4-Hydroxytamoxifen induces autophagic death through K-Ras degradation
Latika Kohli1, Niroop Kaza, Tatjana Coric
1Departments of Pathology, Cell Biology, and Pharmacology and Toxicology, and Medical Scientist Training Program, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Abstract:
Tamoxifen is widely used to treat estrogen receptor-positive breast cancer. Recent findings that tamoxifen and its derivative 4-hydroxytamoxifen (OHT) can exert estrogen receptor-independent cytotoxic effects have prompted the initiation of clinical trials to evaluate its use in estrogen receptor-negative malignancies. For example, tamoxifen and OHT exert cytotoxic effects in malignant peripheral nerve sheath tumors (MPNST) where estrogen is not involved. In this study, we gained insights into the estrogen receptor-independent cytotoxic effects of OHT by studying how it kills MPNST cells. Although caspases were activated following OHT treatment, caspase inhibition provided no protection from OHT-induced death. Rather, OHT-induced death in MPNST cells was associated with autophagic induction and attenuated by genetic inhibition of autophagic vacuole formation. Mechanistic investigations revealed that OHT stimulated autophagic degradation of K-Ras, which is critical for survival of MPNST cells. Similarly, we found that OHT induced K-Ras degradation in breast, colon, glioma, and pancreatic cancer cells. Our findings describe a novel mechanism of autophagic death triggered by OHT in tumor cells that may be more broadly useful clinically in cancer treatment.
Insights
4-hydroxytamoxifen (OHT) kills cancer cells, including estrogen receptor-negative types like MPNST, through a novel autophagic cell death pathway. This mechanism involves K-Ras degradation and offers potential for broader clinical cancer treatment applications.
Area of Science:
- Oncology
- Molecular Biology
- Cell Death Pathways
Background:
- Tamoxifen is a standard treatment for estrogen receptor-positive breast cancer.
- Emerging evidence shows tamoxifen and 4-hydroxytamoxifen (OHT) have estrogen receptor-independent cytotoxic effects.
- Clinical trials are exploring OHT for estrogen receptor-negative cancers, including malignant peripheral nerve sheath tumors (MPNST).
Purpose of the Study:
- To elucidate the estrogen receptor-independent cytotoxic mechanisms of OHT in MPNST cells.
- To identify the specific cell death pathways involved in OHT-induced cell death.
- To investigate the role of K-Ras in OHT's anti-cancer effects.
Main Methods:
- Investigated OHT's effects on MPNST cell viability and death.
- Assessed caspase activation and inhibition.
- Analyzed OHT's impact on autophagy induction and autophagic vacuole formation.
- Examined K-Ras degradation following OHT treatment using genetic and molecular techniques.
- Validated OHT's effects on K-Ras in other cancer cell lines (breast, colon, glioma, pancreatic).
Main Results:
- OHT induced cell death in MPNST cells independently of estrogen receptors.
- Caspase activation was observed, but caspase inhibition did not protect cells from OHT-induced death.
- OHT treatment led to the induction of autophagy.
- Inhibition of autophagic vacuole formation attenuated OHT-induced cell death.
- OHT stimulated the autophagic degradation of K-Ras, a protein crucial for MPNST cell survival.
- OHT also induced K-Ras degradation in breast, colon, glioma, and pancreatic cancer cells.
Conclusions:
- OHT triggers a novel form of cancer cell death via autophagy, independent of estrogen receptor signaling.
- The mechanism involves the autophagic degradation of the survival protein K-Ras.
- This OHT-induced autophagic death pathway holds promise for broader clinical applications in treating various cancers.
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