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Blood, 15 March 2002, Vol. 99, No. 6, pp. 2162-2171
NEOPLASIA
Intracellular regulation of tumor necrosis
factor-related apoptosis-inducing ligand-induced apoptosis in human
multiple myeloma cells
Nicholas Mitsiades,
Constantine S. Mitsiades,
Vassiliki Poulaki,
Kenneth C. Anderson, and
Steven P. Treon
From the Department of Adult Oncology, Dana Farber
Cancer Institute, and Department of Medicine, Harvard Medical School,
and Massachusetts Eye and Ear Infirmary, Harvard Medical School,
Boston, MA.
Tumor necrosis factor-related apoptosis-inducing ligand
(TRAIL, Apo2 ligand) effectively kills multiple myeloma (MM) cells in
vitro irrespective of refractoriness to dexamethasone and chemotherapy. Because clinical trials with this anticancer agent are expected shortly, we investigated the signaling pathway of TRAIL-induced apoptosis in MM. We detected rapid cleavage of caspases-8, -9, -3, and -6, as well as the caspase substrates poly(ADP-ribose) polymerase (PARP) and DNA fragmentation factor-45
(DFF45), but not caspase-10, upon TRAIL treatment in sensitive
MM cells, pointing to caspase-8 as the apical caspase of TRAIL
signaling in MM cells. These phenomena were not observed or
were significantly delayed in TRAIL-resistant MM cells,
suggesting that resistance may arise from inhibition at the level of
caspase-8 activation. Higher levels of expression for various apoptosis
inhibitors, including FLICE-inhibitory protein (FLIP), and lower
procaspase-8 levels were present in TRAIL-resistant cells and
sensitivity was restored by the protein synthesis inhibitor
cycloheximide (CHX) and the protein kinase C (PKC) inhibitor
bisindolylmaleimide (BIM), which both lowered FLIP and
cellular inhibitor of apoptosis protein-2 (cIAP-2)
protein levels. Forced expression of procaspase-8 or FLIP antisense
oligonucleotides also sensitized TRAIL-resistant cells to TRAIL.
Moreover, the cell permeable nuclear factor (NF)- B inhibitor SN50,
which sensitizes TRAIL-resistant cells to TRAIL, also inhibited cIAP2
protein expression. Finally, CHX, BIM, and SN50 facilitated the
cleavage and activation of procaspase-8 in TRAIL-resistant cells,
confirming that inhibition of TRAIL-induced apoptosis occurs at this
level and that these agents sensitize MM cells by relieving this block.
Our data set a framework for the clinical use of approaches that
sensitize MM cells to TRAIL by agents that inhibit FLIP and cIAP-2
expression or augment caspase-8 activity.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
Related Letter in Blood Online:
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TRAIL-induced apoptosis of authentic myeloma cells does not correlate with the procaspase-8/cFLIP ratio
- Andrew Spencer, Sung-Lin Yeh, Karly Koutrevelis, Cindy Baulch-Brown ;, Nicholas Mitsiades, Constantine Mitsiades, Kenneth C. Anderson, and Steven P. Treon
Blood 2002 100: 3049-3050.
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