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Updated: Jul 17, 2026

Myeloid Innate Signaling Pathway Regulation by MALT1 Paracaspase Activity
Published on: January 7, 2019
Mcl-1 down-regulation potentiates ABT-737 lethality by cooperatively inducing Bak activation and Bax translocation
Shuang Chen1, Yun Dai, Hisashi Harada
1Department of Medicine, Virginia Commonwealth University and Massey Cancer Center, Richmond, Virginia 23298, USA.
Abstract:
The Bcl-2 antagonist ABT-737 targets Bcl-2/Bcl-xL but not Mcl-1, which may confer resistance to this novel agent. Here, we show that Mcl-1 down-regulation by the cyclin-dependent kinase (CDK) inhibitor roscovitine or Mcl-1-shRNA dramatically increases ABT-737 lethality in human leukemia cells. ABT-737 induces Bax conformational change but fails to activate Bak or trigger Bax translocation. Coadministration of roscovitine and ABT-737 untethers Bak from Mcl-1 and Bcl-xL, respectively, triggering Bak activation and Bax translocation. Studies employing Bax and/or Bak knockout mouse embryonic fibroblasts (MEFs) confirm that Bax is required for ABT-737+/-roscovitine lethality, whereas Bak is primarily involved in potentiation of ABT-737-induced apoptosis by Mcl-1 down-regulation. Ectopic Mcl-1 expression attenuates Bak activation and apoptosis by ABT-737+roscovitine, whereas cells overexpressing Bcl-2 or Bcl-xL remain fully sensitive. Finally, Mcl-1 knockout MEFs are extremely sensitive to Bak conformational change and apoptosis induced by ABT-737, effects that are not potentiated by roscovitine. Collectively, these findings suggest down-regulation of Mcl-1 by either CDK inhibitors or genetic approaches dramatically potentiate ABT-737 lethality through cooperative interactions at two distinct levels: unleashing of Bak from both Bcl-xL and Mcl-1 and simultaneous induction of Bak activation and Bax translocation. These findings provide a mechanistic basis for simultaneously targeting Mcl-1 and Bcl-2/Bcl-xL in leukemia.
Insights
Targeting Mcl-1 with CDK inhibitors enhances ABT-737
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Death Pathways
Background:
- Bcl-2 family proteins regulate apoptosis.
- ABT-737 targets Bcl-2 and Bcl-xL, but resistance can occur due to Mcl-1.
- Mcl-1 is implicated in resistance to Bcl-2 antagonists.
Purpose of the Study:
- To investigate if down-regulating Mcl-1 enhances ABT-737 efficacy in leukemia.
- To elucidate the molecular mechanisms by which Mcl-1 down-regulation affects apoptosis induction by ABT-737.
Main Methods:
- Utilized cyclin-dependent kinase (CDK) inhibitor roscovitine and Mcl-1-shRNA to down-regulate Mcl-1.
- Employed Bax and Bak knockout mouse embryonic fibroblasts (MEFs).
- Assessed Bax conformational change, Bak activation, Bax translocation, and apoptosis.
Main Results:
- Mcl-1 down-regulation significantly increased ABT-737-induced lethality in human leukemia cells.
- Combined roscovitine and ABT-737 treatment unleashed Bak from Bcl-xL and Mcl-1, activating Bak and promoting Bax translocation.
- Bax was essential for ABT-737+/-roscovitine lethality, while Bak potentiated apoptosis when Mcl-1 was downregulated.
Conclusions:
- Mcl-1 down-regulation by CDK inhibitors or genetic methods potentiates ABT-737 lethality.
- This potentiation involves cooperative interactions, including Bak release and activation, and Bax translocation.
- Findings provide a rationale for co-targeting Mcl-1 and Bcl-2/Bcl-xL in leukemia treatment.
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