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Published on: March 25, 2016
Vernodalol enhances TRAIL-induced apoptosis in diffuse large B-cell lymphoma cells
Wenjun Wu1, Yang Yang1, Gang Deng2
1The Bone Marrow Transplantation Center and Multiple Myeloma Treatment Center, The First Affiliated Hospital of Medical College, Zhejiang University, Hangzhou, China.
Abstract:
Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) is a potent anti-tumor agent that triggers apoptosis in cells from multiple types of carcinoma but not in normal cells. However, diverse mechanisms are associated with insensitivity to TRAIL in various cancers. TRAIL efficacy may be enhanced by combining TRAIL with a sensitizer. In this study, vernodalol, a sesquiterpene lactone, sensitized diffuse large B-cell lymphoma (DLBCL) cells to TRAIL-induced apoptosis. Vernodalol increased the expression of death receptor (DR) 5, and silencing of DR5 with a small interfering RNA (siRNA) reduced the effect of vernodalol on TRAIL-mediated apoptosis. Additionally, vernodalol up-regulated the expression of CCAAT/enhancer-binding protein (C/EBP) homologous protein (CHOP), a transcription factor. Inhibition of CHOP with a siRNA diminished DR5 expression and vernodalol-induced sensitization to the TRAIL treatment. In addition, a c-Jun N-terminal kinase (JNK) inhibitor blocked the vernodalol-induced up-regulation of DR5, indicating that the effect depended on JNK activation. Furthermore, the down-regulation of induced myeloid leukaemia cell differentiation protein (Mcl-1) played an important role in vernodalol/TRAIL-induced apoptosis, as Mcl-1 overexpression prevented this apoptotic effect. Moreover, the vernodalol/TRAIL combination inhibited tumor growth in a xenograft model. Based on our results, vernodalol enhanced TRAIL-induced apoptosis by down-regulating Mcl-1 and up-regulating DR5, and the effects of DR5 depended on JNK activation and CHOP induction. Therefore, combining TRAIL with vernodalol, a naturally occurring agent, may represent a promising therapeutic approach for DLBCL.
Insights
Vernodalol, a natural compound, sensitizes diffuse large B-cell lymphoma (DLBCL) cells to TRAIL therapy by increasing death receptor 5 (DR5) and decreasing Mcl-1. This combination therapy shows promise for treating DLBCL.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) induces apoptosis in cancer cells but faces resistance in many cancers.
- Enhancing TRAIL efficacy through combination therapy with sensitizers is a key strategy in cancer treatment.
Purpose of the Study:
- To investigate the potential of vernodalol, a sesquiterpene lactone, as a sensitizer to enhance TRAIL-induced apoptosis in diffuse large B-cell lymphoma (DLBCL).
Main Methods:
- Utilized small interfering RNA (siRNA) to silence death receptor 5 (DR5) and CCAAT/enhancer-binding protein (C/EBP) homologous protein (CHOP).
- Employed a c-Jun N-terminal kinase (JNK) inhibitor to assess the role of JNK activation.
- Overexpressed induced myeloid leukaemia cell differentiation protein (Mcl-1) to evaluate its impact on apoptosis.
- Tested the combination therapy in a DLBCL xenograft model.
Main Results:
- Vernodalol increased DR5 and CHOP expression, sensitizing DLBCL cells to TRAIL-induced apoptosis.
- DR5 up-regulation was dependent on JNK activation and CHOP induction.
- Down-regulation of Mcl-1 was crucial for the vernodalol/TRAIL-induced apoptotic effect.
- The combination of vernodalol and TRAIL inhibited tumor growth in vivo.
Conclusions:
- Vernodalol acts as a sensitizer for TRAIL therapy in DLBCL by modulating DR5, CHOP, JNK, and Mcl-1 pathways.
- The combination of TRAIL with vernodalol presents a promising therapeutic strategy for DLBCL.
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