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Role of elevated pressure in TRAIL-induced apoptosis in human lung carcinoma cells
Sangnam Oh1, Daeho Kwon, Hyun Jeong Lee
1Cellular and Developmental Biology, Division of Biomedical Science, Seoul, Korea.
Abstract:
TNF-related apoptosis-inducing ligand (TRAIL, Apo2L) is a promising anticancer agent with high specificity for cancer cells. Many strategies have been proposed to enhance the sensitivity of cancer cells to TRAIL-mediated apoptosis, including the use of combination treatment with conventional cancer therapies. However, few reports have evaluated the effects of TRAIL in combination with mechanical stress, which can also cause apoptosis of cancer cells. In the present study, we describe a custom-designed culture system that delivers two atmospheres of elevated pressure (EP) by using compressed air, and which enhances the sensitivity of cancer cells to TRAIL-mediated apoptosis. The combination of TRAIL and EP significantly increased apoptosis of human H460 lung cancer cells more than hyperbaric normoxia or normobaric mild hyperoxia. EP-potentiating TRAIL-mediated apoptosis of H460 cells was accompanied by up-regulated death receptor 5 (DR5), activation of caspases, decreased mitochondrial membrane potential, and reactive oxygen species production. We also observed EP-induced sensitization of TRAIL-mediated apoptosis in other cancer cell types. In contrast, human normal cells showed no DNA damage or cell death when exposed to the combined treatment. In a chicken chorioallantoic membrane model, EP enhanced TRAIL-mediated apoptosis of tumors that developed from transplanted H460 cells. Collectively, EP enhanced TRAIL-induced apoptosis of human lung carcinoma cells in vitro and in vivo. These findings suggest that EP is a mechanical and physiological stimulus that might have utility as a sensitizing tool for cancer therapy.
Insights
Elevated pressure (EP) enhances cancer cell sensitivity to TRAIL-induced apoptosis. This combination therapy shows promise for treating lung carcinoma with minimal impact on normal cells.
Area of Science:
- Oncology
- Biophysics
- Cell Biology
Background:
- TNF-related apoptosis-inducing ligand (TRAIL) is a targeted anticancer agent.
- Enhancing TRAIL sensitivity in cancer cells is crucial for effective therapy.
- Mechanical stress as an apoptosis inducer for cancer cells remains underexplored.
Purpose of the Study:
- To investigate the synergistic effect of elevated pressure (EP) and TRAIL on cancer cell apoptosis.
- To explore the underlying mechanisms of EP-mediated sensitization to TRAIL.
- To evaluate the efficacy and safety of combined TRAIL and EP treatment in vitro and in vivo.
Main Methods:
- Development of a custom culture system to apply elevated pressure (2 atmospheres).
- Treatment of human H460 lung cancer cells and normal human cells with TRAIL and EP.
- Analysis of apoptosis markers including death receptor 5 (DR5) expression, caspase activation, mitochondrial membrane potential, and reactive oxygen species (ROS) production.
- In vivo studies using a chicken chorioallantoic membrane (CAM) model.
Main Results:
- Combined TRAIL and EP significantly increased apoptosis in H460 lung cancer cells compared to TRAIL or EP alone.
- EP treatment upregulated DR5, activated caspases, decreased mitochondrial membrane potential, and increased ROS production in cancer cells.
- Normal human cells showed no significant DNA damage or cell death upon combined treatment.
- In vivo studies demonstrated enhanced TRAIL-mediated apoptosis of H460 tumors in the CAM model.
Conclusions:
- Elevated pressure (EP) acts as a sensitizing agent, enhancing TRAIL-induced apoptosis in human lung carcinoma cells.
- The combination therapy is specific to cancer cells, sparing normal cells from damage.
- EP represents a novel mechanical stimulus with potential applications in enhancing cancer therapy.
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