TY - JOUR T1 - Down-Regulation of Inhibitor of Apoptosis Proteins by Deguelin Selectively Induces Apoptosis in Breast Cancer Cells JF - Molecular Pharmacology JO - Mol Pharmacol SP - 101 LP - 111 DO - 10.1124/mol.106.027367 VL - 71 IS - 1 AU - Xiang-Hong Peng AU - Prasanthi Karna AU - Ruth M. O'Regan AU - XiuJu Liu AU - Rajesh Naithani AU - Robert M. Moriarty AU - William C. Wood AU - Ho-Young Lee AU - Lily Yang Y1 - 2007/01/01 UR - http://molpharm.aspetjournals.org/content/71/1/101.abstract N2 - The identification of differentially regulated apoptotic signals in normal and tumor cells allows the development of cancer cell-selective therapies. Increasing evidence shows that the inhibitor of apoptosis (IAP) proteins survivin and XIAP are highly expressed in tumor cells but are absent or have very low levels of expression in normal adult tissues. We found that inhibiting AKT activity with 10 to 100 nM deguelin, a small molecule derived from natural products, markedly reduced the levels of both survivin and XIAP, inducing apoptosis in human breast cancer cells but not in normal cells. It is noteworthy that we detected an elevated level of cleaved poly(ADP-ribose) polymerase, a signature of caspase activation, without a significant increase in caspase activity in deguelin-treated cancer cells. Our results suggest that severe down-regulation of the IAPs by deguelin releases their inhibitory activity over pre-existing active caspases present in cancer cells, inducing apoptosis without the need for further caspase activation. Because normal cells have very low levels of p-AKT, XIAP, survivin, and pre-existing caspase activity, deguelin had little effect on those cells. In addition, we found that combining deguelin with chemotherapy drugs enhanced drug-induced apoptosis selectively in human tumor cells, which suggests that deguelin has great potential for chemosensitization and could represent a new therapeutic agent for treatment of breast cancer. The American Society for Pharmacology and Experimental Therapeutics ER -