ABT-737, a small molecule Bcl-2/Bcl-xL antagonist, increases antimitotic-mediated apoptosis in human prostate cancer
Ricardo Parrondo1, Alicia de Las Pozas, Teresita Reiner
1Geriatric Research, Education, and Clinical Center and Research Service, Bruce W. Carter Veterans Affairs Medical Center , Miami, FL , USA.
Abstract:
Castration-resistant prostate cancer (CRPC) expresses high levels of the anti-apoptotic proteins Bcl-2, Bcl-xL and Mcl-1, resulting in resistance to apoptosis and association with poor prognosis. Docetaxel, an antimitotic drug that is the first-line treatment strategy for CRPC, is known to provide a small survival benefit. However, docetaxel chemotherapy alone is not enough to counteract the high levels of Bcl-2/Bcl-xL/Mcl-1 present in CRPC. ABT-737 is a small molecule that binds to Bcl-2/Bcl-xL (but not Mcl-1) with high affinity and disrupts their interaction with pro-apoptotic Bax/Bak, thus enhancing apoptosis. Our results indicate that ABT-737 can sensitize androgen-dependent LNCaP and CRPC PC3 cells to docetaxel- and to the novel antimitotic ENMD-1198-mediated caspase-dependent apoptosis. CRPC DU145 cells, however, are more resistant to ABT-737 because they are Bax null and not because they express the highest levels of anti-apoptotic Mcl-1 (associated with ABT-737 resistance). Knockdown of Bax or Bak in LNCaP indicates that ABT-737-induced antimitotic enhancement of apoptosis is more dependent on the levels of Bax than Bak. Furthermore, we find that the ability of docetaxel to increase cyclin B1/Cdk1-mediated phosphorylation of Bcl-2/Bcl-xL and decrease Mcl-1 is required for ABT-737 to enhance apoptosis in PC3 cells, as determined by addition of Cdk1 inhibitor purvalanol A and expression of shRNA specific for cyclin B1. Overall, our data suggests that the high levels of anti-apoptotic proteins in Bax-expressing CRPC cells can be overcome by targeting Bcl-2/Bcl-xL with ABT-737 and Mcl-1 with antimitotics.
Insights
This study shows that combining ABT-737 with chemotherapy can overcome resistance in castration-resistant prostate cancer (CRPC) by targeting anti-apoptotic proteins. This approach enhances apoptosis and improves treatment efficacy for CRPC patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Castration-resistant prostate cancer (CRPC) exhibits high levels of anti-apoptotic proteins (Bcl-2, Bcl-xL, Mcl-1), conferring resistance to apoptosis and poor prognosis.
- Docetaxel, a first-line treatment for CRPC, offers limited survival benefit due to insufficient counteraction of these anti-apoptotic proteins.
Purpose of the Study:
- To investigate the efficacy of ABT-737, a Bcl-2/Bcl-xL inhibitor, in sensitizing CRPC cells to chemotherapy.
- To elucidate the mechanisms underlying ABT-737's effects on apoptosis in different CRPC cell lines.
Main Methods:
- Utilized CRPC cell lines (LNCaP, PC3, DU145) with varying protein expression levels.
- Administered ABT-737 in combination with docetaxel or ENMD-1198.
- Performed gene knockdown (Bax, Bak, cyclin B1) and used specific inhibitors (purvalanol A) to analyze apoptotic pathways.
Main Results:
- ABT-737 sensitized LNCaP and PC3 cells to docetaxel and ENMD-1198, enhancing caspase-dependent apoptosis.
- DU145 cells, being Bax-null, showed resistance to ABT-737, indicating Bax's crucial role.
- Docetaxel-induced phosphorylation of Bcl-2/Bcl-xL and Mcl-1 reduction were essential for ABT-737's sensitizing effect in PC3 cells.
Conclusions:
- Targeting Bcl-2/Bcl-xL with ABT-737 and Mcl-1 with antimitotics can overcome anti-apoptotic protein-mediated resistance in Bax-expressing CRPC.
- The combination therapy holds promise for improving CRPC treatment outcomes by re-sensitizing resistant cancer cells to apoptosis.
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