Tumour-
necrosis-factor-related apoptosis-inducing
ligand (TRAIL) is being investigated as a targeted
cancer therapeutic and the expression of its pro-apoptotic receptors, DR4 and DR5, increases during colorectal
carcinogenesis. This study investigated the role of β-
catenin in the regulation of these receptors. In human colorectal
adenoma and
carcinoma cell lines, downregulation of β-
catenin resulted in lower total DR4 and DR5
protein levels. Similarly, cell membrane expression of DR4 and DR5 was reduced after downregulation of β-
catenin in colon
carcinoma cells, whereas induction of β-
catenin in HeLa cells led to increased cell membrane expression of DR4 and DR5. Downregulation of β-
catenin decreased the recombinant human TRAIL sensitivity of human colon
carcinoma cells. Activation of the
transcription factor T-cell factor-4 (TCF-4) is an important function of β-
catenin. Dominant-negative TCF-4 overexpression, however, did not significantly affect TRAIL receptor expression or recombinant human TRAIL sensitivity. Human colorectal
adenomas (N = 158) with aberrant (cytoplasmic and nuclear) β-
catenin expression had a higher percentage of immunohistochemical DR4 and DR5 staining per tumour (mean: 73 and 88%, respectively) than those with membranous β-
catenin staining only (mean: 50 and 70%, respectively, P < 0.01 for both). Furthermore, aberrant β-
catenin staining co-localized with DR4 and DR5 expression in 92% of
adenomas. In 53 human
colorectal carcinomas, aberrant β-
catenin expression was present in most cases and DR4/5 expression was largely homogenous. Similarly, in
adenomas from APC(min) mice, cytoplasmic β-
catenin staining co-localized with staining for the murine TRAIL
death receptor. In conclusion, the gradual increase in TRAIL receptor expression during colorectal
carcinogenesis is at least partially mediated through increased β-
catenin expression, independently of TCF-4-signalling.