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Published on: June 30, 2023
Obatoclax induces Atg7-dependent autophagy independent of beclin-1 and BAX/BAK
F McCoy1, J Hurwitz, N McTavish
1Centre for Cancer Research and Cell Biology, Queen's University Belfast, Northern Ireland, UK.
Abstract:
Direct pharmacological targeting of the anti-apoptotic B-cell lymphoma-2 (BCL-2) family is an attractive therapeutic strategy for treating cancer. Obatoclax is a pan-BCL-2 family inhibitor currently in clinical development. Here we show that, although obatoclax can induce mitochondrial apoptosis dependent on BCL-2 associated x protein/BCL-2 antagonist killer (BAX/BAK) consistent with its on-target pharmacodynamics, simultaneous silencing of both BAX and BAK did not abolish acute toxicity or loss of clonogenicity. This is despite complete inhibition of apoptosis. Obatoclax dramatically reduced viability without inducing loss of plasma membrane integrity. This was associated with rapid processing of light chain-3 (LC3) and reduction of S6 kinase phosphorylation, consistent with autophagy. Dramatic ultrastructural vacuolation, not typical of autophagy, was also induced. Silencing of beclin-1 failed to prevent LC3 processing, whereas knockout of autophagy-related (Atg)7 abolished LC3 processing but failed to prevent obatoclax-induced loss of clonogenicity or ultrastructural changes. siRNA silencing of Atg7 in BAX/BAK knockout mouse embryonic fibroblasts did not prevent obatoclax-induced loss of viability. Cells selected for obatoclax resistance evaded apoptosis independent of changes in BCL-2 family expression and displayed reduced LC3 processing. In summary, obatoclax exhibits BAX- and BAK-dependent and -independent mechanisms of toxicity and activation of autophagy. Mechanisms other than autophagy and apoptosis are blocked in obatoclax resistant cells and contribute significantly to obatoclax's anticancer efficacy.
Insights
Obatoclax, a BCL-2 inhibitor, causes cancer cell death through both BAX/BAK-dependent apoptosis and BAX/BAK-independent mechanisms, including autophagy. Resistance involves pathways beyond apoptosis and autophagy.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Targeting the anti-apoptotic B-cell lymphoma-2 (BCL-2) family is a key cancer therapy strategy.
- Obatoclax is a BCL-2 inhibitor in clinical development.
Purpose of the Study:
- To investigate the mechanisms of obatoclax-induced cell death and toxicity.
- To explore the roles of BCL-2 family proteins, apoptosis, and autophagy in obatoclax efficacy.
Main Methods:
- Utilized BAX/BAK knockout and beclin-1/Atg7 silenced cells.
- Assessed apoptosis, clonogenicity, LC3 processing, and ultrastructural changes.
- Investigated obatoclax resistance mechanisms.
Main Results:
- Obatoclax induced BAX/BAK-dependent apoptosis but also caused toxicity independent of apoptosis.
- Obatoclax triggered autophagy-like responses (LC3 processing, vacuolation) and S6 kinase inhibition.
- Autophagy inhibition (Atg7 knockout) did not fully prevent obatoclax toxicity or clonogenicity loss.
- Obatoclax resistance involved mechanisms beyond apoptosis and autophagy.
Conclusions:
- Obatoclax exhibits multifaceted toxicity, involving both BCL-2 family-dependent and -independent pathways.
- Autophagy is activated by obatoclax but is not the sole mediator of its cytotoxic effects.
- Novel resistance mechanisms contribute to obatoclax efficacy, suggesting complex therapeutic strategies.
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