Differential effects of procaspase-3 activating compounds in the induction of cancer cell death
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Updated: May 23, 2026

Lighting Up the Pathways to Caspase Activation Using Bimolecular Fluorescence Complementation
Published on: March 5, 2018
Diana C West1, Yan Qin, Quinn P Peterson
1Department of Chemistry, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, United States.
Abstract:
The evasion of apoptosis is a key characteristic of cancer, and thus strategies to selectively induce apoptosis in cancer cells hold considerable promise in personalized anticancer therapy. Structurally similar procaspase activating compounds PAC-1 and S-PAC-1 restore procaspase-3 activity through the chelation of inhibitory zinc ions in vitro, induce apoptotic death of cancer cells in culture, and reduce tumor burden in vivo. Ip or iv administrations of high doses of PAC-1 are transiently neurotoxic in vivo, while S-PAC-1 is safe even at very high doses and has been evaluated in a phase I clinical trial of pet dogs with spontaneously occurring lymphoma. Here we show that PAC-1 and S-PAC-1 have similar mechanisms of cell death induction at low concentrations (less than 50 μM), but at high concentrations PAC-1 displays unique cell death induction features. Cells treated with a high concentration of PAC-1 have a distinctive gene expression profile, unusual cellular and mitochondrial morphology, and an altered intracellular Ca(2+) concentration, indicative of endoplasmic reticulum (ER) stress-induced apoptosis. These studies suggest strategies for anticancer clinical development, specifically bolus dosing for PAC-1 and continuous rate infusion for S-PAC-1.
Insights
PAC-1 and S-PAC-1 induce cancer cell death by restoring procaspase-3 activity. High-dose PAC-1 triggers unique endoplasmic reticulum stress-induced apoptosis, suggesting distinct clinical development strategies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Apoptosis evasion is a hallmark of cancer, making apoptosis induction a promising therapeutic strategy.
- Procaspase-activating compounds (PACs) like PAC-1 and S-PAC-1 chelate zinc ions to restore procaspase-3 activity, inducing cancer cell death.
- While PAC-1 exhibits transient neurotoxicity at high doses, S-PAC-1 is well-tolerated and has undergone clinical evaluation.
Purpose of the Study:
- To investigate the distinct mechanisms of cell death induced by PAC-1 and S-PAC-1 at varying concentrations.
- To explore the potential of PAC-1 and S-PAC-1 in personalized anticancer therapy.
- To inform clinical development strategies for these compounds.
Main Methods:
- In vitro and in vivo studies using PAC-1 and S-PAC-1.
- Analysis of gene expression profiles, cellular and mitochondrial morphology.
- Intracellular calcium (Ca2+) concentration measurements.
- Assessment of endoplasmic reticulum (ER) stress markers.
Main Results:
- At low concentrations (<50 μM), PAC-1 and S-PAC-1 induce cell death via similar mechanisms.
- High concentrations of PAC-1 induce unique cell death features, including ER stress, altered gene expression, and morphological changes.
- S-PAC-1 demonstrates safety at high doses, supporting its clinical evaluation.
Conclusions:
- PAC-1 and S-PAC-1 exhibit concentration-dependent differences in their mechanisms of cancer cell death induction.
- High-dose PAC-1's ER stress-mediated apoptosis suggests specific dosing strategies (bolus).
- S-PAC-1's safety profile supports continuous infusion strategies for clinical development.
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