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Chapter 5<br />

ng/ml TRAIL (Fig. 3B). Apoptotic cell <strong>death</strong> was more precisely analyzed by determining<br />

the level of phosphatidyl serine (PS) exposed on the cell surface following incubation with<br />

annexin V‐FITC and together with determining PI uptake. 17‐AAG combined with TRAIL (2<br />

concentrations) was able to enhance the level of annexin V‐FITC‐only positive cells by<br />

around 3‐fold, indicative of early apoptosis, when compared to TRAIL alone treatment<br />

(Fig. 3C). In H460 cells 17‐AAG addition resulted in an approximately more than 2‐fold or<br />

1.5 fold increase in early apoptotic cells treated with a low and high concentration TRAIL,<br />

respectively, and when compared to TRAIL alone (Fig. 3D). These apoptotic levels were<br />

comparable to the fraction of cells detected in the sub‐G1 fraction (Fig. 3A and B).<br />

Furthermore, under these conditions no significant differences between TRAIL and the<br />

TRAIL/17‐AAG combination were detected in late apoptosis (white bars). Cells stained<br />

with only PI that define necrotic cell <strong>death</strong> (grey bars) were not detected. Thus, 17‐AAG<br />

can enhance apoptosis induced by TRAIL in these NSCLC cells.<br />

Figure 3. 17‐AAG enhances TRAIL‐induced apoptosis. (A) A549 cells were treated with 50 ng/ml or<br />

100 ng/ml TRAIL with or without 100 nM 17‐AAG and the percentage of sub‐G1 cells was measured<br />

in PI‐stained cells following flow‐cytometry. (B) Sub‐G1 levels in H460 cells after 24 h incubation<br />

with 10 ng/ml TRAIL, 50 ng/ml TRAIL, 17‐AAG (100 nM) or the combination. (C) A549 cells treated<br />

with TRAIL (50 ng/ml and 100 ng/ml), 17‐AAG (100 nM) or the combination <strong>for</strong> 24 h were double‐<br />

stained with annexin‐V/PI and analyzed by flow cytometry. Distinction can be made between early<br />

apoptosis, late apoptosis and cell <strong>death</strong>. (D) Similar experiment with H460 cells exposed to TRAIL (10<br />

ng/ml and 50 ng/ml), 17‐AAG (100 nM), or the combination. Values are means of at least two<br />

independent experiments ±s.d.<br />

‐ 90 ‐

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