c release, and poly (ADP-ribose) polymerase (PARP) cleavage was promoted at low extracellular pH. Immunoprecipitation followed by western blot analysis shows that low extracellular pH enhances the association of truncated Bid with Bax during treatment with TRAIL. Western blot analysis also shows that the low extracellular pH-enhanced TRAIL cytotoxicity does not involve modulation of the levels of TRAIL receptors (DR4, DR5, and DcR2), FLIP, inhibitor of apoptosis (IAP), and Bcl-2. Overexpression of Bcl-2 effectively prevented low extracellular pH-augmented TRAIL cytotoxicity. Taken together, we propose that TRAIL-mediated cytotoxicity is greatly enhanced in low pH environments by promoting caspase activation.
Insights
Low extracellular pH significantly enhances tumor necrosis factor-related apoptosis inducing ligand (TRAIL) cancer therapy effectiveness. This study reveals TRAIL-induced apoptosis is promoted in acidic tumor microenvironments, improving cancer cell death.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Tumor necrosis factor-related apoptosis inducing ligand (TRAIL) is a promising cancer therapeutic agent.
- Solid tumor microenvironments, including low pH, can impact chemotherapy efficacy.
- The relationship between tumor microenvironments and TRAIL effectiveness requires further investigation.
Purpose of the Study:
- To investigate the effect of low extracellular pH on TRAIL-induced apoptotic cell death.
- To elucidate the molecular mechanisms underlying pH-mediated TRAIL sensitivity.
Main Methods:
- Treatment of human prostate carcinoma DU145 and colorectal carcinoma CX-1 cells with His-tagged TRAIL at varying pH levels.
- Analysis of caspase activation, cytochrome c release, and PARP cleavage.
- Immunoprecipitation and western blot analysis to assess protein interactions and expression levels.
Main Results:
- TRAIL treatment resulted in significantly lower cell survival at acidic pH (6.3-6.6) compared to neutral pH (7.4).
- Low extracellular pH promoted TRAIL-mediated caspase activation, cytochrome c release, and PARP cleavage.
- Acidic pH enhanced the association of truncated Bid with Bax, a key step in apoptosis induction.
- TRAIL receptor levels, FLIP, IAP, and Bcl-2 expression were not modulated by low pH.
- Overexpression of Bcl-2 counteracted the enhanced TRAIL cytotoxicity at low pH.
Conclusions:
- Low extracellular pH significantly enhances TRAIL-mediated cytotoxicity in cancer cells.
- This enhancement is primarily mediated by promoting caspase activation through mechanisms involving Bid-Bax interaction.
- TRAIL-based cancer therapies may be more effective in the acidic microenvironments of solid tumors.
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