Modulation of tamoxifen sensitivity by antisense Bcl-2 and trastuzumab in breast carcinoma cells
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Published on: June 18, 2015
Ryungsa Kim1, Kazuaki Tanabe, Manabu Emi
1International Radiation Information Center, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan. rkim@hiroshima-u.ac.jp
Background:
Because the overexpression of HER-2 and Bcl-2 is associated with resistance to tamoxifen (TAM), the authors examined the effect of antisense (AS) Bcl-2 on sensitivity to TAM compared with the effect of trastuzumab on sensitivity to TAM in breast carcinoma cell lines.
Methods:
Drug sensitivity was assessed in vitro using a [3-4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide assay with the breast carcinoma cell lines ZR-75-1, MDA-MB-453, and BT-474. AS Bcl-2 18-mer phosphorothioate oligonucleotide was applied. Apoptotic cell death was assessed with the terminal deoxynucleotidyl transferase-mediated biotinylated UTP nick-end labeling method, and gene expression was evaluated with Western blot analysis.
Results:
The expression of Bcl-2 was identified in ZR-75-1 and BT-474 cells and, to a lesser extent, in MDA-MB-453 cells. Overexpression of HER-2 was identified in BT-474 cells, and moderate expression was identified in MDA-MB-453 and ZR-75-1 cells. Combination treatment with trastuzumab or AS Bcl-2 enhanced TAM sensitivity in ZR-75-1 cells, which showed 50% inhibitory concentration (IC50) values of 0.9 microM (7.2-fold increase) and 0.5 microM (13.0-fold), respectively. Combination treatment with trastuzumab or AS Bcl-2 slightly enhanced TAM sensitivity of BT-474 cells, with IC50 values of 3.0 microM (1.3-fold) and 1.5 microM (2.6-fold), respectively. The sensitivity of MDA-MB-453 cells to TAM was not enhanced by combination with trastuzumab or AS Bcl-2. Modulation of TAM sensitivity by AS Bcl-2 was superior to modulation by trastuzumab in HER-2-expressing and Bcl-2-expressing breast carcinoma cells. Enhanced sensitivity in combination with AS Bcl-2 was associated with down-regulation of Bcl-2 and pAkt, which was correlated with the induction of Bax and caspase-3, leading to apoptosis.
Conclusions:
AS Bcl-2 appeared to be superior to trastuzumab with respect to regulating the signal-transduction pathways involved in breast carcinoma cells.
Insights
Antisense (AS) Bcl-2 enhances tamoxifen (TAM) sensitivity in breast cancer cells more effectively than trastuzumab. This improved sensitivity is linked to Bcl-2 pathway modulation and apoptosis induction.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Overexpression of HER-2 and Bcl-2 proteins is linked to tamoxifen (TAM) resistance in breast cancer.
- Investigating novel therapeutic strategies to overcome TAM resistance is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the efficacy of antisense (AS) Bcl-2 with trastuzumab in overcoming TAM resistance in breast carcinoma cell lines.
- To elucidate the molecular mechanisms underlying TAM sensitivity modulation by AS Bcl-2 and trastuzumab.
Main Methods:
- In vitro drug sensitivity assays (MTT assay) were performed on breast carcinoma cell lines (ZR-75-1, MDA-MB-453, BT-474).
- Antisense (AS) Bcl-2 oligonucleotide and trastuzumab were used in combination with TAM.
- Apoptosis was assessed using TUNEL assay, and gene expression was analyzed via Western blot.
Main Results:
- AS Bcl-2 demonstrated superior enhancement of TAM sensitivity compared to trastuzumab in HER-2 and Bcl-2 expressing cells.
- Combination therapy with AS Bcl-2 significantly reduced IC50 values for TAM in ZR-75-1 and BT-474 cell lines.
- AS Bcl-2 treatment led to down-regulation of Bcl-2 and pAkt, correlating with increased Bax and caspase-3, inducing apoptosis.
Conclusions:
- AS Bcl-2 is a promising therapeutic agent for overcoming TAM resistance in specific breast cancer subtypes.
- AS Bcl-2 exhibits a superior ability to modulate signal-transduction pathways involved in breast carcinoma cell survival compared to trastuzumab.
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