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Published on: April 2, 2020
CK2 controls TRAIL and Fas sensitivity by regulating FLIP levels in endometrial carcinoma cells
D Llobet1, N Eritja, M Encinas
1Oncologic Pathology Group, Institut de Recerca Biomèdica de Lleida, IRBLleida, Lleida, Spain.
Abstract:
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) has emerged as a promising antineoplastic agent because of its ability to selectively kill tumoral cells. However, some cancer cells are resistant to TRAIL-induced apoptosis. We have previously demonstrated that in endometrial carcinoma cells such resistance is caused by elevated FLICE-inhibitory protein (FLIP) levels. The present study focuses on the mechanisms by which FLIP could be modulated to sensitize endometrial carcinoma cells to TRAIL-induced apoptosis. We find that inhibition of casein kinase (CK2) sensitizes endometrial carcinoma cells to TRAIL- and Fas-induced apoptosis. CK2 inhibition correlates with a reduction of FLIP protein, suggesting that CK2 regulates resistance to TRAIL and Fas by controlling FLIP levels. FLIP downregulation correlates with a reduction of mRNA and is prevented by addition of the MG-132, suggesting that CK2 inhibition results in a proteasome-mediated degradation of FLIP. Consistently, forced expression of FLIP restores resistance to TRAIL and Fas. Moreover, knockdown of either FADD or caspase-8 abrogates apoptosis triggered by inhibition of CK2, indicating that CK2 sensitization requires formation of functional DISC. Finally, because of the possible role of both TRAIL and CK2 in cancer therapy, we demonstrate that CK2 inhibition sensitizes primary endometrial carcinoma explants to TRAIL apoptosis. In conclusion, we demonstrate that CK2 regulates endometrial carcinoma cell sensitivity to TRAIL and Fas by regulating FLIP levels.
Insights
Casein kinase (CK2) inhibition sensitizes cancer cells to TRAIL-induced apoptosis by reducing FLIP protein levels, leading to proteasome-mediated degradation. This strategy shows promise for enhancing cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) selectively induces apoptosis in cancer cells.
- Resistance to TRAIL-induced apoptosis in endometrial carcinoma is linked to elevated FLICE-inhibitory protein (FLIP) levels.
Purpose of the Study:
- To investigate mechanisms for sensitizing endometrial carcinoma cells to TRAIL-induced apoptosis.
- To explore the role of casein kinase (CK2) in regulating FLIP levels and TRAIL sensitivity.
Main Methods:
- Inhibition of CK2 in endometrial carcinoma cells.
- Assessment of FLIP protein and mRNA levels.
- Analysis of apoptosis induction via TRAIL and Fas.
- Proteasome inhibition using MG-132.
- Forced expression of FLIP.
- Knockdown of FADD and caspase-8.
- Testing in primary endometrial carcinoma explants.
Main Results:
- CK2 inhibition sensitized endometrial carcinoma cells to TRAIL- and Fas-induced apoptosis.
- CK2 inhibition led to decreased FLIP protein levels, suggesting CK2 regulates FLIP.
- FLIP downregulation was proteasome-mediated and reduced FLIP mRNA.
- Restoring FLIP levels re-established resistance to TRAIL and Fas.
- CK2-induced sensitization required functional DISC formation (FADD and caspase-8).
- CK2 inhibition sensitized primary endometrial carcinoma explants to TRAIL.
Conclusions:
- CK2 plays a critical role in regulating endometrial carcinoma cell sensitivity to TRAIL and Fas.
- CK2 inhibition sensitizes cancer cells to TRAIL-induced apoptosis by promoting FLIP degradation.
- Targeting CK2 represents a potential therapeutic strategy to overcome TRAIL resistance in endometrial carcinoma.
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