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Blood, 15 April 2008, Vol. 111, No. 8, pp. 4365-4374.
Prepublished online as a Blood First Edition Paper on February 12, 2008; DOI 10.1182/blood-2007-08-106336.
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Submitted August 9, 2007
Accepted January 27, 2008
Ceramide induces p38 MAPK and JNK activation through a mechanism involving a thioredoxin-interacting protein-mediated pathway
Chia-Ling Chen, Chiou-Feng Lin, Wen-Tsan Chang, Wei-Ching Huang, Chiao-Fang Teng, and Yee-Shin Lin*
Institute of Basic Medical Sciences, National Cheng Kung University Medical College, Tainan, Taiwan
Institute of Clinical Medicine, National Cheng Kung University Medical College, Tainan, Taiwan
Department of Biochemistry and Molecular Biology, National Cheng Kung University Medical College, Tainan, Taiwan
Department of Microbiology and Immunology, National Cheng Kung University Medical College, Tainan, Taiwan
* Corresponding author; email: yslin1{at}mail.ncku.edu.tw.
Ceramide, a tumor-suppressor lipid, is generated by sphingomyelin hydrolysis or by de novo synthesis when cells are activated by various stress stimuli as well as when cancer cells are subjected to genotoxic chemotherapy. Ceramide may modulate apoptotic signaling pathways; however, its transcription-dependent effects remain unclear. Our data showed that actinomycin D partially inhibited ceramide-induced apoptosis. Using microarray analysis, we found that ceramide up-regulated a tumor suppressor gene thioredoxin-interacting protein (Txnip). Similarly, the chemotherapeutic agent etoposide induced Txnip expression en route to apoptosis, which was blocked by inhibitors of ceramide production. Txnip co-localized with thioredoxin and reduced its activity, which caused dissociation of thioredoxin from ASK1. Cells expressing ASK1 siRNA were more resistant to ceramide-induced apoptosis. Ceramide caused ASK1-regulated p38 MAPK and JNK activation, as well as activation of the ER stress cascade, and pharmacologic or siRNA-mediated inhibition of p38 MAPK or JNK partially reduced ceramide-induced mitochondria-mediated apoptosis. Furthermore, ceramide-induced ASK1, p38 and JNK phosphorylation and cell apoptosis were inhibited by Txnip siRNA transfection. Taken together, we show that ceramide exhibits a mechanism of transcriptional regulation involving up-regulation of Txnip expression, also induced by etoposide, which results in ASK1 activation, ER stress, and p38 and JNK phosphorylation, all leading to apoptosis.

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