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Prepublished online as a Blood First Edition Paper on June 19, 2003; DOI 10.1182/blood-2003-01-0211.

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Submitted January 23, 2003
Accepted June 5, 2003

Cleavage of Bax to p18 Bax accelerates stress-induced apoptosis and a cathepsin-like protease may rapidly degrade p18 Bax

Xuefang Cao, Xingming Deng, and W Stratford May*

UF Shands Cancer Center and Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA

* Corresponding author; email: smay{at}ufscc.ufl.edu.

Bax is cleaved by calpain at aspartate 33 (D33) to yield p18 Bax during stress-induced apoptosis. To assess the role of p18 Bax in apoptosis, an ecdysone-inducible expression system was generated. Similar levels of WT and non-cleavable D33A (Asp{Rightarrow}Ala) Bax are induced in 293 cells while expression of N-terminal deleted p18 ({Delta}1-33) Bax remains low (20% of full-length p21 Bax) due to a reduced half-life (2h vs. 12h for p21 Bax) resulting from increased sensitivity to cathepsin-like proteolytic degradation. P18 Bax expression is enhanced to levels comparable to p21 Bax when induction is carried out in the presence of cathepsin inhibitors, Z-Phe-Gly-NHO-Bz or N-Acetyl-Leu-Leu-Met-CHO. Compared with WT Bax, expression of similar levels of p18 Bax and surprisingly D33A Bax more potently induces apoptosis as indicated by increased cytochrome c release, caspase-9/-3 activation and DNA fragmentation, potentially due to their increased homo-oligomerization in mitochondrial membranes. Studies in A-549, U-937, K-562 and HL-60 cells confirm that inhibition of Bax cleavage results in 25-35% reduction of drug-induced apoptosis, while inhibition of p18 Bax degradation enhances apoptosis by 25-40%. Results indicate that although cleavage to p18 Bax is not required for Bax to initiate apoptosis, p18 Bax potently accelerates the apoptotic process.


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