TRAIL promotes apoptotic
tumor cell death; however, TRAIL-resistant
tumors need to be sensitized to reverse resistance.
Proteasome inhibitors potentiate TRAIL apoptosis in vitro and in vivo and correlate with up-regulation of
death receptor 5 (DR5) via an unknown mechanism. We hypothesized that the
proteasome inhibitor NPI-0052 inhibits the transcription repressor Yin Yang 1 (YY1) which regulates TRAIL resistance and negatively regulates DR5 transcription. Treatment of PC-3 and Ramos cells with
NPI-0052 (</=2.5 nM) and TRAIL sensitizes the
tumor cells to TRAIL-induced apoptosis. By comparison to
bortezomib, a 400-fold less concentration of
NPI-0052 was used.
NPI-0052 up-regulated DR5 reporter activity and both surface and total DR5
protein expression. NPI-0052-induced inhibition of
NF-kappaB activity was involved in TRAIL sensitization as corroborated by the use of the
NF-kappaB inhibitor
dehydroxymethylepoxyquinomicin.
NPI-0052 inhibited YY1 promoter activity as well as both YY1
mRNA and
protein expression. The direct role of NPI-0052-induced inhibition of YY1 and up-regulation of DR5 in the regulation of TRAIL sensitivity was demonstrated by the use of YY1
small interfering RNA. The NPI-0052-induced sensitization to TRAIL involved activation of the intrinsic apoptotic pathway and dysregulation of genes that regulate apoptosis. The
NPI-0052 concentrations used for TRAIL sensitization were not toxic to human hematopoetic stem cells. The present findings demonstrate, for the first time, the potential mechanism by which a
proteasome inhibitor, like
NPI-0052, inhibits the transcription repressor YY1 involved in TRAIL resistance and DR5 regulation. The findings also suggest the therapeutic application of subtoxic
NPI-0052 concentrations in combination with TRAIL/agonist DR4/DR5 mAbs in the treatment of TRAIL-resistant
tumors.