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Published on: January 12, 2016
Arsenic trioxide decreases AKT protein in a caspase-dependent manner
Koren K Mann1, Myrian Colombo, Wilson H Miller
1Lady Davis Institute for Medical Research, Segal Cancer Center, McGill University, Montreal, Quebec, Canada.
Abstract:
Arsenic trioxide (As2O3) is used clinically to treat acute promyelocytic leukemia but is less successful in other malignancies. To identify targets for potential combination therapies, we have begun to characterize signaling pathways leading to As2O3-induced cytotoxicity. Previously, we described the requirement for a reactive oxygen species-mediated, SEK1/c-Jun NH2-terminal kinase (JNK) pathway to induce apoptosis. AKT inhibits several steps in this pathway; therefore, we postulated that As2O3 might decrease its activity. Indeed, As2O3 decreases not only AKT activity but also total AKT protein, and sensitivity to As2O3 correlates with the degree of AKT protein decrease. Decreased AKT expression further correlates with JNK activation and the release of AKT from the JNK-interacting protein 1 scaffold protein known to assemble the mitogen-activated protein kinase cascade. We found that As2O3 regulates AKT protein stability without significant effects on its transcription or translation. We show that As2O3 decreases AKT protein via caspase-mediated degradation, abrogated by caspase-6, caspase-8, caspase-9, and caspase-3 inhibitors but not proteosome inhibitors. Furthermore, As2O3 enhances the ability of a heat shock protein 90 inhibitor to decrease AKT expression and increase growth inhibition. This suggests that As2O3 may be useful in combination therapies that target AKT pathways or in tumors that have constitutively active AKT expression.
Insights
Arsenic trioxide (As2O3) reduces AKT protein levels, enhancing its cytotoxicity via the JNK pathway. This finding suggests As2O3 combination therapies for cancers with high AKT activity.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Arsenic trioxide (As2O3) treats acute promyelocytic leukemia but shows limited efficacy in other cancers.
- Understanding As2O3-induced cytotoxicity pathways is crucial for developing novel combination therapies.
- A reactive oxygen species-mediated, SEK1/c-Jun NH2-terminal kinase (JNK) pathway is essential for As2O3-induced apoptosis.
Purpose of the Study:
- To investigate the role of AKT in As2O3-induced cytotoxicity.
- To elucidate the mechanism by which As2O3 affects AKT activity and expression.
- To identify potential therapeutic targets for enhancing As2O3 efficacy.
Main Methods:
- Assessed As2O3 effects on AKT activity and protein levels in cancer cells.
- Investigated the correlation between AKT protein decrease and As2O3 sensitivity.
- Utilized caspase and proteasome inhibitors to determine the mechanism of AKT degradation.
- Examined the impact of heat shock protein 90 (HSP90) inhibitors in combination with As2O3.
Main Results:
- As2O3 decreases both AKT activity and total AKT protein levels.
- Reduced AKT protein levels correlate with increased As2O3 sensitivity and JNK pathway activation.
- As2O3 induces AKT degradation via caspase-mediated pathways, not proteasomal degradation.
- Combining As2O3 with an HSP90 inhibitor enhances AKT downregulation and growth inhibition.
Conclusions:
- As2O3-induced cytotoxicity involves the downregulation of AKT protein stability.
- Caspase-mediated degradation is the primary mechanism for As2O3-induced AKT loss.
- As2O3 may be effective in combination therapies targeting AKT signaling or in tumors with high AKT expression.
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