FTY720 enhances TRAIL-mediated apoptosis by up-regulating DR5 and down-regulating Mcl-1 in cancer cells

Seon Min Woo1, Bo Ram Seo1, Kyoung-jin Min1

  • 1Department of Immunology, School of Medicine, Keimyung University, Dalseo-Gu, Daegu 704-701, South Korea.

Oncotarget
|April 7, 2015
PubMed

Insights

FTY720 (Fingolimod) combined with TRAIL induces cancer cell death, sparing normal cells. This combination upregulates DR5 and downregulates Mcl-1, enhancing apoptosis and reducing tumor growth.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • FTY720 (Fingolimod) acts as a sphingosine-1-phosphate (S1P) receptor antagonist and sphingosine kinase 1 inhibitor.
  • TRAIL (TNF-related apoptosis-inducing ligand) is known for its ability to induce apoptosis in cancer cells.

Purpose of the Study:

  • To investigate the synergistic effect of FTY720 and TRAIL on cancer cell apoptosis.
  • To elucidate the molecular mechanisms underlying the combined treatment's efficacy.

Main Methods:

  • Treatment of human renal, breast, and colon carcinoma cells with FTY720 and TRAIL.
  • Assessment of apoptosis induction and tumor growth in xenograft models.
  • Analysis of death receptor 5 (DR5) and Mcl-1 expression at the post-translational level.

Main Results:

  • The combination of FTY720 and TRAIL induced apoptosis in human cancer cells but not in normal cells.
  • Combined treatment significantly reduced tumor growth in xenograft models.
  • FTY720 upregulated DR5 and downregulated Mcl-1 expression post-translationally, which were critical for apoptosis induction.

Conclusions:

  • FTY720 enhances TRAIL-induced apoptosis in human cancer cells by upregulating DR5 and downregulating Mcl-1.
  • The combination therapy shows potential as a cancer treatment strategy with selectivity for malignant cells.

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