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Departments of Biochemistry (P.D., C.M.), Medicine (J.D.R., S.G.), Biology (J.R.), Radiation Oncology (M.P.H., A.Y.), and Chemistry (N.P.F., P.K.), Virginia Commonwealth University, Richmond, Virginia; Departments of Pathology, Neurosurgery, and Urology, Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, College of Physicians and Surgeons, New York, New York (P.B.F.); and Division of Human Gene Therapy, Departments of Medicine, Pathology, and Surgery, and the Gene Therapy Center, University of Alabama at Birmingham, Birmingham, Alabama (D.T.C.)
Received May 23, 2007; accepted June 18, 2007
| Abstract |
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The apoptotic cell death threshold of cells is modulated by the activities of multiple signal transduction pathways and the expression, usually controlled by the signaling pathways, of multiple pro- and antiapoptotic proteins (Grant and Dent, 2002
; Dent et al., 2003
; Valerie et al., 2007
). Activation of the epidermal growth factor receptor (EGFR, also called ERBB1) stimulates signaling through both the PI3K-AKT and RAF-ERK1/2 pathways, which have been linked to increased expression of many cytoprotective proteins, including Bcl-2 family members and inhibitor of apoptosis proteins. In colon cancer cells, activation of ERBB1 and expression of mutated active K-RAS proteins has been shown to protect this cell type from a wide variety toxic stresses, including platinum therapeutic agents (De Luca et al., 1997
; Janmaat and Giaccone, 2003
). In general, PI3K-AKT signaling in tumor cells has been argued to be a greater protective signal than signaling by RAF-ERK1/2, and in contrast to a general perceived role of RAF-ERK1/2 signaling being protective, it should be noted that several studies exist using small-molecule inhibitors of MEK1/2 suggest that platinum agent-induced ERK1/2 signaling plays a key role in promoting drug toxicity, including BBR3610 (Zhuang and Schnellmann, 2006
; Singh et al., 2007
).
The mechanisms by which cells process the DNA damage of mononuclear drugs cisplatin and oxaliplatin leading to tumor cell death have been investigated extensively (Siddik, 2003
; Wang and Lippard, 2005
). In a cell type-dependent fashion, cisplatin and oxaliplatin have been shown to promote the activation of caspase 8 (extrinsic apoptosis pathway) or cause mitochondrial dysfunction and activation of caspase 9 (intrinsic apoptosis pathway) (Schneiderman et al., 1999
; Lacour et al., 2004
; Toyozumi et al., 2004
). In a variety of colon cancer cell lines, oxaliplatin has been shown to promote predominantly activation of the extrinsic or, to a lesser extent, intrinsic apoptosis pathways (Arango et al., 2004
; Griffiths et al., 2004
; Galligan et al., 2005
; McDermott et al., 2005
; Longley et al., 2006
). Cisplatin toxicity can be enhanced by inhibition of cell cycle checkpoints, signaling pathways, and in combination with other therapeutic modalities, such as ionizing radiation. The present studies were performed to understand in greater detail the molecular mechanisms by which the novel dinuclear platinum-containing agent BBR3610 (as the chloride salt) caused colon carcinoma tumor cell death; whether inhibition of ERBB1 function enhanced the lethality of the platinum drug in a synergistic fashion; and the molecular mechanisms by which these events occurred.
| Materials and Methods |
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Culture of Human Colon Cancer Cells and Drug Treatments for Short-Term Viability Assays. Cells were plated (5 x 104/cm2), and 24 h after plating, cells either were infected with recombinant adenovirus (see below for details) or were treated with either a platinum-containing agent (0–3.0 µM, as indicated) or AG1478/LY294002 /PD184352 (0–10.0 µM) for up to 96 h as indicated.
Cellular Platinum Accumulation Assays. Cells were plated at 2.0 x 106 cells/ml. BBR3464 or BBR3610 was added in 20 µM. After 8 h, cells were harvested and washed twice with phosphate-buffered saline. The cell pellets were then heated in nitric acid followed by the addition of hydrogen peroxide and hydrochloric acid, according to the United States Environmental Protection Agency procedure 3050b (all volumes reduced by 1/10) and diluted with Milli-Q water (Millipore Corporation, Billerica, MA). Platinum analysis was performed on a Vista-MPX simultaneous inductively coupled plasma optical emission spectroscopy at 265 nm (Varian Inc., Palo Alto, CA). Standards and vehicle control were prepared the same as the samples.
Assessment of Platinum Accumulation in DNA. Cells were plated at 2.0 x 106 cells/ml. BBR3464 or BBR3610 was added at 55 µM. After 10 h, cells were harvested and washed twice with phosphate-buffered saline. DNA was then extracted from the cell pellets using a high salt method (Miller et al., 1988
; Montagna et al., 2002
). In brief, the cell pellets were treated with nuclei lysis buffer, proteinase K, 10% SDS, and 6 M NaCl. DNA was then precipitated using isopropanol and 3 M sodium acetate. DNA was rinsed using 70% ethanol, and the purity of the DNA was measured at an absorbance of 260 nm. The DNA was then harvested for platinum analysis according to the United States Environmental Protection Agency procedure 3050b as explained above.
Culture of Human Colon Cancer Cells and Drug Treatments for Colony Formation Assays. Cells were plated (250– 1500 cells/well of a 6-well plate) and 12 h after plating treated with either platinum agent (0–3.0 µM, as indicated), or AG1478/LY294002/PD184352 (0–10.0 µM) for 48 h as indicated. After 48 h, the drug-containing media were carefully removed, the cells were washed once, and fresh media lacking drugs were added. Colonyformation assays were cultured for an additional 10 to 14 days, after which the media were removed, cells were fixed with methanol, stained with crystal violet, and counted manually.
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-mercaptoethanol, 0.02% bromphenol blue), and the samples were boiled for 30 min. After immunoprecipitation, samples were boiled in whole-cell lysis buffer. The boiled samples were loaded onto 10 to 14% SDS-PAGE, and electrophoresis was run overnight. Proteins were electrophoretically transferred onto 0.22 µm of nitrocellulose and immunoblotted with various primary antibodies against different proteins. All immunoblots were visualized by ECL. For presentation, immunoblots were digitally scanned at 600 dpi using Adobe PhotoShop 7.0 (Adobe Systems, Mountain View, CA), their color was removed, and figures were generated using MicroSoft PowerPoint (Microsoft, Redmond, WA). Densitometric analysis for ECL immunoblots were performed using a Fluorochem 8800 Image System and the respective software (Alpha Innotech Corporation, San Leandro, CA), and band densities were normalized to that of a total protein loading control.
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Detection of Cell Death by Trypan Blue Assays. Cells were harvested by trypsinization with Trypsin/EDTA for
10 min at 37°C. Because some apoptotic cells detached from the culture substratum into the medium, these cells were also collected by centrifugation of the medium at 1500 rpm for 5 min. The pooled cell pellets were resuspended and mixed with trypan blue dye. Trypan blue stain, in which blue dye-incorporating cells were scored as being dead, was performed by counting of cells using a light microscope and a hemacytometer. Five hundred cells from random fields were counted, and the number of dead cells was counted and expressed as a percentage of the total number of cells counted.
Transfection of DLD1 Cells with Small Interfering RNA Molecules. RNA interference or gene silencing for down-regulating the expression of FADD and CD95 (FAS receptor) was performed using validated target sequences designed by Ambion (Austin, TX). For transfection, 10 nM concentration of the annealed siRNA-targeting FADD or CD95, the positive control doubled-stranded siRNA targeting glyceraldehyde-3-phosphate dehydrogenase, or the negative control (a "scrambled" sequence with no significant homology to any known gene sequences from mouse, rat, or human cell lines) were used. The siRNA molecules were transfected into cells according to the manufacturer's instructions. Cells were cultured for 48 h after transfection before any additional experimentation.
Data Analysis. Comparison of the effects of various treatments was performed using one-way analysis of variance and a two-tailed Student's t test. Differences with a p value of <0.05 were considered statistically significant. Experiments shown are the means of multiple individual points (±S.E.M.). Characterization of synergistic and antagonistic interactions in cells exposed to a range of BBR3610 and AG1478 concentrations administered at a fixed ratio was done using median dose-effect analysis in conjunction with a commercially available software program (CalcuSyn; Biosoft, Ferguson, MO).
| Results |
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In addition to mutated RAS proteins, colon cancer cells are known to overexpress ERBB receptors and for ERBB receptors to play an important role in colon cancer cell survival. Treatment of HCT116, DLD1, and SW480 cells with low marginally toxic concentrations of an ERBB1 inhibitor, AG1478, enhanced BBR3610 lethality, which was p53-independent (Fig. 2A). Based on median dose-effect analyses using colony-formation assays with a combination index of less than 1, the interaction between BBR3610 and AG1478 was judged to be synergistic in DLD1 and HCT116 cells (Table 1; data not shown). In all lines tested, inhibition of PI3K but not MEK1/2 enhanced the lethality of BBR3610 (Fig. 2B). Because the procedures that produced the data presented in Fig. 1 and Table 1 take several weeks to perform, we next determined whether BBR3610 and AG1478 interacted to rapidly promote cell killing within 48 to 96 h of treatment as judged in trypan blue viability assays. AG1478 promoted BBR3610 lethality in DLD1 and in HCT116 tumor cells 48 and 96 h after drug exposure (Fig. 2C; data not shown). In DLD1 cells, expression of a truncated dominant-negative ERBB1 protein (ERBB1-CD533) enhanced BBR3610 toxicity to a similar extent as that induced by the small-molecule ERBB1 inhibitor AG1478 (Fig. 2D).
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Unlike the relatively specific MEK1/2 inhibitor PD184352, expression of dominant-negative MEK1 enhanced the toxicity of BBR3610, AG1478, and BBR3610 + AG1478 (Fig. 3C). The toxicity of BBR3610 + AG1478 remained significantly greater than the additive individual toxicity of BBR3610 or AG1478, which was in contrast to our observations expressing dominant-negative AKT, in which the greater than additive interaction between BB3610 and AG1478 was lost to the greater enhancement of cell killing (Fig. 3, B and C). Expression of constitutively active MEK1 did not alter BBR3610 toxicity and weakly suppressed the toxicity of BBR3610 + AG1478. Although neither p38 MAPK nor JNK1/2 was strongly activated by any drug treatment, inhibition of either p38 MAPK or JNK1/2 suppressed the ability of ERBB1 inhibition to enhance BBR3610 toxicity (Fig. 3D).
To determine by a molecular approach whether the promotion of BBR3610 toxicity caused by suppression of ERBB1 function was AKT-dependent, we coexpressed dominant-negative ERBB1 and constitutively active AKT and treated cells with BBR3610 and/or AG1478. Expression of constitutively active AKT suppressed BBR3610 toxicity in the presence or absence of dominant-negative ERBB1 (Fig. 3E). We also examined the impact of these genetic manipulations on antiapoptotic protein expression. Inhibition of ERBB1 did not alter basal c-FLIP expression but enhanced the suppression of c-FLIP levels caused by BBR3610 treatment. Inhibition of ERBB1 suppressed MCL-1 expression. Activation of AKT enhanced basal levels of c-FLIP and MCL-1; AKT activation maintained c-FLIP and MCL-1 levels in cells expressing dominant-negative ERBB1 and when treated with BBR3610 (Fig. 3E, inset). Together, our data argue that BBR3610 suppresses AKT activity, which is causal in cell death, and that inhibition of ERBB1-MEK1/2 signaling, in the presence of already suppressed AKT signaling, further elevates BBR3610 toxicity.
We next examined the molecular pathways by which BBR3610 killed colon cancer cells in vitro. Incubation of DLD1 cells with a pan-caspase inhibitor (benzyloxycarbonyl-Val-Ala-Asp) or a caspase 8 inhibitor (IETD) reduced BBR3610 toxicity, whereas a caspase 9 inhibitor (LEHD) did not alter BBR3610 lethality but abolished the ability of AG1478 to enhance cell killing (Fig. 4A). Similar data were obtained when the caspase 8 inhibitor CRM A and dominant-negative caspase 9 were expressed in DLD1 cells (Fig. 4B). XIAP is an inhibitor of caspase 9, c-FLIP-s is an inhibitor of caspase 8, and Bcl-xL is a protein that in a similar manner to MCL-1 maintains mitochondrial function downstream of caspase 8-BID signaling and from BAX/BAK/BIM-induced cytochrome c release. Treatment of cells with BBR3610 increased cleavage of pro-caspase 8 24 and 48 h after exposure (data not shown). Overexpression of c-FLIP-s abolished BBR3610 toxicity (Fig. 4C). Expression of XIAP did not alter BBR3610 lethality but abolished the enhancement of cell killing by ERBB1 inhibition; overexpression of Bcl-xL partially suppressed BBR3610 lethality and abolished the enhancement of cell killing by ERBB1 inhibition (Fig. 4C).
Additional studies were then performed in transformed mouse embryonic fibroblasts (MEFs) lacking key proapoptotic genes, which cause mitochondrial dysfunction. In transformed MEFs, BB3610 lethality was suppressed to a greater extent by loss of BID function than by loss of BAX/BAK or BIM expression (Fig. 4D). The ability of ERBB1 inhibition to enhance BBR3610 lethality was suppressed in cells lacking BAX/BAK function. In addition to caspase 8, BID cleavage and subsequent mitochondrial dysfunction can also be catalyzed by cathepsin B, and loss of cathepsin B expression in cathepsin B–/– MEFs suppressed BBR3610 toxicity (data not shown). Pro-caspase 8 is activated by death receptors via FADD but has also been noted to autocatalyze its own activation independently of FADD when expression of caspase 8 inhibitors such as c-FLIP-s is reduced. Knockdown of FADD and of the FAS death receptor (CD95) suppressed BBR3610 toxicity in DLD1 cells (Fig. 5). Together, these findings demonstrate that BBR3610 initiates cell killing via a death receptor-dependent activation of pro-caspase 8 that is facilitated by reduced expression of c-FLIP proteins and reduced AKT signaling; inhibition of ERBB1 promotes BBR3610 lethality by facilitating BID- and BAX/BAK/BIM-dependent mitochondrial dysfunction and activation of the caspase 9 pathway.
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| Discussion |
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In vitro, the dinuclear platinum agent BBR3610 is a more toxic agent in multiple colon cancer cell lines compared with the trinuclear platinum agent BBR3464, a differential effect in cell killing that was not initially explained by either drug uptake or drug incorporation into DNA. Furthermore, we have reported previously that BBR3464 and BBR3610 are at least equipotent as antitumor agents in xenograft mouse studies and more potent than cisplatin (Manzotti et al., 2001
). Future studies will be required to determine at the molecular level why BBR3463 and BBR3610 have differential in vitro toxicities. In the present studies we have defined how BBR3610 acted to kill colon cancer cells. BBR3610 suppressed AKT activity, which was further enhanced by inhibition of ERBB1 and was correlated with reduced expression of c-FLIP proteins and of Bcl-xL. Expression of activated AKT maintained the expression of c-FLIP proteins and Bcl-xL in cells treated with BBR3610 with or without ERBB1 inhibition. Expression of activated AKT suppressed BBR3610 lethality and the ability of ERBB1 inhibition to promote BBR3610 toxicity, whereas expression of dominant-negative AKT enhanced BBR3610 lethality to an extent that was not further enhanced by inhibition of ERBB1. BBR3610 lethality was dependent on activation of the death receptor-extrinsic/caspase 8 apoptosis pathway as judged by the ability of CRM A, IETD, and knockdown of FADD and CD95 expression to significantly suppress all drug-induced lethality effects. BBR3610 lethality as a single agent was independent of p53 in HCT116 cells, in contrast to the findings of others using oxaliplatin (Arango et al., 2004
). The ability of ERBB1 inhibitors to promote BBR3610 lethality was reliant on mitochondrial dysfunction/BAX-BAK/caspase 9 activation and was also p53-independent, as judged by the suppression of this effect by expression of dominant-negative caspase 9 or XIAP. Note that all cell-killing effects were dependent on prior platinum agent-induced activation of caspase 8, as judged by overexpression of the specific caspase 8 inhibitor c-FLIP-s abolishing drug-induced increases in cell death.
Previous studies using mononuclear platinum agents and BBR3464 have correlated platinum agent-induced ERK1/2 activation to a proapoptotic response, with many of these studies using the MEK1/2/5 inhibitors PD98059 and U0126 (Billecke et al., 2006
). Using the more specific MEK1/2 inhibitor PD184352 and molecular approaches, we now show that small-molecule inhibition of the RAF-ERK1/2 pathway at the time of platinum-agent exposure enhanced BBR3610 lethality in HCT116 cells in a p53-dependent fashion. Molecular inhibition of the RAF-ERK1/2 pathway modestly enhanced both BBR3610 and BBR3610 and ERBB1 inhibitor lethality; however, unlike expression of dominant-negative AKT, expression of dominant-negative MEK1 did not abolish the ability of the ERBB1 inhibitor AG1478 to promote BBR3610 lethality. Together, our data argue that treatment of colon cancer cells with low doses of BBR3610 promotes inactivation of AKT that is further enhanced in these cells by inhibition of ERBB receptor function, which lead to suppressed expression of multiple antiapoptotic proteins permitting activation of the intrinsic and extrinsic apoptosis pathways.
The molecular mechanisms by which BBR3610 stimulates both death receptor signaling and inhibition of AKT activity remain to be determined. One potential mechanism by which BBR3610 could cause cell killing, which would correlate with death receptors and with dephosphorylation of AKT, could increase levels of the proapoptotic lipid ceramide. Ceramide has been linked to stimulating both ligand-independent clustering of death receptors and to activation of PP2A isoforms (Ruvolo et al., 2002
; Lacour et al., 2004
). Cisplatin has been shown to increase ceramide levels in tumor cells, and further studies are required to determine whether BBR3610 significantly alters ceramide levels in colon cancer cells. Because knockdown of CD95 expression abolished BBR3610-induced cell killing, our findings indicate that BBR3610-induced changes in CD95 function are likely to be a primary effector in the chain of proapoptotic events that occur via two pathways: CD95–FADD– caspase 8 – caspase 3 and caspase 8 –BID–mitochondrial dysfunction– caspase 9 – caspase 3.
Prior studies using oxaliplatin have argued that treatment of colon cancer cells with tumor necrosis factor-related ligand or knockdown of FLIP protein expression can enhance the toxicity of the platinum agent (Galligan et al., 2005
; Longley et al., 2006
). Of particular note, whereas overexpression of c-FLIP-s protected HCT116 cells from BBR3610 toxicity, overexpression of c-FLIP-l but not c-FLIP-s protected cells from oxaliplatin lethality (Longley et al., 2006
). Griffiths et al. (2004
) argued in colon cancer cells that Src-induced expression of Bcl-xL and suppression of CD95 function blunted oxaliplatin lethality (Griffiths et al., 2004
). Our data argued that BBR3610 as a single agent can suppress MCL-1 levels and those of FLIP proteins. Our findings together with those of other groups argue that BBR3610 lethality has the potential to be enhanced not only by inhibitors of ERBB1-PI3K signaling but also by inhibitors of Src kinases, such as BMS-354825 (dasatinib) or additional mitochondrial protective proteins such as Bcl-2 and Bcl-xL (e.g., ABT-737) (Chen et al., 2007
; Nguyen et al., 2007
).
Inhibition of ERBB1 enhanced BBR3610 toxicity that was caspase 9-dependent, an effect that was also reliant on the initial BBR3610-dependent activation of caspase 8. Neither BBR3610 nor inhibition of ERBB1 enhanced JNK1/2 or p38 MAPK activity in total cell lysates, but inhibition of either pathway suppressed the ability of ERBB1 inhibition to promote mitochondrial dysfunction and cell killing. A variety of studies have argued that mitochondrial toxic agents can promote activation of BAX and BAK via JNK1/2 and p38 MAPK signaling and loss of BAX/BAK function suppressed BBR3610 toxicity and the ability of ERBB1 inhibition to promote BBR3610 toxicity (Mitchell et al., 2007
). Additional studies beyond the scope of this article are required to determine whether selected pools of JNK1/2 and p38 MAPK become activated after BBR3610 and AG1478 drug treatment and play a role in activating BAX and BAK. It will be of interest in future studies to determine whether clinically relevant proprietary inhibitors of ERBB receptor signaling such as cetuximab and lapatinib can also promote BBR3610 lethality in a similar manner to AG1478 and ERBB1-CD533.
Understanding the mechanisms by which a particular agent causes cell killing permits the subsequent rational combination of that agent with other drugs that activate complementary death-inducing processes. With the advent of targeted drugs to the clinic, understanding how they can best be combined with clinically useful cytotoxics is an important developmental goal. The present studies have demonstrated that BBR3610 kills colon tumor cells by activating the extrinsic and, to a lesser extent, intrinsic pathways, and that inhibition of ERBB1 facilitates killing by permitting additional mitochondrial dysfunction to take place. Based on our data, it could be hypothesized that BBR3610 toxicity could also be enhanced by the following: 1) therapeutic agents, which cause further activation of the extrinsic pathway (e.g., tumor necrosis factor-related ligand); 2) therapeutic agents, which cause further DNA damage and mitochondrial dysfunction (e.g., ionizing radiation); and 3) therapeutic agents, which suppress the expression of multiple cytoprotective proteins (e.g., flavopiridol). Further studies will be required to determine whether TRAIL, CDK9 inhibitors, or ionizing radiation can further enhance the lethal actions of (BBR3610 + ERBB1 inhibitor) treatment in human colon cancer cells.
| Footnotes |
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N.P.F. and S.G. contributed equally to direction of the studies.
Article, publication date, and citation information can be found at http://molpharm.aspetjournals.org.
ABBREVIATIONS: ERK, extracellular signal-regulated kinase; MEK, mitogen-activated extracellular regulated kinase; PI3K, phosphatidyl inositol 3 kinase; –/–, null/gene deleted; MAPK, mitogen-activated protein kinase; PD184352, 2-(2-chloro-4-iodophenylamino)-N-cyclopropylmethoxy-3,4-difluorobenzamide; JNK, c-Jun NH2-terminal kinase; FAS, fatty acid synthase; FADD, fatty acid synthase-associating death domain protein; WT, wild type; BBR3464, (SP-4 –1)-diamminebis((SP-4 –2)-diamminechloroplatinum(
)(µ-hexane-1,6-diamine))platinum tetranitrate; ECL, enhanced chemiluminescence; DMSO, dimethyl sulfoxide; JNK-IP, c-Jun NH2-terminal kinase inhibitor peptide; ERBB1, epidermal growth factor receptor; HRP, horseradish peroxidase; PAGE, polyacrylamide gel electrophoresis; siRNA, small interfering RNA; MEF, mouse embryonic fibroblast; LY294002, 2-(4-morpholinyl)-8-phenyl-1(4H)-benzopyran-4-one hydrochloride; AG1478, 4-(3'-chloroanilino)-6,7-dimethoxy-quinazoline; U0126, 1,4-diamino-2,3-dicyano-1,4-bis(methylthio)butadiene; PD98059, 2'-amino-3'-methoxyflavone; ABT-737, (R)-4-(3-dimethylamino-1-phenylsulfanylmethyl-propylamino)-N-{4-[4-(4'-chloro-biphenyl-2-ylmethyl)-piperazin-1-yl]-benzoyl}-3-nitro-benzenesulfonamide; BMS-354825, N-(2-chloro-6-methylphenyl)-2-((6-(4-(2-hydroxyethyl)piperazin-1-yl)-2-methylpyrimidin-4-yl)amino)thiazole-5-carboxamide.
Address correspondence to: Dr. Paul Dent, Department of Biochemistry, 401 College Street, Massey Cancer Center, Room 2-108, BOX 980035, Virginia Commonwealth University, Richmond, VA 23298-0035. E-mail: pdent{at}vcu.edu
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