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.