Amiloride potentiates TRAIL-induced tumor cell apoptosis by intracellular acidification-dependent Akt inactivation
Young-Lai Cho1, Kwang-Soon Lee, Seon-Jin Lee
1Vascular System Research Center, Kangwon National University, Chunchon, Kangwon-do, Republic of Korea.
Abstract:
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), a member of the tumor necrosis factor gene family, is considered as one of the most promising cancer therapeutic agents due to its ability to selectively induce tumor cell apoptosis. In this study, we investigated whether the Na(+)/H(+) exchanger inhibitor, amiloride, promotes TRAIL-induced apoptotic death both in sensitive and resistant tumor cells, HeLa and LNCaP cells, respectively, and its underlying molecular mechanism. Amiloride enhanced TRAIL-induced apoptosis and activation of caspase-3 and -8 in both cells. This compound increased TRAIL-induced mitochondrial cytochrome c release and poly(ADP-ribose) polymerase cleavage. Moreover, amiloride-induced intracellular acidification, and inhibited the phosphorylated activation of the serine/threonine kinase Akt, which is known to promote cell survival, in both tumor cells. These data suggest that amiloride sensitizes both tumor cells to TRAIL-induced apoptosis by promoting Akt dephosphorylation and caspase-8 activation via the intracellular acidification and that Na(+)/H(+) exchanger inhibitors may play an important role in the anti-cancer activity of TRAIL, especially, in TRAIL-resistant tumors with highly active and expressed Akt.
Insights
Amiloride, a Na+/H+ exchanger inhibitor, enhances cancer cell apoptosis induced by Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL). This occurs by promoting Akt dephosphorylation and caspase-8 activation, aiding TRAIL
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a promising cancer therapeutic agent.
- TRAIL selectively induces apoptosis in tumor cells.
- Resistance to TRAIL remains a challenge in cancer therapy.
Purpose of the Study:
- To investigate if amiloride, a Na+/H+ exchanger inhibitor, enhances TRAIL-induced apoptosis in both sensitive and resistant tumor cells.
- To elucidate the molecular mechanisms underlying amiloride's effect on TRAIL-induced apoptosis.
Main Methods:
- Treatment of HeLa (sensitive) and LNCaP (resistant) cells with TRAIL and amiloride.
- Assays for apoptosis, caspase-3 and -8 activation, cytochrome c release, and poly(ADP-ribose) polymerase (PARP) cleavage.
- Measurement of intracellular pH and Akt phosphorylation levels.
Main Results:
- Amiloride significantly enhanced TRAIL-induced apoptosis in both cell lines.
- Amiloride increased the activation of caspase-3 and -8, cytochrome c release, and PARP cleavage.
- Amiloride induced intracellular acidification and inhibited Akt phosphorylation.
Conclusions:
- Amiloride sensitizes tumor cells to TRAIL-induced apoptosis by promoting Akt dephosphorylation and caspase-8 activation via intracellular acidification.
- Na+/H+ exchanger inhibitors like amiloride may enhance TRAIL's anti-cancer activity, particularly in TRAIL-resistant tumors with high Akt activity.
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