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5-aza-2′-deoxycytidine upregulates caspase-9 expression cooperating with p53-induced apoptosis in human lung cancer cells

Abstract

Treating lung cancer cell lines using low-dose 5-aza-2′-deoxycytidine (DAC) caused an accumulation of procaspase-9 through mRNA upregulation, but the cells did not undergo apoptosis. However, when cells were treated with DAC and infected with a low dose of a recombinant wild-type p53 adenovirus vector (Ad-p53), a synergistic growth inhibitory effect was observed. Combination treatment induced Apaf-1 and procaspase-9 expression in which cytochrome c releases by Ad-p53 triggered the mitochondrial pathway of apoptosis. Selective blockage of caspase-9 activities by Z-LEHD-FMK completely attenuated DAC-induced enhancement of apoptosis mediated by Ad-p53 infection, and ectopic overexpression of procaspase-9 sensitized cells to Ad-p53-induced apoptosis in p53-null cells. In addition, DAC sensitized lung cancer cells to cisplatin and paclitaxel. Induction of the mitochondrial pathway of apoptosis using a slightly toxic dose of DAC may therefore be a strategy for treating lung cancer, and DAC treatment may have clinical implications when combined with chemotherapy or apoptosis-inducing gene therapy.

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Acknowledgements

We thank Dr Masahiko Nishizaki for technical advice, and Carmelita Concepcion and Peggy James for the preparation of this manuscript. This work was partially supported by a grant from the National Cancer Institute, National Institutes of Health (PO1 CA78778-01A1; to JAR), the SPORE grant (2P50-CA70970-04), a developmental grant from the National Cancer Institute to MD Anderson Cancer Center SPORE in lung cancer; P50-CA70907 to TM, the Cancer Center Support Core Grant CA 16672 to the Division of Surgery at MD Anderson, a grant from the Tobacco Settlement Funds as appropriated by the Texas Legislature (Project 8), the WM Keck Foundation, and a sponsored research agreement with Introgen Therapeutics, Inc. (SR93-004-1).

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Correspondence to Ji-ichiro Sasaki.

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Gomyo, Y., Sasaki, Ji., Branch, C. et al. 5-aza-2′-deoxycytidine upregulates caspase-9 expression cooperating with p53-induced apoptosis in human lung cancer cells. Oncogene 23, 6779–6787 (2004). https://doi.org/10.1038/sj.onc.1207381

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