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Bortezomib synergizes TRAIL-induced apoptosis in gastric cancer cells.

Abstract
Background/Aims Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) as a newly identified biological agent has shown promising antitumor effects in a wide range of cancers. However, gastric cancer cells are less sensitive than other cancer cells to TRAIL-induced apoptosis.Here, we combined TRAIL with bortezomib, a proteasomal inhibitor to induce apoptosis in three gastric cancer cell lines.Methods After the cells were treated with TRAIL and/or bortezomib, the cell viability, apoptosis and cell cycle distribution were examined. The levels of death receptors and the mitochondrial membrane potential were also detected. The expression of apoptosis-associated proteins was determined by Western blot.Results Bortezomib at low concentration significantly(P<0.05) enhanced the cytotoxic effect of TRAIL by enhancing apoptosis as well as cell cycle arrest at G2/M phase. The enhancement of efficiency of TRAIL by bortezomib involved up-regulation of death receptor 4 and 5, as well as reduction of the mitochondrial membrane potential. Further study showed that combined treatment with TRAIL and bortezomib down-regulated anti-apoptotic protein cIAP-1, and over expression of cIAP-1 significantly(P\0.05) reduced the synergistic effect between TRAIL and bortezomib.Conclusions Bortezomib synergizes TRAIL-induced apoptosis in human gastric cancer cells. The synergistic effect between these two drugs is associated with up-regulation of death receptors and down-regulation of cIAP-1.The combination of TRAIL and bortezomib might be an effective regimen for the treatment of advanced gastric cancer.
AuthorsJing Liu, Xiu-Juan Qu, Ling Xu, Ye Zang, Jing-Lei Qu, Ke-Zuo Hou, Yun-Peng Liu
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 55 Issue 12 Pg. 3361-8 (Dec 2010) ISSN: 1573-2568 [Electronic] United States
PMID20393880 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents
  • Boronic Acids
  • Pyrazines
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFSF10 protein, human
  • Bortezomib
Topics
  • Antineoplastic Agents (pharmacology)
  • Apoptosis (drug effects)
  • Boronic Acids (pharmacology)
  • Bortezomib
  • Cell Line, Tumor
  • Cell Survival (drug effects)
  • Drug Synergism
  • Humans
  • Pyrazines (pharmacology)
  • Stomach Neoplasms (drug therapy)
  • TNF-Related Apoptosis-Inducing Ligand (pharmacology)

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