Molecular Cancer Therapeutics Molecular Diagnostics in Cancer Therapeutic Development: Fulfilling the Promise of Personalized Medicine Tumor Immunology: New Perspectives
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Mol Cancer Ther. 2006;5:2251-2260
© 2006 American Association for Cancer Research

Research Articles: Therapeutics

Nuclear factor-{kappa}B maintains TRAIL resistance in human pancreatic cancer cells

Sanaz Khanbolooki1, Steffan T. Nawrocki1, Thiruvengadam Arumugam1, Robert Andtbacka1, Maria S. Pino1,3, Razelle Kurzrock2, Craig D. Logsdon1, James L. Abbruzzese2 and David J. McConkey1

Departments of 1 Cancer Biology and 2 Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas and 3 Division of Medical Oncology "A," Regina Elena Cancer Institute, Rome, Italy

Requests for reprints: David McConkey, Department of Cancer Biology-173, University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030. Phone: 713-792-8591; Fax: 713-792-8747. E-mail: dmcconke{at}mdanderson.org

Although it displays promising activity in other tumor models, the effects of tumor necrosis factor–related apoptosis-inducing ligand (TRAIL) on human pancreatic cancer cells have not been comprehensively explored. We report that a majority of human pancreatic cancer cell lines (seven of nine) underwent apoptosis when they were exposed to recombinant human TRAIL in vitro. Characterization of surface TRAIL receptors by fluorescence-activated cell sorting showed that TRAIL-resistant cells (Panc-1 and HS766T) expressed lower levels of DR4 and DR5 than did TRAIL-sensitive cells. The proteasome inhibitor bortezomib (PS-341, Velcade) further increased TRAIL responsiveness in the TRAIL-sensitive cells and synergized with TRAIL to reverse resistance in Panc-1 and HS776T cells. The effects of bortezomib were mimicked by transfection with a small interfering RNA construct specific for the p65 subunit of nuclear factor-{kappa}B (NF-{kappa}B) or exposure to a selective chemical inhibitor of IKK (PS-1145). Silencing I{kappa}B{alpha} prevented TRAIL sensitization by PS-1145, confirming that I{kappa}B{alpha} mediated the effects of PS-1145. NF-{kappa}B inhibition resulted in down-regulation of BCL-XL and XIAP, and silencing either restored TRAIL sensitivity in TRAIL-resistant cells. Finally, therapy with TRAIL plus PS-1145 reversed TRAIL resistance in vivo to produce synergistic growth inhibition in orthotopic Panc-1 tumors. Together, our results show that NF-{kappa}B inhibits TRAIL-induced apoptosis in human pancreatic cancer cells and suggest that combination therapy with TRAIL and NF-{kappa}B inhibitors, such as bortezomib, PS-1145, or curcumin, should be considered as a possible treatment strategy in patients with pancreatic cancer. [Mol Cancer Ther 2006;5(9):2251–60]


Grant support: American Legion Auxiliary (S. Khanbolooki) and the M.D. Anderson Specialized Programs of Research Excellence in Pancreatic Cancer grant P20 CA101936.

The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

4 L. Lashinger, unpublished observations.

5 L. Lashinger and R. Andtbacka, under revision.

Received 2/ 9/06; revised 6/14/06; accepted 7/11/06.




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Copyright © 2006 by the American Association for Cancer Research.