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towards improved death receptor targeted therapy for ... - TI Pharma

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Combination study: TRAIL and TFT<br />

cathepsin B inhibitor, CA074‐me, on TRAIL and TFT‐induced cell <strong>death</strong> was examined.<br />

CA074‐me had no effect on the level of cell <strong>death</strong> induction of any treatment, suggesting<br />

that cathepsin B was not directly involved in mediating TFT and/ or TRAIL‐induced cell<br />

<strong>death</strong> (data not shown).<br />

Effects of TFT on expression of TRAIL <strong>receptor</strong>s and apoptosis regulatory proteins<br />

The molecular mechanisms underlying the synergistic interaction between TFT and TRAIL<br />

were investigated. First, western blotting showed that TFT increased the levels of p53<br />

within 24 h, which was also associated with p21/ WAF1 up‐regulation in A549 and H460<br />

cells (Fig. 5A). TFT reduced the expression of cFLIPL, FLIPs was not detectable, and XIAP in<br />

both cell lines. Moreover, TFT increased the expression of pro‐apoptotic Bax, whereas the<br />

expression of Bcl‐2 and Bcl‐XL did not alter (not shown). Second, the effect of TFT on the<br />

level of expression of the TRAIL <strong>receptor</strong>s was determined by flow cytometry. As depicted<br />

in Fig. 5B, 24 h incubation of TFT increased the cell surface expression of mainly TRAIL‐R2<br />

and to a lesser extent TRAIL‐R1 in both cell lines. As TFT increased the expression of p53,<br />

and it is known that p53 can upregulate the <strong>death</strong> <strong>receptor</strong>s [23], we examined p53‐<br />

dependancy of this up‐regulation. A siRNA specifically directed against p53 strongly<br />

reduced p53 expression in H460 and A549 cells, whereas control siRNA had no effect<br />

when compared to untransfected cells (Fig. 5B). Down‐regulation of p53 expression<br />

followed by TFT exposure resulted predominantly in reduced TRAIL‐R2 up‐regulation and<br />

mainly<br />

in A549 cells (Fig. 5C).<br />

A<br />

Figure 5. Mechanisms of TFT‐dependent TRAIL sensitization. (A) Western blots showing the<br />

expression of FLIP L, p53, p21, XIAP, and Bax after 24, 48 and 72 h exposure to TFT, TRAIL, and the<br />

combination. Representative blots are shown.<br />

‐ 111 ‐

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