Transforming growth factor β-activated
kinase 1 (TAK1) is critical for survival of many KRAS mutated
colorectal cancer cells, and TAK1 inhibition with 5Z-7-oxozeaenol has been associated with oxidative stress leading to
tumor cell killing. When SW 620 and HCT 116 human
colon cancer cells were treated with 5µM 5Z-7-oxozeaenol, cell viability, growth, and clonogenic survival were significantly decreased. Consistent with TAK1 inhibition being causally related to
thiol-mediated oxidative stress, 10mM
N-acetylcysteine (NAC) partially reversed the growth inhibitory effects of 5Z-7-oxozeaenol. In addition, 5Z-7-oxozeaenol also increased steady-state levels of
H2DCFDA oxidation as well as increased levels of total
glutathione (GSH) and
glutathione disulfide (
GSSG). Interestingly, depletion of GSH using
buthionine sulfoximine did not significantly potentiate 5Z-7-oxozeaenol toxicity in either cell line. In contrast, pre-treatment of cells with
auranofin (Au) to inhibit
thioredoxin reductase activity significantly increased levels of oxidized
thioredoxin as well as sensitized cells to 5Z-7-oxozeaenol-induced growth inhibition and clonogenic cell killing. These results were confirmed in SW 620 murine xenografts, where treatment with 5Z-7-oxozeaenol or with Au plus 5Z-7-oxozeaenol significantly inhibited growth, with Au plus 5Z-7-oxozeaenol trending toward greater growth inhibition compared to 5Z-7-oxozeaenol alone. These results support the hypothesis that
thiol-mediated oxidative stress is causally related to TAK1-induced
colon cancer cell killing. In addition, these results support the hypothesis that
thioredoxin metabolism is a critical target for enhancing
colon cancer cell killing via TAK1 inhibition and could represent an effective therapeutic strategy in patients with these highly resistant
tumors.