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CD133⁺ melanoma subpopulation acquired resistance to caffeic acid phenethyl ester-induced apoptosis is attributed to the elevated expression of ABCB5: significance for melanoma treatment.

Abstract
According to the cancer stem-like cell (CSC) hypothesis, neoplastic clones are maintained by a small fraction of cells with stem cell properties. Also, melanoma resistance to chemo- and radiotherapy is thought to be attributed to melanoma stem-like cells (MSCs). Caffeic acid phenethyl ester (CAPE) is a bioactive molecule, whose antitumor activity is approved in different tumor types. CAPE induced both apoptosis and E2F1 expression in CD133(-), but not in CD133(+) melanoma subpopulations. The resistance of CD133(+) melanoma subpopulation is attributed to the enhanced drug efflux mediated by ATP-binding cassette sub-family B member 5 (ABCB5), since the knockdown of ABCB5 was found to sensitize CD133(+) cells to CAPE. CAPE-induced apoptosis is mediated by E2F1 as evidenced by the abrogation of apoptosis induced in response to the knockdown of E2F1. The functional analysis of E2F1 in CD133(+) melanoma subpopulation demonstrated the ability of E2F1 gene transfer to trigger apoptosis of CD133(+) cells and to enhance the activation of apoptosis signal-regulating kinase (ASK1), c-Jun N-terminal kinase and p38, and the DNA-binding activities of the transcription factors AP-1 and p53. Also, the induction of E2F1 expression was found to enhance the expression of the pro-apoptotic proteins Bax, Noxa and Puma, and to suppress the anti-apoptotic protein Mcl-1. Using specific pharmacological inhibitors we could demonstrate that E2F1 overcomes the chemo-resistance of MSCs/CD133(+) cells by a mechanism mediated by both mitochondrial dysregulation and ER-stress-dependent pathways. In conclusion, our data addresses the mechanisms of CAPE/E2F1-induced apoptosis of chemo-resistant CD133(+) melanoma subpopulation.
AuthorsAbdelouahid El-Khattouti, Natale T Sheehan, Jesus Monico, Heather A Drummond, Youssef Haikel, Robert T Brodell, Mosaad Megahed, Mohamed Hassan
JournalCancer letters (Cancer Lett) Vol. 357 Issue 1 Pg. 83-104 (Feb 01 2015) ISSN: 1872-7980 [Electronic] Ireland
PMID25449786 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightPublished by Elsevier Ireland Ltd.
Chemical References
  • ABCB5 protein, human
  • AC133 Antigen
  • ATP Binding Cassette Transporter, Subfamily B
  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Antigens, CD
  • Caffeic Acids
  • Glycoproteins
  • PROM1 protein, human
  • Peptides
  • caffeic acid phenethyl ester
  • Phenylethyl Alcohol
Topics
  • AC133 Antigen
  • ATP Binding Cassette Transporter, Subfamily B
  • ATP Binding Cassette Transporter, Subfamily B, Member 1 (biosynthesis)
  • Antigens, CD (biosynthesis)
  • Apoptosis (physiology)
  • Caffeic Acids (pharmacokinetics, pharmacology)
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm
  • Glycoproteins (biosynthesis)
  • Humans
  • Melanoma (drug therapy, metabolism, pathology)
  • Peptides
  • Phenylethyl Alcohol (analogs & derivatives, pharmacokinetics, pharmacology)
  • Signal Transduction

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