bax-deficiency promotes drug resistance and oncogenic transformation by attenuating p53-dependent apoptosis

Proc Natl Acad Sci U S A. 1997 Mar 18;94(6):2345-9. doi: 10.1073/pnas.94.6.2345.

Abstract

Inactivation of p53-dependent apoptosis promotes oncogenic transformation, tumor development, and resistance to many cytotoxic anticancer agents. p53 can transcriptionally activate bax, a bcl-2 family member that promotes apoptosis. To determine whether bax is required for p53-dependent apoptosis, the effects of bax deficiency were examined in primary fibroblasts expressing the E1A oncogene, a setting where apoptosis is dependent on endogenous p53. We demonstrate that bax can function as an effector of p53 in chemotherapy-induced apoptosis and contributes to a p53 pathway to suppress oncogenic transformation. Furthermore, we show that additional p53 effectors participate in these processes. These p53-controlled factors act synergistically with Bax to promote a full apoptotic response, and their action is suppressed by the Bcl-2 and E1B 19K oncoproteins. These studies demonstrate that Bax is a determinant of p53-dependent chemosensitivity and illustrate how p53 can promote apoptosis by coordinating the activities of multiple effectors.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Apoptosis*
  • Cell Survival / drug effects
  • Cell Transformation, Neoplastic*
  • Cells, Cultured
  • Cisplatin / pharmacology
  • Crosses, Genetic
  • Doxorubicin / pharmacology
  • Drug Resistance / genetics*
  • Embryo, Mammalian
  • Etoposide / pharmacology
  • Fibroblasts
  • Genes, p53*
  • Mice
  • Mice, Knockout
  • Proto-Oncogene Proteins / deficiency*
  • Proto-Oncogene Proteins / genetics
  • Proto-Oncogene Proteins c-bcl-2*
  • RNA, Messenger / biosynthesis
  • Recombination, Genetic
  • Transcription, Genetic
  • Tumor Suppressor Protein p53 / biosynthesis
  • Tumor Suppressor Protein p53 / metabolism
  • bcl-2-Associated X Protein

Substances

  • Bax protein, mouse
  • Proto-Oncogene Proteins
  • Proto-Oncogene Proteins c-bcl-2
  • RNA, Messenger
  • Tumor Suppressor Protein p53
  • bcl-2-Associated X Protein
  • Etoposide
  • Doxorubicin
  • Cisplatin