Upregulating Noxa by ER stress, celastrol exerts synergistic anti-cancer activity in combination with ABT-737 in human hepatocellular carcinoma cells

PLoS One. 2012;7(12):e52333. doi: 10.1371/journal.pone.0052333. Epub 2012 Dec 20.

Abstract

The human hepatocellular carcinoma (HCC) represents biologically aggressive and chemo-resistant cancers. Owing to the low affinity with the apoptotic factor Mcl-1, the BH3 mimetic drug ABT-737 failed to exert potent cancer-killing activities in variety of cancer models including HCC. The current study demonstrated that combining ABT-737 and Celastrol synergistically suppressed HCC cell proliferation, and induced apoptosis which was accompanied with the activation of caspase cascade and release of cytochrome c from mitochondria. Further study revealed that the enhanced Noxa caused by Celastrol was the key factor for the synergy, since small interfering RNA-mediated knockdown of Noxa expression in HCC cells resulted in decreased apoptosis and attenuated anti-proliferative effects of the combination. In addition, our study unraveled that, upon Celastrol exposure, the activation of endoplasmic reticulum (ER) stress, specifically, the eIF2α-ATF4 pathway played indispensable roles in the activation of Noxa, which was validated by the observation that depletion of ATF4 significantly abrogated the Noxa elevation by Celastrol. Our findings highlight a novel signaling pathway through which Celastrol increase Noxa expression, and suggest the potential use of ATF4-mediated regulation of Noxa as a promising strategy to improve the anti-cancer activities of ABT-737.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis / drug effects
  • Biphenyl Compounds / pharmacology*
  • Blotting, Western
  • Carcinoma, Hepatocellular / metabolism*
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Drug Synergism
  • Endoplasmic Reticulum Stress / drug effects*
  • Humans
  • Immunoprecipitation
  • Membrane Potential, Mitochondrial / drug effects
  • Nitrophenols / pharmacology*
  • Pentacyclic Triterpenes
  • Piperazines / pharmacology
  • Proto-Oncogene Proteins c-bcl-2 / metabolism*
  • RNA, Small Interfering
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sulfonamides / pharmacology*
  • Triterpenes / pharmacology*

Substances

  • ABT-737
  • Biphenyl Compounds
  • Nitrophenols
  • PMAIP1 protein, human
  • Pentacyclic Triterpenes
  • Piperazines
  • Proto-Oncogene Proteins c-bcl-2
  • RNA, Small Interfering
  • Sulfonamides
  • Triterpenes
  • celastrol

Grants and funding

The authors gratefully acknowledge financial support from the Fundamental Research Funds for the Central Universities (No. 2011FZA7008) and Zhejiang Provincial Natural Science Foundation of China (No. Y2110933). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.