Melanoma differentiation associated gene-7 (mda-7)/
interleukin-24 (IL-24), a member of the
IL-10 cytokine gene family, preferentially induces cell death in neoplastic epithelial cells types while sparing their normal counterparts. The effects of mda-7/IL-24 in
acute myeloid leukemia (AML) cells have not been extensively characterized. Treatment with recombinant GST-MDA-7/IL-24 potently induced apoptosis in diverse
myeloid leukemia cell types including U937, HL60, MV4-11, EOL-1, and MLL/ENL cells. MDA-7/IL-24 also markedly induced apoptosis in and suppressed the colony-forming capacity of primary AML blasts but exerted minimal toxicity toward normal CD34(+) hematopoietic progenitor cells. MDA-7/IL-24 lethality was associated with pronounced endoplasmic reticulum (ER) stress induction in
leukemia cell lines and primary AML blasts, manifested by the accumulation of growth arrest and DNA damage-inducible
protein 34 (GADD34), 78-kDa
glucose-regulated
protein (
GRP78)/BiP,
inositol-requiring
enzyme 1α (IRE1α), and eukaryotic
initiation factor 2α phosphorylation. It is noteworthy that
short hairpin RNA (
shRNA) knockdown of IRE1α, GADD34, or
GRP78/BiP significantly enhanced MDA-7/IL-24-mediated apoptosis, indicating a protective role for these molecules against MDA-7/IL-24 lethality. MDA-7/IL-24 also down-regulated the antiapoptotic
protein Mcl-1 and sharply increased expression of the proapoptotic
proteins Bim and Noxa. Ectopic Mcl-1 expression or
shRNA knockdown of Bim or Noxa significantly attenuated MDA-7/IL-24-mediated
leukemia cell death. Finally, knockdown of Bax or Bak significantly reduced MDA-7/IL-24 lethality. Together, these findings indicate that MDA-7/IL-24 potently induces apoptosis in human
myeloid leukemia cells through a process regulated by ER stress induction, Mcl-1 down-regulation, and Bim and Noxa up-regulation. They also suggest that MDA-7/IL-24 warrants further investigation in
myeloid leukemia.