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Chapter 6<br />

TRAIL‐dependent cell <strong>death</strong>. At 72 h, levels of dead cells were not higher than with TFT<br />

alone. This seems to contrast with the synergistic effect measured in the MTT assay.<br />

However, the sub‐G1 level is an indication of the ratio between apoptotic and non‐<br />

apoptotic cells, while the MTT assay also takes growth inhibition into account.<br />

The contribution of caspase‐dependent cell <strong>death</strong> was investigated by adding the broad‐<br />

range caspase inhibitor zVAD to the cultures. This resulted in a partial inhibition of around<br />

30 to 40% of TFT‐induced cell <strong>death</strong>, indicating that caspase‐independent cell <strong>death</strong> is a<br />

major contributor to cell <strong>death</strong> (Fig. 3B). TRAIL‐induced apoptosis, as expected, was<br />

completely prevented by zVAD. In the first 24 h of combined treatment, the induction of<br />

cell <strong>death</strong> was completely inhibited by zVAD further indicating that at this time‐point TFT<br />

enhanced or sensitized TRAIL‐dependent cell <strong>death</strong> in both H460 and A549 cells. After<br />

another 48 h incubation with TFT alone, cell <strong>death</strong> was partially prevented by zVAD in line<br />

with the observations in TFT alone treated cells, suggesting that TFT‐dependent<br />

cytotoxicity contributed to cell <strong>death</strong> at longer exposure times.<br />

A<br />

B<br />

Figure 3. Caspase‐dependent and ‐independent cell <strong>death</strong> activation. (A) TRAIL, TFT and the combination were<br />

examined <strong>for</strong> time‐dependent cell <strong>death</strong> activation by determining the percentage of sub‐G1 cells in PI‐stained<br />

cells. (B) Comparison of cell <strong>death</strong> activation in the presence or absence of zVAD‐fmk. Combined treatments of<br />

24 and 48 h included a 24 h combination of TRAIL and TFT followed by 48 or 24 h period in drug free medium<br />

(DFM), respectively. TFT at 5 µM, TRAIL (10 ng/ml in H460), TRAIL (150 ng/ml in A549) were used <strong>for</strong> single and<br />

combined treatments. Values are means of three independent experiments ± SEM.<br />

‐ 108 ‐

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