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2015 ; 13
(ä): 25
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Homoharringtonine, a clinically approved anti-leukemia drug, sensitizes tumor
cells for TRAIL-induced necroptosis
#MMPMID25925126
Philipp S
; Sosna J
; Plenge J
; Kalthoff H
; Adam D
Cell Commun Signal
2015[Apr]; 13
(ä): 25
PMID25925126
show ga
BACKGROUND: One hallmark of cancer cells is their ability to evade physiologic
signals causing regulated cell death (RCD). Correspondingly, TRAIL-based
therapies to eliminate human cancer cells via enforced induction of apoptosis
have been established and represent a promising approach in anti-cancer research.
However, due to frequently appearing intrinsic or acquired resistances of tumor
cells against apoptosis, TRAIL-based apoptotic strategies for the treatment of
cancer patients have shown limited efficacy. As a potential alternative,
regulated necrosis (and necroptosis triggered e.g. by TRAIL receptors 1/2) has
recently gained considerable attention. Regulated necrosis represents a mode of
RCD molecularly distinct from apoptosis whose potential in anti-cancer therapy is
almost uncharacterized. Since in most cancer cells survival pathways counteract
the effects of TRAIL-induced RCD, sensitizers such as cycloheximide (CHX) are
frequently added in cell culture to overcome this problem. Unfortunately, those
sensitizers are cytotoxic and therefore not suitable for the treatment of cancer
patients. Here, we have alternatively employed homoharringtonine (HHT), a plant
alkaloid which was recently approved by the U. S. Food and Drug Administration to
treat patients with chronic myeloid lymphoma. RESULTS: We show that HHT is an
efficient sensitizer for TRAIL-induced necroptosis in multiple human cancer cell
lines. In addition, HHT-enhanced TRAIL-mediated necroptosis occurs via the same
signaling pathways (involving RIPK1/RIPK3/MLKL) as CHX-enhanced necroptosis.
Importantly, consecutive treatment schedules of necroptosis and apoptosis in
either combination revealed remarkable additive effects not reached by repetitive
apoptotic treatments alone. CONCLUSIONS: Taken together, our data demonstrate
that HHT can replace harmful substances such as CHX to sensitize human cancer
cells to TRAIL-induced necroptosis. Thus, HHT represents a promising enhancer in
TRAIL-based necroptotic anti-cancer therapies also in patients.