The Combination of PF-543 and TRAIL Effectively Induces Apoptotic Cell Death and Inhibits Stem Cell-Like Properties

Se Lim Kim1,2, Min Woo Shin1,2, Byung Chul Jin1,2

  • 1Department of Internal Medicine, Research Institute of Clinical Medicine of Jeonbuk National University Medical School, 20, Geonji-ro, Deokjin-gu, Jeonju, Jeonbuk, 54907, Republic of Korea.

Abstract

Insights

Combining a TRAIL-resistant colorectal cancer (CRC) cell line with a sphingosine kinase 1 (SPHK1) inhibitor, PF-543, overcomes resistance. This combination therapy enhances apoptosis and reduces cancer stemness in CRC cells.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) induces apoptosis in cancer cells, but resistance can develop.
  • Sphingosine kinase 1 (SPHK1) is implicated in cancer progression and therapeutic resistance.
  • Colorectal cancer (CRC) cells can acquire resistance to TRAIL-induced apoptosis.

Purpose of the Study:

  • To investigate if combining TRAIL with a specific SPHK1 inhibitor (PF-543) can overcome TRAIL resistance in CRC cells.
  • To elucidate the molecular mechanisms by which PF-543 sensitizes TRAIL-resistant CRC cells.
  • To assess the impact of combination therapy on cancer cell aggressiveness and stemness.

Main Methods:

  • TRAIL-resistant colorectal cancer cells (HCT116-TR) were treated with TRAIL and/or PF-543.
  • Apoptosis, cell signaling, aggressiveness, and cancer stemness were evaluated using assays like MTT, Western blotting, and wound healing.
  • Molecular mechanisms were examined via Western blotting to analyze key pathways.

Main Results:

  • Combined PF-543 and TRAIL treatment synergistically enhanced apoptosis in HCT116-TR cells.
  • PF-543 sensitized cells to TRAIL by activating the mitochondrial apoptosis pathway and regulating DcR1/DR5 via the SPHK1/S1PR1/STAT3 pathway.
  • Combination therapy reduced cell aggressiveness and cancer stemness by modulating epithelial-mesenchymal transition (EMT) and stemness markers.

Conclusions:

  • Targeting SPHK1 with PF-543 is a viable strategy to overcome TRAIL resistance in colorectal cancer.
  • The SPHK1/S1PR1/STAT3 pathway plays a critical role in mediating TRAIL resistance in CRC.
  • Combination therapy holds potential for inhibiting CRC metastasis and improving treatment outcomes.

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