Histone deacetylase (
HDAC) inhibitors and
tumor necrosis factor-related apoptosis-inducing
ligand (TRAIL) show promise for the treatment of
cancers. The purpose of this study was to examine the molecular mechanisms by which
HDAC inhibitor MS-275 sensitizes TRAIL-resistant
breast cancer cells in vivo, inhibits angiogenesis and
metastasis, and reverses epithelial-mesenchymal transition (EMT). BALB/c nude mice were orthotopically implanted with TRAIL-resistant invasive
breast cancer MDA-MB-468 cells and treated intravenously with
MS-275, TRAIL, or
MS-275 followed by TRAIL, 4 times during first 3 weeks. Treatment of mice with TRAIL alone had no effect on
tumor growth,
metastasis, angiogenesis, and EMT. In comparison,
MS-275 sensitized TRAIL-resistant xenografts by inducing apoptosis, inhibiting
tumor cell proliferation, angiogenesis,
metastasis, and reversing EMT. Treatment of nude mice with
MS-275 resulted in downregulation of NF-κB and its gene products (
cyclin D1, Bcl-2, Bcl-X(L),
VEGF, HIF-1α, IL-6, IL-8,
MMP-2, and
MMP-9) and upregulation of DR4, DR5, Bax, Bak, and p21(/CIP1) in
tumor cells. Furthermore, MS-275-treated mice showed significantly reduced
tumor growth and decreased circulating vascular VEGFR2-positive endothelial cells, CD31-positive or
von Willebrand factor-positive blood vessels, and lung
metastasis compared with control mice. Interestingly,
MS-275 caused "
cadherin switch" and reversed EMT as shown by the upregulation of
E-cadherin and downregulation of
N-cadherin and
transcription factors Snail, Slug, and ZEB1. In conclusion, sequential treatments of mice with
MS-275 followed by TRAIL may target multiple pathways to reverse EMT and inhibit
tumor progression, angiogenesis, and
metastasis and represent a novel therapeutic approach to treat
cancer.