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Prepublished online as a Blood First Edition Paper on January 9, 2003; DOI 10.1182/blood-2002-09-2739.

Submitted September 16, 2002
Accepted December 15, 2002
Induction of tumor necrosis factor by bryostatin 1 is involved in synergistic interactions with paclitaxel in human myeloid leukemia cells
Shujie Wang, Zhiliang Wang, Paul Dent, and Steven Grant*
Department of Biochemistry, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
Division of Hematology/Oncology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
Department of Radiation Oncology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
* Corresponding author; email: stgrant{at}hsc.vcu.edu.
Interactions between the protein kinase C (PKC) activator and down-regulator bryostatin 1 and paclitaxel have been examined in human myeloid leukemia cells (U937) as well as in highly paclitaxel-resistant cells ectopically expressing a Bcl-2 phosphorylation loop-deleted protein ( Bcl-2). Combined treatment (24 h) of wild-type cells with paclitaxel (e.g., 5-20 nM) in combination with 10 nM bryostatin 1 resulted in a marked increase in mitochondrial damage (e.g., cytochrome c and Smac/DIABLO release), caspase activation, Bid cleavage, and apoptosis; moreover, administration of bryostatin 1 circumvented the block to paclitaxel-induced mitochondrial injury and apoptosis conferred by ectopic expression of the loop-deleted protein. Co-administration of TNF soluble receptors, or ectopic expression of CrmA or dominant-negative caspase-8, abrogated potentiation of paclitaxel-induced mitochondrial injury and apoptosis by bryostatin 1, implicating the extrinsic apoptotic pathway in this process. Similar findings were noted in HL-60 leukemia cells. Potentiation of paclitaxel-induced apoptosis in wild-type and mutant cells by bryostatin 1 was associated with increases in TNF mRNA and protein, and was mimicked by exogenous TNF . Co-administration of the selective PKC inhibitor GFX (1 µM) blocked the increase in TNF mRNA levels and apoptosis in bryostatin 1/paclitaxel-treated cells. Lastly, synchronization of cells in G2M increased their sensitivity to TNF -associated lethality. Collectively, these findings indicate that in U937 cells, bryostatin 1 promotes paclitaxel-mediated mitochondrial injury and apoptosis, and circumvents the block to cell death conferred by loss of the Bcl-2 phosphorylation domain, through the PKC-dependent induction of TNF . They further suggest that this process is amplified by paclitaxel-mediated arrest of cells in G2M, where they are more susceptible to TNF -induced lethality.

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