Most
gastric cancer cells are resistant to tumour
necrosis factor-related apoptosis-inducing
ligand (TRAIL). Since TRAIL resistance is associated with
lipid rafts, in which both
death receptors and
epidermal growth factor receptors (EGFR) are enriched, our aim is to identify how
lipid raft-regulated receptor redistribution influences the sensitivity of TRAIL in
gastric cancer cells. In TRAIL-resistant
gastric cancer cells, TRAIL did not induce effective death-inducing signalling complex (DISC) formation in
lipid rafts, accompanied with EGFR translocation into
lipid rafts, and activation of EGFR pathway. Knockdown of casitas B-lineage
lymphoma-b (Cbl-b) enhanced TRAIL-induced apoptosis by promoting DISC formation in
lipid rafts. However, knockdown of Cbl-b also enhanced EGFR translocation into
lipid rafts and EGFR pathway activation induced by TRAIL. Either using inhibitors of EGFR or depletion of EGFR with
small interfering RNA (
siRNA) prevented EGFR pathway activation, and thus increased TRAIL-induced apoptosis, especially in Cbl-b knockdown clones. Taken together, TRAIL-induced EGFR activation through Cbl-b-regulated EGFR redistribution in
lipid rafts antagonised TRAIL-induced apoptosis. The contribution of DISC formation and the inhibition of EGFR signal triggered in
lipid rafts are both essential for increasing the sensitivity of
gastric cancer cells to TRAIL.