PAR-4 overcomes chemo-resistance in breast cancer cells by antagonizing cIAP1

Sci Rep. 2019 Jun 19;9(1):8755. doi: 10.1038/s41598-019-45209-9.

Abstract

Most deaths from breast cancer result from tumour recurrence, which is typically an incurable disease. Down-regulation of the pro-apoptotic tumour suppressor protein prostate apoptosis response-4 (PAR-4) is required for breast cancer recurrence and resistance to chemotherapy. Recent advances in the analysis of apoptotic signalling networks have uncovered an important role for activation of caspase-8 following DNA damage by genotoxic drugs. DNA damage induces depletion of IAP proteins and causes caspase-8 activation by promoting the formation of a cytosolic cell death complex. We demonstrate that loss of PAR-4 in triple negative breast cancer cell lines (TNBC) mediates resistance to DNA damage-induced apoptosis and prevents activation of caspase-8. Moreover, loss of PAR-4 prevents DNA damage-induced cIAP1 depletion. PAR-4 functions downstream of caspase-8 by cleavage-induced nuclear translocation of the C-terminal part and we demonstrate that nuclear translocation of the C-terminal PAR-4 fragment leads to depletion of cIAP1 and subsequent caspase-8 activation. Specifically targeting cIAP1 with RNAi or Smac mimetics (LCL161) overcomes chemo-resistance induced by loss of PAR-4 and restores caspase-8 activation. Our data identify cIAP1 as important downstream mediator of PAR-4 and we provide evidence that combining Smac mimetics and genotoxic drugs creates vulnerability for synthetic lethality in TNBC cells lacking PAR-4.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Caspase 8 / genetics
  • Caspase 8 / metabolism
  • DNA Damage
  • Drug Resistance, Neoplasm*
  • Female
  • Humans
  • Inhibitor of Apoptosis Proteins / genetics
  • Inhibitor of Apoptosis Proteins / metabolism*
  • MCF-7 Cells
  • Neoplasm Proteins / genetics
  • Neoplasm Proteins / metabolism*
  • Receptors, Thrombin / genetics
  • Receptors, Thrombin / metabolism*
  • Signal Transduction*
  • Thiazoles / pharmacology
  • Triple Negative Breast Neoplasms / drug therapy
  • Triple Negative Breast Neoplasms / genetics
  • Triple Negative Breast Neoplasms / metabolism*
  • Triple Negative Breast Neoplasms / pathology
  • Ubiquitin-Protein Ligases / genetics
  • Ubiquitin-Protein Ligases / metabolism*

Substances

  • Inhibitor of Apoptosis Proteins
  • LCL161
  • Neoplasm Proteins
  • Receptors, Thrombin
  • Thiazoles
  • BIRC2 protein, human
  • Ubiquitin-Protein Ligases
  • CASP8 protein, human
  • Caspase 8
  • protease-activated receptor 4