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.
Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Antineoplastic Agents, Alkylating / pharmacology
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Antineoplastic Combined Chemotherapy Protocols / pharmacology*
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Apoptosis / drug effects*
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BH3 Interacting Domain Death Agonist Protein / metabolism
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CASP8 and FADD-Like Apoptosis Regulating Protein / genetics
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CASP8 and FADD-Like Apoptosis Regulating Protein / metabolism
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Caspase 8 / genetics
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Caspase 8 / metabolism
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Cell Line, Tumor
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Cell Survival / drug effects
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Diterpenes / pharmacology
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Drug Resistance, Neoplasm / drug effects*
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Enzyme Activation
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Epoxy Compounds / pharmacology
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Humans
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Lysosomes / drug effects
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Lysosomes / metabolism
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Mice
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Mitochondrial Membranes / drug effects
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Mitochondrial Membranes / metabolism
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Pancreatic Neoplasms / genetics
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Pancreatic Neoplasms / metabolism*
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Pancreatic Neoplasms / pathology
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Permeability
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Phenanthrenes / pharmacology
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RNA Interference
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Receptors, TNF-Related Apoptosis-Inducing Ligand / agonists*
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Receptors, TNF-Related Apoptosis-Inducing Ligand / genetics
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Receptors, TNF-Related Apoptosis-Inducing Ligand / metabolism
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Signal Transduction / drug effects*
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TNF-Related Apoptosis-Inducing Ligand / pharmacology
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Transfection
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bcl-2-Associated X Protein / metabolism
Substances
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Antineoplastic Agents, Alkylating
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BAX protein, human
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BH3 Interacting Domain Death Agonist Protein
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BID protein, human
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CASP8 and FADD-Like Apoptosis Regulating Protein
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CFLAR protein, human
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Diterpenes
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Epoxy Compounds
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Phenanthrenes
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Receptors, TNF-Related Apoptosis-Inducing Ligand
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TNF-Related Apoptosis-Inducing Ligand
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TNFRSF10B protein, human
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bcl-2-Associated X Protein
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triptolide
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CASP8 protein, human
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Caspase 8