Pemetrexed induces both intrinsic and extrinsic apoptosis through ataxia telangiectasia mutated/p53-dependent and -independent signaling pathways

Pemetrexed, a new‐generation antifolate, has demonstrated promising single‐agent activity in front‐ and second‐line treatments of non‐small cell lung cancer. However, the molecular mechanism of pemetrexed‐mediated antitumor activity remains unclear. The current study shows that pemetrexed induced DN...

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Veröffentlicht in:Molecular carcinogenesis 2013-03, Vol.52 (3), p.183-194
Hauptverfasser: Yang, Tsung-Ying, Chang, Gee-Chen, Chen, Kun-Chieh, Hung, Hsiao-Wen, Hsu, Kuo-Hsuan, Wu, Chi-Hao, Sheu, Gwo-Tarng, Hsu, Shih-Lan
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container_end_page 194
container_issue 3
container_start_page 183
container_title Molecular carcinogenesis
container_volume 52
creator Yang, Tsung-Ying
Chang, Gee-Chen
Chen, Kun-Chieh
Hung, Hsiao-Wen
Hsu, Kuo-Hsuan
Wu, Chi-Hao
Sheu, Gwo-Tarng
Hsu, Shih-Lan
description Pemetrexed, a new‐generation antifolate, has demonstrated promising single‐agent activity in front‐ and second‐line treatments of non‐small cell lung cancer. However, the molecular mechanism of pemetrexed‐mediated antitumor activity remains unclear. The current study shows that pemetrexed induced DNA damage and caspase‐2, ‐3, ‐8, and ‐9 activation in A549 cells and that treatment with caspase inhibitors significantly abolished cell death, suggesting a caspase‐dependent apoptotic mechanism. The molecular events of pemetrexed‐mediated apoptosis was associated with the activation of ataxia telangiectasia mutated (ATM)/p53‐dependent and ‐independent signaling pathways, which promoted intrinsic and extrinsic apoptosis by upregulating Bax, PUMA, Fas, DR4, and DR5 and activating the caspase signaling cascade. Supplementation with dTTP allowed normal S‐phase progression and rescued apoptotic death in response to pemetrexed. Overall, our findings reveal that the decrease of thymidylate synthase and the increase of Bax, PUMA, Fas, DR4, and DR5 genes may serve as biomarkers for predicting responsiveness to pemetrexed. © 2011 Wiley Periodicals, Inc.
doi_str_mv 10.1002/mc.21842
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Carcinog</addtitle><description>Pemetrexed, a new‐generation antifolate, has demonstrated promising single‐agent activity in front‐ and second‐line treatments of non‐small cell lung cancer. However, the molecular mechanism of pemetrexed‐mediated antitumor activity remains unclear. The current study shows that pemetrexed induced DNA damage and caspase‐2, ‐3, ‐8, and ‐9 activation in A549 cells and that treatment with caspase inhibitors significantly abolished cell death, suggesting a caspase‐dependent apoptotic mechanism. The molecular events of pemetrexed‐mediated apoptosis was associated with the activation of ataxia telangiectasia mutated (ATM)/p53‐dependent and ‐independent signaling pathways, which promoted intrinsic and extrinsic apoptosis by upregulating Bax, PUMA, Fas, DR4, and DR5 and activating the caspase signaling cascade. Supplementation with dTTP allowed normal S‐phase progression and rescued apoptotic death in response to pemetrexed. 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Carcinog</addtitle><date>2013-03</date><risdate>2013</risdate><volume>52</volume><issue>3</issue><spage>183</spage><epage>194</epage><pages>183-194</pages><issn>0899-1987</issn><eissn>1098-2744</eissn><abstract>Pemetrexed, a new‐generation antifolate, has demonstrated promising single‐agent activity in front‐ and second‐line treatments of non‐small cell lung cancer. However, the molecular mechanism of pemetrexed‐mediated antitumor activity remains unclear. The current study shows that pemetrexed induced DNA damage and caspase‐2, ‐3, ‐8, and ‐9 activation in A549 cells and that treatment with caspase inhibitors significantly abolished cell death, suggesting a caspase‐dependent apoptotic mechanism. 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subjects Antimetabolites, Antineoplastic - pharmacology
Apoptosis
Apoptosis - drug effects
ataxia telangiectasia mutated
Ataxia Telangiectasia Mutated Proteins
Cancer therapies
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - metabolism
Carcinoma, Non-Small-Cell Lung - pathology
Caspases - metabolism
Cell Cycle Proteins - metabolism
Cell Line, Tumor
DNA Damage - drug effects
DNA-Binding Proteins - metabolism
Enzyme Activation - drug effects
Enzymes
Glutamates - pharmacology
Guanine - analogs & derivatives
Guanine - pharmacology
Humans
Lung cancer
Lung Neoplasms - drug therapy
Lung Neoplasms - metabolism
Lung Neoplasms - pathology
Mutation
p53
Pemetrexed
Protein-Serine-Threonine Kinases - metabolism
PUMA
S Phase Cell Cycle Checkpoints - drug effects
Signal Transduction - drug effects
Thymine Nucleotides - pharmacology
Tumor Suppressor Protein p53 - metabolism
Tumor Suppressor Proteins - metabolism
title Pemetrexed induces both intrinsic and extrinsic apoptosis through ataxia telangiectasia mutated/p53-dependent and -independent signaling pathways
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