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Activation of targeted necrosis by a p53 peptide: a novel death pathway that circumvents apoptotic resistance
Richard D Dinnen1, Lisa Drew1, Daniel P Petrylak1
1Experimental Therapeutics Program, Division of Medical Oncology, Columbia University, College of Physicians and Surgeons, New York, New York 10032.
Abstract:
Cancer cells escape apoptosis by intrinsic or acquired mechanisms of drug resistance. An alternative strategy to circumvent resistance to apoptosis could be through redirection into other death pathways, such as necrosis. However, necrosis is a nonspecific, nontargeted process resulting in cell lysis and inflammation of both cancer and normal cells and is therefore not a viable alternative. Here, we report that a C-terminal peptide of p53, called p53p-Ant, induced targeted necrosis only in multiple mutant p53 human prostate cancer lines and not normal cells, because the mechanism of cytotoxicity by p53p-Ant is dependent on the presence of high levels of mutant p53. Topotecan- and paclitaxel-resistant prostate cancer lines were as sensitive to p53p-Ant-induced targeted necrosis as parental lines. A massive loss of ATP pools and intracellular generation of reactive oxygen species was involved in the mechanism of targeted necrosis, which was inhibited by O(2)(.) scavengers. We hypothesize that targeted necrosis by p53p-Ant is dependent on mutant p53, is mediated by O(2)(.) loss and ATP, and can circumvent chemotherapy resistance to apoptosis. Targeted necrosis, as an alternative pathway for selective killing of cancer cells, may overcome the problems of nonspecificity in utilizing the necrotic pathway.
Insights
A novel peptide, p53p-Ant, induces targeted necrosis in mutant p53 prostate cancer cells, bypassing drug resistance. This targeted necrosis mechanism involves ATP loss and reactive oxygen species, offering a selective cancer cell-killing strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Death Pathways
Background:
- Cancer cells develop drug resistance by evading apoptosis.
- Alternative cell death pathways like necrosis are non-specific and cause inflammation.
- Targeted cell death strategies are needed to overcome apoptosis resistance.
Purpose of the Study:
- To investigate p53p-Ant peptide's potential to induce targeted necrosis in prostate cancer.
- To determine if p53p-Ant can circumvent chemotherapy resistance.
- To elucidate the mechanism of p53p-Ant-induced targeted necrosis.
Main Methods:
- Treatment of human prostate cancer lines with p53p-Ant peptide.
- Assessment of cytotoxicity in parental and drug-resistant cell lines.
- Analysis of ATP levels and reactive oxygen species generation.
- Inhibition studies using O(2)(.) scavengers.
Main Results:
- p53p-Ant induced targeted necrosis specifically in mutant p53 prostate cancer cells, not normal cells.
- Drug-resistant prostate cancer lines showed sensitivity to p53p-Ant.
- The mechanism involved massive ATP loss and reactive oxygen species generation.
- Necrosis induction was inhibited by O(2)(.) scavengers.
Conclusions:
- p53p-Ant peptide induces targeted necrosis dependent on mutant p53 levels.
- This pathway circumvents apoptosis resistance and chemotherapy resistance.
- Targeted necrosis offers a specific alternative to non-specific cell death pathways for cancer treatment.
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