以TRAIL为靶点的肿瘤治疗研究进展

肿瘤坏死因子相关凋亡配体（tumor necrosis factor-related apoptosis-inducing ligand,TRAIL）是肿瘤坏死因子（tumor necrosis factor,TNF）超家族成员。TRAIL与其受体结合后启动凋亡信号转导,选择性地诱导肿瘤细胞凋亡,而对正常组织细胞没有明显的伤害,而且一些药物和细胞因子可协同TRAIL诱导肿瘤细胞凋亡。本文就TRAIL及其受体、TRAIL诱导凋亡的机制以及影响凋亡的因素和途径,以TRAIL为靶点的肿瘤治疗的研究现状作一综述。     

肿瘤坏死因子相关凋亡诱导配体（TRAIL）及抗肿瘤作用

肿瘤坏死因子相关凋亡诱导配体（TRAIL）是肿瘤坏死因子（TNF）超家族成员之一,能选择性的诱导肿瘤细胞、转化细胞凋亡,而对正常组织无毒性,有望成为肿瘤治疗的新方法,备受人们的关注。本文从TRAIL的结构、受体、诱导肿瘤细胞凋亡机制及在肿瘤治疗中的应用等方面作了介绍,以期为TRAIL临床应用提供参考。     

基于TRAIL的肿瘤治疗策略进展

肿瘤坏死因子相关凋亡诱导配体(TRAIL)能选择性诱导肿瘤细胞凋亡,且对机体正常组织细胞无毒副作用,被认为是一种非常有潜力的抗癌药物。我们简要介绍TRAIL及其配体诱导细胞凋亡的机制、肿瘤细胞对TRAIL的耐受机制及其克服策略。     

肿瘤抑制基因DAPK:一个新的药物治疗靶点

死亡相关蛋白激酶(DAPK)是一种新的钙调蛋白(CaM)调节的丝/苏氨酸激酶,是凋亡的正性调节因子。细胞凋亡被认为是控制和治疗肿瘤的最有效方法之一,它与肿瘤的发生、发展和转移有着密切的联系。而DAPK参与多条途径诱导的细胞凋亡,被公认为是一种肿瘤抑制基因。在此我们将重点讨论DAPK促进细胞凋亡的机制,为靶向治疗肿瘤提供方向和理论依据。     

凋亡抑制因子FAP-1与肿瘤的关系

在肿瘤细胞抵抗凋亡的研究中发现,FAP-1是Fas诱导凋亡的抑制因子,在多种肿瘤细胞中表达。通过对FAP-1基因、蛋白质结构等方面的研究发现,FAP-1以PDZ3结构域介导,与Fas在细胞内强结合,将Fas限制于高尔基体内,不表达于癌细胞表面,从而降低Fas的功能。另外FAP-1会通过磷酸酯酶活性的发挥、NF-κB等途径来抵抗Fas诱导的肿瘤细胞的凋亡。因此,从其作用机制出发,抑制FAP-1mRNA的表达、阻断FAP-1与Fas的结合及其信号转导通路,可以诱导肿瘤细胞的凋亡从而为肿瘤的诊治提供新途径。     

死亡受体信号通路耐受机制及肿瘤治疗CSCD

死亡受体介导的凋亡通路是治疗肿瘤的理想方案。凋亡通路中具有复杂的调控机制,控制细胞的生死存亡。其中有多类抗凋亡因子,致使肿瘤细胞对凋亡信号耐受,使得凋亡在肿瘤治疗领域的应用受限。临床前体外细胞及裸鼠研究发现,单独靶向这些死亡受体或抗凋亡因子的药物或与传统化疗联合可以有效引起肿瘤细胞凋亡,但临床II期实验没有明显治疗效果。本综述总结分析多种抗凋亡因子产生的耐受机制以及靶向药物的研究现状,提出同时靶向死亡受体、c-FLIP及IAP是治疗肿瘤的理想方案。     

IAP家族分子与肿瘤靶向治疗

凋亡抑制因子(inhibitor of apoptosis proteins,IAPs)是一类高度保守的内源性抗细胞凋亡因子家族,主要通过抑制Caspase活性和参与调节核因子NF-κB的作用而抑制细胞凋亡。细胞抗凋亡机制在肿瘤发生、发展以及肿瘤耐药性形成中发挥重要作用。肿瘤细胞高表达IAPs是导致肿瘤细胞抵抗凋亡的关键。细胞凋亡调控异常与肿瘤细胞耐药密切相关,增强肿瘤细胞对化疗药物的敏感性成为近年来肿瘤治疗的重要策略之一。该文综述了IAP家族蛋白的结构、生物学特性及其作为肿瘤治疗靶点的研究进展。     

细胞色素P450表氧化酶对肿瘤坏死因子诱导的内皮细胞凋亡的影响

目的研究细胞色素P450表氧化酶对肿瘤坏死因子诱导的内皮细胞(bovine aortic endothelial cells, BAECs)凋亡的影响.方法在原代培养的BAECs中,分别转染构建在腺相关病毒载体内的细胞色素P450表氧化酶基因2J2,2C11,F87V两周后,用肿瘤坏死因子(TNF-α)(10ng/ml)和放线菌素D(ActD)(5ng/ml)诱导内皮细胞凋亡,通过细胞形态学和流式细胞计数观察其凋亡变化,同时采用Western blot分析检测Bcl-2和P38和丝裂原激动蛋白激酶ERK的表达水平.结果与对照相比,转染细胞色素P450表氧化酶基因后BAECs 凋亡细胞数减少,Bcl-2表达增加, P38表达减低, ERK的磷酸化水平增加.结论细胞色素P450表氧化酶能明显的抑制肿瘤坏死因子诱导的BAECs凋亡,并可能通过上调Bcl-2、下调P38的表达水平和通过增加ERK的磷酸化水平发挥抗凋亡作用.     

拮抗凋亡转录因子与肿瘤增殖及凋亡

肿瘤是目前临床常见的疾病之一.肿瘤的经典治疗方式主要包括手术切除、放疗和化疗.近年来肿瘤治疗的手段不断发展,但许多进展期的肿瘤仍然未见较有效的治疗方式,因此亟需新的治疗手段.肿瘤细胞的特点是具有无限增殖和抵抗凋亡的能力.因此,鉴定参与肿瘤细胞增殖和凋亡的基因将为肿瘤治疗提供潜在的靶点.拮抗凋亡转录因子(apoptosi...     

TRAIL诱导肿瘤细胞凋亡的分子机制及其在肿瘤生物治疗中的应用前景

肿瘤坏死因子相关的凋亡诱导配体(tumor necrosis factor related apoptosis-inducingligand,TRAIL)是肿瘤坏死因子超家族成员之一,由于它能特异性诱导肿瘤细胞的凋亡而对正常细胞无毒性,因此具有被开发成治疗肿瘤的蛋白质药物的可能性。目前已经有5个与TRAIL相关的受体被鉴定出,其中,TRAILR1和TRAILR2是与诱导细胞凋亡最直接相关的受体,也是最具有前景的药物设计靶点。本文基于TRAIL蛋白及其受体复合物的三维结构分析,阐述TRAIL诱导肿瘤细胞凋亡的机制以及影响凋亡的因素和途径,对以TRAIL为靶点的肿瘤治疗的研究现状作全面综述,为探索肿瘤生物治疗的新方法和途径提供帮助。     

肿瘤坏死因子相关凋亡诱导配体研究进展

TRAIL(又称为Apo2L)是TNF超家族的新成员。它可以选择性诱导肿瘤细胞的凋亡,而对正常细胞无凋亡作用本介绍了TRAIL的结构和功能、凋亡途径、肝毒性研究及应用前景。TRAIL很可能成为新一代的抗肿瘤制剂。     

肿瘤坏死因子相关的凋亡诱导配体(TRAIL)cDNA的克隆与表达

肿瘤坏死因子相关凋亡诱导配体（ｔｕｍｏｒｎｅｃｒｏｓｉｓｆａｃｔｏｒｒｅｌａｔｅｄａｐｏｐｔｏｓｉｓｉｎｄｕｃｉｎｇｌｉｇａｎｄ,ＴＲＡＩＬ）是新近发现的肿瘤坏死因子家族成员,亦称凋亡素２配体（Ａｐｏ２ｌｉｇａｎｄ,Ａｐｏ２Ｌ）［１,２］．由于ＴＮＦ参与机体的免疫调节和炎症反应,并发挥细胞毒作用,因而为世人所瞩目［３,４］．研究表明,ＴＲＡＩＬ与ＴＮＦ和Ｆａｓ／Ａｐｏ１配体一样,为典型的Ⅱ型跨膜蛋白,Ｃ端细胞外区域形成同源三聚体的亚结构,而Ｎ端１５～４０氨基酸为疏水区域并形成跨膜结…     

Regulation of osteoprotegerin pro- or anti-tumoral activity by bone tumor microenvironment

Tumor development in bone is often associated with fractures, bone loss and bone pain, and improvement is still needed in therapeutic approaches. Bone tumors are related to the existence of a vicious cycle between bone resorption and tumor proliferation in which the molecular triad osteoprotegerin (OPG)/receptor activator of NF-kappaB (RANK)/RANK ligand (RANKL) plays a pivotal role. RANKL, a member of the TNF superfamily, is one of the main inducers of bone resorption. Its soluble receptor OPG represents a promising therapeutic candidate as it prevents bone lesions and inhibits associated tumor growth. However, its therapeutic use in bone tumors remains controversial due to its ability to bind and inhibit another member of the TNF superfamily, TNF related apoptosis inducing ligand (TRAIL), which is a potent inducer of tumor cell apoptosis. Through its heparin binding domain, OPG is also able to bind proteoglycans present in the bone matrix. This paper is an overview of the involvement of the micro-environment, as represented by the balance of RANKL/TRAIL and the presence of proteoglycans in the regulation of OPG biological activity in bone tumors.     

TRAIL‐induced apoptosis of FHIT‐negative lung cancer cells is inhibited by FHIT re‐expression

Fragile histidine triad (FHIT) is a tumor suppressor gene whose allelic loss is associated to a number of human cancers. FHIT protein acts as a diadenosine oligophosphate hydrolase, but its tumor suppressive activity appears as independent from its enzymatic activity. Tumor necrosis factor (TNF)‐related apoptosis inducing ligand (TRAIL) can induce apoptosis in the FHIT‐negative non‐small lung cancer cell line Calu‐1. We generated four FHIT‐inducible Calu‐1 cell clones and demonstrated that FHIT expression was able to protect cells from TRAIL‐induced apoptosis, without affecting TRAIL‐receptors surface expression. FHIT‐specific small interference RNA transfection of SV40‐immortalized normal bronchial BEAS cells that show levels of FHIT protein comparable to those of normal bronchial cells, resulted in a significant increase of TRAIL‐induced apoptosis. Of note, suramin‐mediated inhibition of FHIT enzymatic activity also enhanced TRAIL‐induced apoptosis. We conclude that FHIT expression in lung cancer cells is protective from TRAIL‐induced apoptosis. Our data suggest that FHIT exerts this protective effect downstream TRAIL‐receptors and likely requires its dinucleoside‐triphosphate hydrolase activity. As TRAIL represents in the near future a good candidate for death ligands‐based anticancer therapy, its potential therapeutic use should be envisaged as preliminary to molecular genetics interventions or drug‐induced epigenetic modulations aimed to restoring FHIT gene expression levels in non‐small cells lung tumors. J. Cell. Physiol. 220: 492–498, 2009. © 2009 Wiley‐Liss, Inc.     

Activation of TRAIL‐DR5 pathway promotes sensorineural degeneration in the inner ear

Tumor necrosis factor (TNF) family cytokines are important mediators of inflammation. Elevated levels of serum TNF‐α are associated with human sensorineural hearing loss via poorly understood mechanisms. We demonstrate, for the first time, expression of TNF‐related apoptosis‐inducing ligand (TRAIL) and its signaling death receptor 5 (DR5) in the murine inner ear and show that exogenous TRAIL can trigger hair cell and neuronal degeneration, which can be partly prevented with DR5‐blocking antibodies.     

Enhanced TRAIL sensitivity by E1A expression in human cancer and normal cell lines: inhibition by adenovirus E1B19K and E3 proteins

TNF-related apoptosis-inducing ligand (TRAIL) is a member of the TNF superfamily of cytokines that induces apoptosis in a variety of cancer cells, but not in normal cells. However, more and more tumor cells remain resistant to TRAIL, which limited its application for cancer therapy. Expression of the adenovirus serotype 5 (Ad5) E1A sensitizes tumor cells to apoptosis by TNF-alpha, Fas-ligand, and TRAIL. Here we asked whether E1A overcomes this resistance and enhances TRAIL-induced apoptosis in the tumor cells. Our results revealed that the tumor cell lines, HeLa and HepG2, with infection by Ad-E1A, were highly sensitive to TRAIL-induced apoptosis. Importantly, we found that in normal primary human lung fibroblast cells (HLF) TRAIL is capable of inducing apoptosis in combination with E1A as efficiently as in some tumor cell lines. The adenovirus type 5 encoding proteins, E1B19K and E3 gene products, have been shown to inhibit E1A and TRAIL-induced apoptosis of HLF cells by using the recombinant adenovirus AdDeltaE1B55K, with mutation of E1B55K, containing E1B19K and complete E3 region. Further results demonstrated that the expression of DR5 and TRAIL was down-regulated in the AdDeltaE1B55K co-infected HLF cells. These findings suggest that TRAIL may play an important role in limiting virus infections and the ability of adenovirus to inhibit killing may prolong acute and persistent infections. The results from this study have also suggested the possibility that the combination of E1A with TRAIL could be used in the treatment of human malignancy, or in the selection of the optimal adenovirus mutant as effective delivering vector for cancer therapy.     

Roscovitine sensitizes breast cancer cells to TRAIL-induced apoptosis through a pleiotropic mechanism

The tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL/APO2L) is a member of the TNF gene superfamily that induces apoptosis upon engagement of cognate death receptors. While TRAIL is relatively non-toxic to normal cells, it selectively induces apoptosis in many transformed cells. Nevertheless, breast tumor cells are particularly resistant to the effects of TRAIL. Here we report that, in combination with the cyclin-dependent kinase inhibitor roscovitine, exposure to TRAIL induced marked apoptosis in the majority of TRAIL-resistant breast cancer cell lines examined. Roscovitine facilitated TRAIL death-inducing signaling complex formation and the activation of caspase-8. The cFLIP(L) and cFLIP(S) FLICE-inhibitory proteins were significantly down-regulated following exposure to roscovitine and, indeed, the knockdown of cFLIP isoforms by siRNA sensitized breast tumor cells to TRAIL-induced apoptosis. In addition, we demonstrate that roscovitine strongly suppressed Mcl-1 expression and up-regulated E2F1 protein levels in breast tumor cells. Significantly, the silencing of Mcl-1 by siRNA sensitized breast tumor cells to TRAIL-induced apoptosis. Furthermore, the knockdown of E2F1 protein by siRNA reduced the sensitizing effect of roscovitine in TRAIL-induced apoptosis. In summary, our results reveal a pleitropic mechanism for the pro-apoptotic influence of roscovitine, highlighting its potential as an antitumor agent in breast cancer in combination with TRAIL.