Inhibition of glucose metabolism sensitizes tumor cells to death receptor-triggered apoptosis through enhancement of death-inducing signaling complex formation and apical procaspase-8 processing

J Biol Chem. 2003 Apr 11;278(15):12759-68. doi: 10.1074/jbc.M212392200. Epub 2003 Jan 29.

Abstract

Tumors display a high rate of glucose uptake and glycolysis. We investigated how inhibition of glucose metabolism could affect death receptor-mediated apoptosis in human tumor cells of diverse origin. We show that both substitution of glucose for pyruvate and treatment with 2-deoxyglucose enhanced apoptosis induced by tumor necrosis factor (TNF)-alpha, CD95 agonistic antibody, and TNF-related apoptosis-inducing ligand (TRAIL). Inhibition of glucose metabolism enhanced killing of myeloid leukemia U937, cervical carcinoma HeLa, and breast carcinoma MCF-7 cells upon death receptor ligation. Caspase activation, mitochondrial depolarization, and cytochrome c release were increased under these conditions. Glucose deprivation-mediated sensitization to apoptosis was prevented in MCF-7 cells overexpressing BCL-2. Interestingly, the human B-lymphoblastoid cell line SKW6.4, a prototype for mitochondria-independent death receptor-induced apoptosis, was also sensitized to anti-CD95 and TRAIL-induced apoptosis under glucose-free conditions. Changes in c-FLIP(L) and cFLIPs levels were observed in some but not all the cell lines studied following glucose deprivation. Glucose deprivation enhanced death receptor-triggered formation of death-inducing signaling complex and early processing of procaspase-8. Altogether, these results suggest that the glycolytic pathway may be an important target for therapeutic intervention to sensitize tumor cells to selectively toxic soluble death ligands or death ligand-expressing cells of the immune system by facilitating the activation of initiator caspase-8.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Apoptosis / drug effects
  • Apoptosis / physiology*
  • Apoptosis Regulatory Proteins
  • Breast Neoplasms
  • Caspase 8
  • Caspase 9
  • Caspases / metabolism*
  • Cytochrome c Group / metabolism
  • Deoxyglucose / metabolism
  • Enzyme Activation
  • Enzyme Precursors / metabolism*
  • Female
  • Glucose / antagonists & inhibitors
  • Glucose / metabolism*
  • HeLa Cells
  • Humans
  • Kinetics
  • Lymphoma
  • Membrane Glycoproteins / physiology*
  • Mitochondria / physiology
  • Protein Processing, Post-Translational
  • Pyruvates / metabolism
  • Signal Transduction / physiology*
  • TNF-Related Apoptosis-Inducing Ligand
  • Tumor Cells, Cultured
  • Tumor Necrosis Factor-alpha / pharmacology
  • Tumor Necrosis Factor-alpha / physiology*
  • U937 Cells
  • fas Receptor / physiology

Substances

  • Apoptosis Regulatory Proteins
  • Cytochrome c Group
  • Enzyme Precursors
  • Membrane Glycoproteins
  • Pyruvates
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFSF10 protein, human
  • Tumor Necrosis Factor-alpha
  • fas Receptor
  • Adenosine Triphosphate
  • Deoxyglucose
  • CASP8 protein, human
  • CASP9 protein, human
  • Caspase 8
  • Caspase 9
  • Caspases
  • Glucose