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Clinical Cancer Research Vol. 6, 1969-1977, May 2000
© 2000 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Tumor Necrosis Factor-{alpha}-induced Apoptosis in Prostate Cancer Cells through Inhibition of Nuclear Factor-{kappa}B by an I{kappa}B{alpha} "Super-Repressor"1

Heather J. Muenchen2, Din-Lii Lin, Michael A. Walsh, Evan T. Keller and Kenneth J. Pienta

Department of Internal Medicine, Division of Hematology/Oncology [H. J. M., M. A. W., K. J. P.], Department of Animal Medicine, Division of Pathology, [D-L. L., E. T. K.], and Department of Surgery, Division of Urology [K. J. P.], University of Michigan, Ann Arbor, Michigan 48109


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Prostate cancer patients experiencing a relapse in disease often express high serum tumor necrosis factor-{alpha} (TNF-{alpha}) levels. Many androgen-insensitive prostate cancer cells are TNF-{alpha} insensitive because of the expression of antiapoptotic genes as part of the nuclear factor-{kappa}B (NF-{kappa}B) family of transcription factors. NF-{kappa}B stimulates gene transcription when expressed in the nucleus; however, in resting cells, this nuclear import is prevented by association with the cytoplasmic inhibitor I{kappa}B{alpha}. This cytoplasmic retention of NF-{kappa}B is uncoupled by many extracellular signals including low levels of TNF-{alpha}. During normal cell activation, nuclear translocation of NF-{kappa}B is preceded by phosphorylation and degradation of I{kappa}B{alpha}. When phosphorylation is blocked, I{kappa}B{alpha} remains intact, thereby blocking NF-{kappa}B translocation to the nucleus and subsequent activation of antiapoptotic genes that cause TNF-{alpha} insensitivity. We tested whether a "super-repressor" of NF-{kappa}B activity could be transfected into prostate cancer cells and make them TNF-{alpha} sensitive. PC-3 and LNCaP cells were stimulated with TNF-{alpha} (10 ng/ml) for 24 h in the presence or absence of the I{kappa}B{alpha} "super-repressor" (p6R-I{kappa}BS32A + S36A). NF-{kappa}B activity was measured by electrophoretic mobility shift assay and the steady state levels of the cytoplasmic I{kappa}B{alpha} protein were measured by Western blot. Secretory IL-6 and IL-6 mRNA were measured by ELISA. p6R-I{kappa}BS32A + S36A blocked the stimulation of NF-{kappa}B activity by TNF-{alpha} in prostate cancer cells. It also subsequently decreased IL-6 production by TNF-{alpha}. We conclude that these data demonstrate that inhibition of NF-{kappa}B selectively sensitizes previously insensitive prostate cancer cells to TNF-{alpha}.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
TNF-{alpha}3 is known to possess potent antitumor activity both in vivo (1) and in vitro (2 , 3) . TNF-{alpha} is a polypeptide mediator of a variety of cellular responses, including apoptotic or necrotic cell lysis and proliferation (4 , 5) . It is predominately released from macrophages in response to foreign microbial components and has been established as an important mediator of tumor cell death, as demonstrated in previous experiments by others as well as the principal investigator and colleagues (3 , 6, 7, 8) .

TNF-{alpha} is not released from prostate cancer cells themselves but from associated macrophages after a relapse in disease (9) . Studies have shown that patients with hormone-refractory prostate cancer demonstrate high serum TNF-{alpha} levels as compared with untreated patients (9, 10, 11, 12) . The relationship between TNF-{alpha} sensitivity and hormone responsiveness has not yet been explored. However, androgen-insensitive prostate cancer cells, PC-3 and JCA-1, have proven to be TNF-{alpha} insensitive, whereas androgen-sensitive prostate cancer cells, LNCaP, are TNF-{alpha} sensitive (13) .

TNF-{alpha} triggers a number of signal transduction processes, which lead to either apoptosis or proliferation based on the TNF-{alpha} threshold of a cell. Most cells do not undergo apoptosis when exposed to low levels of TNF-{alpha} (Fig. 1A)Citation . This is likely a protective mechanism by the cell based on the induction by TNF-{alpha} of antiapoptotic genes such as A20, the Bcl-2 family member A1, manganese superoxide dismutase, and cellular inhibitor of apoptosis-2, all targets of the NF-{kappa}B family of transcription factors (14) . It is this activation of antiapoptotic genes that makes cells insensitive to TNF-{alpha}-induced apoptosis. Apoptosis is induced by high levels of TNF-{alpha} binding to its receptor, TNF-RI, and activating members of the caspase family of proteases (Fig. 1BCitation ; Ref. 14 ). TNF-{alpha}-insensitive cells do not undergo TNF-{alpha}-induced apoptosis, regardless of the amount of TNF-{alpha} present (Fig. 1C)Citation . Instead, TNF-{alpha} causes constitutive expression of antiapoptotic genes protecting the cells from TNF-{alpha}-induced apoptosis.



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Fig. 1. Illustration demonstrating the differences between normal (A), normal/TNF-{alpha}-sensitive (B), and TNF-{alpha}-insensitive (C) cells. FADD, Fas-associated death domain; TRADD, TNFRI-associated death domain; TRAF2, TNF receptor-associated factor; P, phosphorylate; Ub, ubiquitinate.

 
Eukaryotic NF-{kappa}B is a well-established inducible transcription factor of great importance in cytokine-mediated inflammation (15) . It is responsible for the rapid induction of many cytokines and adhesion molecules involved in the inflammatory and immune response systems (15 , 16) . Specifically, NF-{kappa}B participates in the activation of TNF-{alpha}-dependent expression of IL-6, intercellular adhesion molecule-1, and matrix metalloproteinase-9, among others, in various cell systems (17 , 18) . IL-6, an inflammatory cytokine, is a known autocrine and paracrine growth factor in androgen-insensitive human prostate carcinomas (17) . Intercellular adhesion molecule-1 is an established adhesion molecule involved in prostate cancer metastasis (17) , whereas matrix metalloproteinase-9 plays an essential role in the destruction of the basement membrane because of its ability to proteolyze type IV collagen (18) .

The prototypical form of NF-{kappa}B is a heterodimeric inducible complex containing two DNA binding subunits, p50 (NF-{kappa}B1) and p65 (RelA), both of which belong to the Rel family of transcription factors (19 , 20) . This heterodimer is the most potent gene transactivator within the NF-{kappa}B family (21) . When NF-{kappa}B is expressed in the nucleus, it stimulates gene transcription via the potent transactivation domain located within the COOH-terminal half of RelA (22) . However, in resting cells, the nuclear import of NF-{kappa}B is prevented because of a high-affinity association of its RelA subunit with a labile cytoplasmic inhibitor called I{kappa}B{alpha} (19 , 23) . This I{kappa}B{alpha}-dependent mechanism for the cytoplasmic retention of NF-{kappa}B is uncoupled by many extracellular signals including low levels of TNF-{alpha} (24) . After this cellular stimulation, I{kappa}B{alpha} is phosphorylated at serines 32 and 36 by a specific kinase IKK (25) , ubiquitinated, and undergoes proteolysis in proteosomes, enabling NF-{kappa}B to translocate to the nucleus, where it binds to NF-{kappa}B DNA binding sites and stimulates transcription of many cytokines, chemokines, and adhesion molecules (26) .

A "super-repressor" form of I{kappa}B{alpha} with mutations at serines 32 and 36, located in the NH2-terminal part of the polypeptide, has been shown to effectively prevent I{kappa}B{alpha} phosphorylation, degradation, and NF-{kappa}B activation in other systems (Fig. 2Citation ; Ref. 20 , 27, 28, 29, 30 ). With phosphorylation, blocked I{kappa}B{alpha} remains intact, thereby, blocking NF-{kappa}B translocation to the nucleus and subsequent activation of antiapoptotic genes that cause TNF-{alpha} insensitivity, thereby allowing the cells to proceed through apoptosis. This I{kappa}B{alpha} "super-repressor" has also been shown to induce apoptosis in other systems (31 , 32) . The "super-repressor" produces constitutive repression of NF-{kappa}B-directed transcription, despite the presence of agonists that normally induce the degradation of I{kappa}B{alpha} and the nuclear translocation of NF-{kappa}B (24) .



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Fig. 2. Schematic representation of p6R-I{kappa}BS32A + S36A (18) .

 
Proteosome inhibitors such as calpain inhibitor I (ALLN) or MG-132 have been shown to block the induction of NF-{kappa}B activity in cultured cells (20) . They inhibit I{kappa}B{alpha} degradation through their ability to block the catalytic activity of the proteosome complex (20) . Although very effective in blocking the induction of NF-{kappa}B-activated antiapoptotic genes, proteosome inhibitors are nonspecific and therefore potentially very toxic. However, the I{kappa}B{alpha} "super-repressor," p6R-I{kappa}BS32A + S36A, has also proven to be very effective in inhibiting activation of NF-{kappa}B20. Its ability to be genetically engineered with a PSA promoter provides specificity for prostate cancer cells and therefore makes it an ideal candidate for hormone-refractory prostate cancer gene therapy.

We report an efficient transduction of exogenous "super-repressor," p6R-I{kappa}BS32A + S36A, NF-{kappa}B into both TNF-{alpha}-insensitive PC-3 cells and TNF-{alpha}-sensitive LNCaP cells. This "super-repressor" blocked I{kappa}B{alpha} phosphorylation, NF-{kappa}B translocation and activation, IL-6 production, and induced apoptosis in transfected PC-3 and LNCaP cells exposed to TNF-{alpha}. Our data demonstrate that p6R-I{kappa}BS32A + S36A is a powerful tool that can sensitize TNF-{alpha}-insensitive prostate cancer cells to undergo apoptosis. Moreover, blockage of IL-6 production decreases cell proliferation of androgen-independent prostate cancer cells.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Cell Cultures.
Androgen-sensitive LNCaP and androgen-insensitive PC-3 cells (American Type Culture Collection, Rockville, MD) were maintained at 37°C in an atmosphere of 5% CO2 in RPMI 1640 (Life Technologies, Grand Island, NY) containing 1% antibiotic-antimycotic (10,000 units/ml penicillin G, 10,000 µg/ml streptomycin sulfate, and 25 µg/ml amphotericin B; Life Technologies) and supplemented with 10% fetal bovine serum (Life Technologies).

Transfections.
The I{kappa}B{alpha}S32A/S36A plasmid used in this study was described previously (21 , 33) . Transfections were conducted by using SuperFect (Qiagen, Valencia, CA). The procedure was followed according to the manufacturer’s protocol. Briefly, cells were seeded overnight at 60% confluency. The DNA plasmid (10 µg/10-cm dish or 2 µg/6-cm dish) containing the p6R-I{kappa}BS32A + S36A "super-repressor" was mixed with 10 or 25 µl of SuperFect, respectively. In control experiments, the empty eukaryotic expression vector, p6R, was similarly introduced into cells. Cells were incubated with the DNA mixture for 2 h at 37°C. Equal amounts of additional fresh media were then added to the cells. The cultures were incubated at 37°C for 24 h and replaced with fresh media. Cells were then treated with TNF-{alpha} (10 ng/ml) for 24 h.

Cytosolic and Nuclear Extracts.
Cell pellets were washed in PBS, pelleted again, resuspended in buffer A [10 mM HEPES (pH 7.9), 1.5 mM MgCl2, 10 mM KCl, 5 mM DTT, 5 mM phenylmethylsulfonyl fluoride and protease inhibitors (50 µg/ml antipain, 2 µg/ml aprotinin, 1 µg/ml leupeptin, and 1 µg/ml pepstatin)] and placed on ice for 10 min. The cells were then vortexed and centrifuged for 10 s. The supernatant was placed in a separate tube, and 10 mM EDTA, 120 mM KCl, and 20% glycerol were added. This mixture was designated cytosolic extracts and stored at -80°C. The pellets were resuspended in equal volumes of buffer C [10 mM HEPES (pH 7.9), 25% glycerol, 1.5 mM MgCl2, 0.2 mM EDTA, 0.8 M KCl, and protease inhibitors] and incubated for 20 min on ice. Samples were centrifuged for 5 min at 10,000 x g at 4°C. Supernatants were designated nuclear extracts and were stored at -80°C.

Western Blot Analysis.
Equal amounts of cytosolic extracts (50 µg) were analyzed by SDS-PAGE, followed by Western blotting using a polyclonal rabbit I{kappa}B{alpha} antibody (Santa Cruz Biotechnology, Santa Cruz, CA). Immunoreactive I{kappa}B{alpha} was detected using the enhanced chemiluminescence (ECL) light detecting kit (Amersham).

EMSA.
NF-{kappa}B oligonucleotide probe (Santa Cruz Biotechnology) was labeled with [{gamma}32P]ATP to 50,000 cpm/ng using polynucleotide kinase. Nuclear extracts (5 µg) were incubated with 1 µg of poly(deoxyinosinic-deoxycytidylic acid) a 20-µl volume of gel shift reaction buffer [10 mM Tris (pH 7.5), 50 mM NaCl, 1 mM DTT, 1 mM EDTA, and 5% glycerol] and 0.5 ng of labeled oligonucleotide probe for 20 min at room temperature. For supershifts with p65 antibody, nuclear extracts from untransfected PC-3 cells were preincubated with 1 µl of RelA antibody against the COOH-terminal portion of the molecule (Santa Cruz Biotechnology) for 15 min at room temperature before the addition of binding buffer and probe. DNA-protein complexes were resolved by electrophoresis through a 4% polyacrylamide gel containing 50 mM Tris (pH 7.5), 0.38 M glycine, and 2 mM EDTA. The gel was then dried and visualized by autoradiography.

RNA Extraction and Amplification.
RNA was isolated from control, p6R, and mutant, p6R-I{kappa}BS32A + S36A, transfected PC-3 cells using the TRIzol method (Life Technologies). Total RNA (10 µg) was amplified and measured using a mRNA IL-6 Quantikine ELISA (R&D Systems, Minneapolis, MN).

IL-6 ELISA.
An IL-6 ELISA of cell culture supernatants from control, p6R, and mutant, p6R-I{kappa}BS32A + S36A, transfected PC-3 cells was performed in triplicate according to the manufacturer’s specifications (R&D Systems). Supernatants were removed at various time points after TNF-{alpha} (10 ng/ml) stimulation.

Apoptosis Detection.
Annexin V fluorescent staining was assayed using an Annexin V apoptosis kit (Santa Cruz Biotechnology), and Apoptag fluorescent staining was detected using an immunohistochemistry kit (Intergen, Purchase, NY), according to manufacturer’s protocol.

Statistical Analysis.
Data are expressed as a means ± SE. Statistical significance was performed by the two-tailed Student t test for paired data and considered significant if Ps were <0.05.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Blocked Degradation of I{kappa}B{alpha} in Transfected LNCaP (LNCaPT) and PC-3 (PC-3T) Cells.
To inhibit TNF-{alpha} induced I{kappa}B{alpha} degradation, we transfected LNCaP and PC-3 cells with the I{kappa}B{alpha} "super-repressor," p6R-I{kappa}BS32A + S36A, which is not susceptible to phosphorylation at NH2-terminal serines 32 and 36 and is therefore resistant to subsequent degradation. Western blot analysis of cells transfected with p6R-I{kappa}BS32A + S36A and treated with 10 ng/ml of TNF-{alpha} for 24 h demonstrated blockage of I{kappa}B{alpha} phosphorylation and degradation (Fig. 3)Citation . The TNF-{alpha}-insensitive PC-3 cells constitutively degraded I{kappa}B{alpha} until its phosphorylation was blocked (Fig. 3Citation , Lane 4). This phenomenon was present 24 h after TNF-{alpha} was added to the cultures. After 48 h in culture, p6R-I{kappa}BS32A + S36A alone could stop degradation of I{kappa}B{alpha} (data not shown). On the basis of these data, it appears that TNF-{alpha} expedites the blocked degradation of I{kappa}B{alpha}. The TNF-{alpha}-sensitive LNCaP cells only degraded I{kappa}B{alpha} in the presence of 10 ng/ml TNF-{alpha} (Fig. 3Citation , Lanes 8 and 12), except where phosphorylation was blocked by the I{kappa}B{alpha} "super-repressor" (Fig. 3Citation , Lane 10).



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Fig. 3. The I{kappa}B{alpha} "super-repressor" blocks the degradation of I{kappa}B{alpha} by TNF-{alpha} in PC-3T and LNCaPT cells. PC-3 and LNCaP cells were first transfected with p6R-I{kappa}BS32A + S36A or the control p6R alone for 24 h before stimulation with 10 ng/ml of TNF-{alpha} for 24 h. Total cellular proteins (50 µg) were subject to SDS-PAGE, followed by immunoblotting for I{kappa}B{alpha}.

 
Inhibition of NF-{kappa}B Translocation and Activation.
Nuclear extracts prepared from LNCaPT and PC-3T cells were analyzed by EMSA for their NF-{kappa}B DNA binding activity using a radiolabeled binding site as a {kappa}B probe. TNF-{alpha} strongly induced NF-{kappa}B activity in untransfected and control cells (Fig. 4A)Citation . Transfection with p6R-I{kappa}BS32A + S36A and stimulation with TNF-{alpha} (10 ng/ml) for 24 h significantly reduced the cytokine-mediated NF-{kappa}B nuclear translocation (Fig. 4ACitation , Lanes 4 and 10) In PC-3 cells without the I{kappa}B{alpha} "super-repressor" and TNF-{alpha} stimulation, the constitutive degradation of I{kappa}B{alpha} causes NF-{kappa}B to be constitutively expressed in the nucleus, where it transcribes antiapoptotic genes that cause TNF-{alpha} insensitivity. However, LNCaP cells only degrade I{kappa}B{alpha} in the presence of TNF-{alpha} Citation , Lanes 8 and 12), except where the "super-repressor" is present (Fig. 4Citation , Lane 10), and therefore have significantly less NF-{kappa}B in the nucleus. Again, after 48 h in culture p6R-I{kappa}BS32A + S36A alone could decrease NF-{kappa}B translocation to the nucleus (data not shown). A supershift assay, with lysate obtained from untransfected PC-3 cells (Fig. 4B)Citation , was performed with a p65 antibody to demonstrate specificity to the NF-{kappa}B complex p65. Both a negative control without nuclear extracts as well as a competitive control using a 100-fold excess of unlabeled consensus mutant NF-{kappa}B were used to establish specificity of the reaction (data not shown).



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Fig. 4. The I{kappa}B{alpha} "super-repressor" blocks the stimulation of NF-{kappa}B by TNF-{alpha} in PC-3T and LNCaPT cells. A, PC-3 and LNCaP cells were first transfected with p6R-I{kappa}BS32A + S36A or the control p6R alone for 24 h before stimulation with 10 ng/ml of TNF-{alpha} for 24 h. Nuclear proteins (5 µg) were assayed for NF-{kappa}B DNA binding activity by EMSA using a radiolabeled consensus NF-{kappa}B site as a probe. B, nuclear protein (2 µg) was assayed for {kappa}B binding activity by EMSA. RelA antibody supershifting is indicated.

 
Inhibition of IL-6 Gene Expression by p6R-I{kappa}BS32A + S36A.
The strong inhibition of NF-{kappa}B activity by p6R-I{kappa}BS32A + S36A in prostate cancer cells suggested that TNF-{alpha}-mediated, NF-{kappa}B-dependent gene induction could be down-regulated by this reagent. As shown in Fig. 5Citation , TNF-{alpha} induction of IL-6 mRNA expression is inhibited in p6R-I{kappa}BS32A + S36A transfected PC-3 cells, when compared with untransfected and control cells, reaching a maximum of only 60 amol/ml.



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Fig. 5. The I{kappa}B{alpha} "super-repressor" blocks the stimulation of IL-6 mRNA production by TNF-{alpha} in PC-3T cells. PC-3 cells were first transfected with p6R-I{kappa}BS32A + S36A or the control p6R alone for 24 h before stimulation with 10 ng/ml of TNF-{alpha} for 24 h. IL-6 mRNA was measured in total RNA with a Quantikine ELISA. Data represent the means of three independent samples; bars, SD.

 
We also investigated whether p6R-I{kappa}BS32A + S36A would be able to prevent IL-6 secretion resulting from TNF-{alpha} and other stimuli. Fig. 6Citation demonstrates that PC-3 cells transfected with p6R-I{kappa}BS32A + S36A and treated with TNF-{alpha} (10 ng/ml) have significantly decreased levels of IL-6 secretion when compared with untransfected and control cells. This is particularly apparent at 24 h after TNF-{alpha} stimulation, where IL-6 levels are decreased to 480 (pg/ml).



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Fig. 6. The I{kappa}B{alpha} "super-repressor" blocks the stimulation of IL-6 secretion by TNF-{alpha} in PC-3T cells. PC-3 cells were first transfected with p6R-I{kappa}BS32A + S36A or the control p6R alone for 24 h before stimulation with 10 ng/ml of TNF-{alpha} for 24 h. IL-6 was measured in the media by ELISA. Data represent the means of three independent samples; bars, SD.

 
Mutant I{kappa}B{alpha} Significantly Sensitizes Prostate Cancer Cells to Apoptosis Induced by TNF-{alpha}.
Sensitization of PC-3T and LNCaPT cells with TNF-{alpha} (10 ng/ml) for 24 h induces apoptosis as assessed by morphological examination, propidium iodide staining, Annexin V staining, and Apoptag staining. Annexin V staining of cells transfected with p6R-I{kappa}BS32A + S36A and sensitized with TNF-{alpha} demonstrate an increase in apoptotic activity (Fig. 7A)Citation when compared with untransfected and control cells (Fig. 7, B and 7C)Citation . Fig. 8Citation shows columns illustrating the intensity of Apoptag staining in PC-3 and LNCaP cells, respectively. Again, when cells are transfected with the I{kappa}B{alpha} mutant and sensitized with TNF-{alpha}, there is a significant increase in apoptotic cell death.



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Fig. 7. The effect of NF-{kappa}B inhibition by p6R-I{kappa}BS32A + S36A on TNF-{alpha}-induced apoptosis. Annexin V staining of apoptotic PC-3 cells after transfection with p6R-I{kappa}BS32A + S36A and stimulation with TNF-{alpha} (10 ng/ml; A). Note the intense fluorescence of these cells. Stimulated LNCaP cells all experienced apoptosis (data not shown). Untransfected (B) and control (C) PC-3 cells with the same stimulation experienced only minimal apoptosis, and unstimulated PC-3 and LNCaP cells did not experience any apoptosis.

 


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Fig. 8. The effect of NF-{kappa}B inhibition by p6R-I{kappa}BS32A + S36A on TNF-{alpha}-induced apoptosis. Apoptosis was examined by Apoptag fluorescence staining of PC-3 and LNCaP cells. The number of apoptotic and healthy cells was counted by a fluorescent microscope in randomly selected three fields/well, and the data are presented as a percentage of cells appearing apoptotic. Triplicate wells in each experiment were examined (means; bars, SE; n = 4).

 

    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Prostate cancer patients experiencing a relapse in disease often acquire increased serum TNF-{alpha} levels when compared with untreated patients or patients in remission (9) . These patients also experience a higher early mortality rate, and it seems likely that serum TNF-{alpha} levels increase in prostate cancer patients with end-stage disease (9) . The prostate cancer cells found in relapsing patients are primarily androgen insensitive because of prior androgen ablation therapy. Studies have shown that these androgen-insensitive prostate cancer cells are also TNF-{alpha} insensitive (13) . We proposed that this was attributable to NF-{kappa}B activation of antiapoptotic genes, such as those that cause TNF-{alpha} insensitivity. There are some cancer cells that are particularly sensitive to the cytotoxic effect of TNF-{alpha} (8) . However, TNF-{alpha} has also been implicated in tissue remodeling and proliferation in some cell types (8) . This paradox is because of two separate and distinct TNF-{alpha}-mediated pathways present in cells. One pathway leads to apoptosis and the other to activation of protective antiapoptotic genes through NF-{kappa}B. Which pathway is activated depends on the TNF-{alpha} threshold of that particular cell. Typically, lower or normal levels of TNF-{alpha} induce the NF-{kappa}B protective pathway to keep the cell from undergoing unnecessary apoptosis, where higher or toxic levels induce apoptosis. TNF-{alpha}-insensitive cells, such as androgen-insensitive prostate cancer cells, do not experience TNF-{alpha}-induced apoptosis, even at the LD10 dose of 10 ng/ml. This is attributable to the constitutive degradation of I{kappa}B{alpha} and therefore NF-{kappa}B activation of antiapoptotic genes. Even TNF-{alpha} levels of 100 ng/ml could not force the TNF-{alpha}-insensitive cells into apoptosis. The fact that the androgen-insensitive prostate cancer cells were also TNF-{alpha} insensitive, coupled with the increased serum TNF-{alpha} levels of relapsing prostate cancer patients, lead us to believe that these cells were thriving in a toxic TNF-{alpha} environment attributable to the induction of NF-{kappa}B antiapoptotic genes.

This study provides important new insights into the effects of inhibiting NF-{kappa}B in TNF-{alpha}-insensitive prostate cancer cells. A wide range of intracellular components are implicated in TNF-{alpha}-induced cell killing, including pertussis toxin-sensitive guanine nucleotide binding protein (34) , phospholipase A2 (35) , phospholipase D activation (36) , and DNA damage (37) . Despite which receptor sets off the cytotoxic effect, the various intracellular signals activated by TNF-{alpha} lead to activation of NF-{kappa}B (4) . Prostate cancer cells up-regulate multiple NF-{kappa}B-responsive genes in response to TNF-{alpha} stimulation. These molecules may be involved in cell proliferation and metastasis, where modulation of their expression could be clinically beneficial. We have targeted our intervention at the I{kappa}B/NF-{kappa}B pathway because most of these genes are predominately regulated at the level of transcription.

After TNF-{alpha} stimulation, NF-{kappa}B maintains a balance between an inactive and active state that relies mostly on I{kappa}B{alpha} (21) . NF-{kappa}B can be shifted to an inactive or active state by overexpression or degradation of I{kappa}B{alpha} (21) . Previous approaches to inhibit NF-{kappa}B activity have focused on endothelial or mononuclear hemopoietic cells (21) . Most strategies target I{kappa}B{alpha} through proteosome blockades, phosphorylation inhibition, and protein overexpression (38 , 39) . The method we used to block the NF-{kappa}B pathway in TNF-{alpha}-insensitive prostate cancer cells was transfection with an I{kappa}B{alpha} "super-repressor" that resists TNF-{alpha} induced phosphorylation and degradation. The I{kappa}B{alpha} protein used was a S32A/S36A mutant form of I{kappa}B{alpha} that mutated the inducible amino acid phosphoreceptor and therefore abolished the degradation process (21) . Our approach was successful in maintaining I{kappa}B{alpha} levels, which selectively inhibited NF-{kappa}B p65 subunit nuclear translocation, NF-{kappa}B DNA binding activity, down-regulated the induction of NF-{kappa}B responsive gene IL-6, and induced apoptosis.

Androgen-independent prostate cancer cells spontaneously release high levels of IL-6 into the cell supernatant without exogenous stimulation (13) . IL-6 is a cytokine with pleiotropic activities and has been shown to play a central role in immune host-defense mechanisms (40) . This cytokine has been implicated in growth differentiation, inhibition, and proliferation, depending upon the nature of the responsive target cells (41) . IL-6 has been shown to promote cell proliferation in androgen-independent prostate cancer cells, PC-3 (42) . When these cells were transfected with thep6R-I{kappa}BS32A + S36A "super-repressor" and stimulated with TNF-{alpha}, IL-6 secretion and IL-6 mRNA production was decreased. Although our results demonstrate only partial inhibition of IL-6 production, we believe that this IL-6 is residual, because of the fact that the "super-repressor" only inhibits new gene transcription, and that we have demonstrated that p6R-I{kappa}BS32A + S36A significantly suppresses new IL-6 production by TNF-{alpha}-stimulated PC-3 cells.

Transfected prostate cancer cells stimulated with TNF-{alpha} were induced to proceed through apoptosis. With the NF-{kappa}B pathway blocked by the I{kappa}B{alpha} "super-repressor," the cells were forced to proceed though TNF-{alpha}-induced apoptosis. Our results indicate that the previously TNF-{alpha}-insensitive prostate cancer cells were made sensitive because of transfection with p6R-I{kappa}BS32A + S36A. Once made sensitive, the cells experienced apoptotic cell death upon stimulation with TNF-{alpha}.

The complex signal transduction pathway, beginning from the binding of a cytokine to its receptor and leading to NF-{kappa}B transcriptional activity, provides many opportunities for therapeutic intervention (20) . Other studies have demonstrated that p6R-I{kappa}BS32A + S36A can be successfully incorporated within the recombinant replication-deficient adenovirus, giving rise to possible clinical use (20 , 21) . In future studies, we propose using a PSA-promoter, pPSA-630 (43) , added to p6R-I{kappa}BS32A + S36A, that would specifically target only PSA-secreting cells such as those found in prostate cancer relapsed patients. This PSA promoter can only be activated in the presence of specific transcription factors present only in PSA-producing cells. One such transcription factor is the androgen receptor present in prostate cancer cells. This gene therapy might be beneficial to advanced prostate cancer patients and would avoid the severe toxicities associated with other I{kappa}B inhibitors, such as ALLN and MG-132, by specifically targeting prostate cancer cells. With NF-{kappa}B activation blocked, prostate cancer cells could proceed through apoptosis using the elevated serum TNF-{alpha} levels already present in patients with relapsed prostate cancer.

In conclusion, this study extends known antiapoptotic roles of NF-{kappa}B to prostate cancer cells and emphasizes that the blockage of NF-{kappa}B can selectively sensitize previously insensitive cells to apoptosis by TNF-{alpha}. These findings suggest a potential new therapeutic tool for prostate cancer gene therapy.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 Supported by CaPCURE and SPORE Grant P50 CA69568. Back

2 To whom requests for reprints should be addressed, at University of Michigan Medical School, Department of Internal Medicine, 1500 East Medical Center Drive, 7303 CCGC, Ann Arbor, MI 48109-0946. Phone (734) 647-3411; Fax: (734) 647-9480; E-mail: muenchen{at}umich.edu Back

3 The abbreviations used are: TNF-{alpha}, tumor necrosis factor-{alpha}; NF-{kappa}B, nuclear factor-{kappa}B; IL, interleukin; EMSA, electrophoretic mobility shift assay; PSA, prostate-specific antigen. Back

Received 1/ 7/00; revised 2/15/00; accepted 2/16/00.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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