Loss of MCL1 function sensitizes the MDA-MB-231 breast cancer cells to rh-TRAIL by increasing DR4 levels

Anna De Blasio1,2, Giovanni Pratelli1,2, Rosa Drago-Ferrante1,2

  • 1Laboratory of Biochemistry, Department of Biological, Chemical and Pharmaceutical Sciences and Technologies, University of Palermo, Polyclinic, Palermo, Italy.

Insights

Targeting MCL1, an anti-apoptotic protein, can overcome resistance to recombinant human tumor necrosis factor related apoptosis-inducing ligand (rh-TRAIL) therapy in triple-negative breast cancer (TNBC). Inhibiting MCL1 increases DR4 expression, sensitizing cells to rh-TRAIL and promoting apoptosis.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Cellular Biology

Background:

  • Triple-negative breast cancer (TNBC) exhibits high aggressiveness and therapy resistance, potentially linked to cancer stem cells.
  • MCL1, an anti-apoptotic protein, can limit the efficacy of anticancer agents like recombinant human tumor necrosis factor related apoptosis-inducing ligand (rh-TRAIL).
  • MCL1 expression is variable in TNBC tissues and cell lines, with higher protein levels observed in MDA-MB-231 cells compared to normal mammary epithelial cells.

Purpose of the Study:

  • To investigate MCL1 expression in TNBC.
  • To evaluate the effects of rh-TRAIL combined with a selective MCL1 inhibitor (A-1210477) on TNBC cell viability and growth.
  • To elucidate the molecular mechanisms underlying MCL1's role in rh-TRAIL resistance.

Main Methods:

  • Analysis of MCL1 expression in TNBC tissues and cell lines (MDA-MB-231, MDA-MB-436, BT-20).
  • Treatment of MDA-MB-231 cells with rh-TRAIL and A-1210477, assessing cell viability, apoptosis, and cell cycle.
  • Gene expression analysis (RT-PCR) and protein level assessment of apoptosis-related genes (e.g., DR4) and MCL1-DR4 interaction studies.

Main Results:

  • The combination of rh-TRAIL and A-1210477 significantly reduced MDA-MB-231 cell growth and induced apoptosis in both 2D and 3D cultures.
  • MCL1 inhibition or silencing sensitized cells to rh-TRAIL, leading to cell cycle arrest and decreased mitochondrial potential.
  • MCL1 inhibition upregulated TNFRSF10A (DR4) expression, increased DR4 protein levels and cell surface expression, and disrupted MCL1-DR4 complex formation.

Conclusions:

  • MCL1 plays a significant role in mediating resistance to rh-TRAIL in MDA-MB-231 cells.
  • Targeting MCL1, in combination with rh-TRAIL, represents a promising therapeutic strategy to overcome resistance in triple-negative breast cancer.
  • The observed increase in DR4 expression and cell surface localization upon MCL1 inhibition is a key mechanism sensitizing TNBC cells to rh-TRAIL.

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