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4.
Oncogene ; 21(22): 3611-9, 2002 May 16.
Article in English | MEDLINE | ID: mdl-12032863

ABSTRACT

Apo2L/TRAIL exhibits enhanced apoptotic activity in tumor xenograft models when used in combination with the topoisomerase 1 inhibitor CPT-11. To investigate the cellular mechanisms involved in this increased tumor-killing activity, a series of in vitro experiments were conducted using the human colon carcinoma cell line (HCT116). Apo2L/TRAIL induced a transient upregulation of DR5 mRNA, while CPT-11 increased both death and decoy receptor expression. Upregulation of decoy receptors by CPT-11 was partially inhibited by co-administration of Apo2L/TRAIL. CPT-11 treatment resulted in accumulation of cells at G(2)M-phase and correlated with a substantial increase in the protein levels of the cyclin-dependent kinase inhibitor p21. However, cells co-treated with CPT-11 and Apo2L/TRAIL, or pretreated with CPT-11 for up to 24 h followed by 2 h Apo2L/TRAIL, resulted in a caspase-dependent degradation of p21, reversal of G(2)-M phase arrest with a concomitant increase in apoptosis. The sequential treatment produced the greatest induction of DR5 and DR4, caspase-3-like cleavage/activation and p21 degradation, as well as increased apoptosis. These data indicate that the up-regulation of Apo2L/TRAIL ligand and its death receptors as well as cleavage of p21 protein in the Apo2L/TRAIL plus CPT-11 treatment contributes to the positive cooperation between these agents in enhancing tumor cell apoptosis.


Subject(s)
Antineoplastic Agents, Phytogenic/pharmacology , Camptothecin/pharmacology , Cyclins/metabolism , Membrane Glycoproteins/pharmacology , Neoplasms/drug therapy , Receptors, Tumor Necrosis Factor/metabolism , Tumor Necrosis Factor-alpha/pharmacology , Apoptosis , Apoptosis Regulatory Proteins , Camptothecin/analogs & derivatives , Camptothecin/antagonists & inhibitors , Carcinoma/drug therapy , Carcinoma/metabolism , Carcinoma/pathology , Caspases/metabolism , Cell Cycle , Cells, Cultured , Colonic Neoplasms/drug therapy , Colonic Neoplasms/metabolism , Colonic Neoplasms/pathology , Cyclin-Dependent Kinase Inhibitor p21 , Drug Synergism , Humans , Irinotecan , Kinetics , Neoplasms/metabolism , Neoplasms/pathology , RNA, Neoplasm/biosynthesis , TNF-Related Apoptosis-Inducing Ligand , Tumor Cells, Cultured
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