Triptolide sensitizes pancreatic cancer cells to TRAIL-induced activation of the death receptor pathway

Cancer Lett. 2014 Jun 28;348(1-2):156-66. doi: 10.1016/j.canlet.2014.03.016. Epub 2014 Mar 21.

Abstract

The tumor necrosis factor related apoptosis-inducing ligand (TRAIL) causes cancer cell death, but many cancers, including pancreatic cancer, are resistant to TRAIL therapy. A combination of TRAIL and the diterpene triepoxide, triptolide, is effective in inducing pancreatic cancer cell death. Triptolide increases levels of death receptor DR5 and decreases the pro-survival FLICE-like inhibitory protein (c-FLIP), which contribute to the activation of caspase-8. This combination further causes both lysosomal and mitochondrial membrane permeabilization, resulting in cell death. Our study provides a mechanism by which triptolide sensitizes TRAIL resistant cells, which may become a novel therapeutic strategy against pancreatic cancer.

Keywords: Apoptosis; Death receptor; Pancreatic cancer; TRAIL; Triptolide.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents, Alkylating / pharmacology
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Apoptosis / drug effects*
  • BH3 Interacting Domain Death Agonist Protein / metabolism
  • CASP8 and FADD-Like Apoptosis Regulating Protein / genetics
  • CASP8 and FADD-Like Apoptosis Regulating Protein / metabolism
  • Caspase 8 / genetics
  • Caspase 8 / metabolism
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Diterpenes / pharmacology
  • Drug Resistance, Neoplasm / drug effects*
  • Enzyme Activation
  • Epoxy Compounds / pharmacology
  • Humans
  • Lysosomes / drug effects
  • Lysosomes / metabolism
  • Mice
  • Mitochondrial Membranes / drug effects
  • Mitochondrial Membranes / metabolism
  • Pancreatic Neoplasms / genetics
  • Pancreatic Neoplasms / metabolism*
  • Pancreatic Neoplasms / pathology
  • Permeability
  • Phenanthrenes / pharmacology
  • RNA Interference
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / agonists*
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / genetics
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / metabolism
  • Signal Transduction / drug effects*
  • TNF-Related Apoptosis-Inducing Ligand / pharmacology
  • Transfection
  • bcl-2-Associated X Protein / metabolism

Substances

  • Antineoplastic Agents, Alkylating
  • BAX protein, human
  • BH3 Interacting Domain Death Agonist Protein
  • BID protein, human
  • CASP8 and FADD-Like Apoptosis Regulating Protein
  • CFLAR protein, human
  • Diterpenes
  • Epoxy Compounds
  • Phenanthrenes
  • Receptors, TNF-Related Apoptosis-Inducing Ligand
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFRSF10B protein, human
  • bcl-2-Associated X Protein
  • triptolide
  • CASP8 protein, human
  • Caspase 8