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RIP1 is required for IAP inhibitor-mediated sensitization for TRAIL-induced apoptosis via a RIP1/FADD/caspase-8 cell
B A Abhari1, S Cristofanon, R Kappler
1Institute for Experimental Cancer Research in Pediatrics, Goethe-University, Frankfurt, Germany.
Abstract:
Inhibitor of apoptosis (IAP) proteins represent promising therapeutic targets due to their high expression in many cancers. Here, we report that small-molecule IAP inhibitors at subtoxic concentrations cooperate with monoclonal antibodies against TRAIL receptor 1 (Mapatumumab) or TRAIL-R2 (Lexatumumab) to induce apoptosis in neuroblastoma cells in a highly synergistic manner (combination index <0.1). Importantly, we identify receptor-activating protein 1 (RIP1) as a critical mediator of this synergism. RIP1 is required for the formation of a RIP1/FADD/caspase-8 complex that drives caspase-8 activation, cleavage of Bid into tBid, mitochondrial outer membrane permeabilization, full activation of caspase-3 and caspase-dependent apoptosis. Indeed, knockdown of RIP1 abolishes formation of the RIP1/FADD/caspase-8 complex, caspase activation and apoptosis upon combination treatment. Similarly, inhibition of RIP1 kinase activity by Necrostatin-1 inhibits IAP inhibitor- and TRAIL receptor-triggered apoptosis. In contrast, overexpression of the dominant-negative superrepressor IκBα-SR or addition of the tumor necrosis factor (TNF)α-blocking antibody Enbrel do not interfere with cotreatment-induced apoptosis, pointing to a nuclear factor-κB- and TNFα-independent mechanism. Of note, IAP inhibitor also sensitizes primary cultured neuroblastoma cells for TRAIL receptor-mediated loss of viability, underscoring the clinical relevance. By identifying RIP1 as a critical mediator of IAP inhibitor-mediated sensitization for Mapatumumab- or Lexatumumab-induced apoptosis, our findings provide new insights into the synergistic interaction of IAP inhibitors together with TRAIL receptor agonists.
Insights
Small-molecule inhibitors of apoptosis proteins (IAPs) synergize with TRAIL receptor antibodies to kill neuroblastoma cells. Receptor-interacting protein 1 (RIP1) is essential for this combined cell death, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Inhibitor of apoptosis (IAP) proteins are highly expressed in many cancers, making them promising therapeutic targets.
- TRAIL receptor agonists (Mapatumumab, Lexatumumab) show potential for cancer treatment but often face resistance.
Purpose of the Study:
- To investigate the synergistic effects of IAP inhibitors and TRAIL receptor agonists in neuroblastoma.
- To identify the molecular mechanisms underlying this synergism, particularly the role of receptor-interacting protein 1 (RIP1).
Main Methods:
- Combination treatment of neuroblastoma cells with small-molecule IAP inhibitors and TRAIL receptor antibodies (Mapatumumab/Lexatumumab).
- Assessment of apoptosis induction and synergy using combination index calculations.
- Analysis of RIP1 involvement through knockdown and kinase inhibition (Necrostatin-1).
- Investigation of signaling pathways, including RIP1/FADD/caspase-8 complex formation and TNFα/NF-κB independence.
Main Results:
- IAP inhibitors and TRAIL receptor antibodies exhibited strong synergy (combination index <0.1) in inducing apoptosis in neuroblastoma cells.
- Receptor-interacting protein 1 (RIP1) was identified as a critical mediator, essential for forming the RIP1/FADD/caspase-8 complex and subsequent caspase activation.
- RIP1 knockdown or kinase inhibition abrogated the synergistic apoptosis, confirming RIP1's central role.
- The synergistic cell death mechanism was independent of nuclear factor-κB (NF-κB) and tumor necrosis factor-alpha (TNFα).
Conclusions:
- Small-molecule IAP inhibitors sensitize neuroblastoma cells to TRAIL receptor agonists, leading to potent synergistic apoptosis.
- RIP1 is a key mediator of this synergism, facilitating the formation of a death-inducing signaling complex and downstream caspase activation.
- These findings provide critical insights into the mechanism of IAP inhibitor and TRAIL receptor agonist cooperation and suggest RIP1 as a potential therapeutic target in neuroblastoma.
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