PMID- 19074830 OWN - NLM STAT- MEDLINE DCOM- 20090202 LR - 20131121 IS - 1541-7786 (Print) IS - 1541-7786 (Linking) VI - 6 IP - 12 DP - 2008 Dec TI - Anti-gout agent allopurinol exerts cytotoxicity to human hormone-refractory prostate cancer cells in combination with tumor necrosis factor-related apoptosis-inducing ligand. PG - 1852-60 LID - 10.1158/1541-7786.MCR-08-0012 [doi] AB - Allopurinol has been used for the treatment of gout and conditions associated with hyperuricemia for several decades. We explored the potential of allopurinol on cancer treatment. Allopurinol did not expose cytotoxicity as a single treatment in human hormone refractory prostate cancer cell lines, PC-3 and DU145. However, allopurinol drastically induced apoptosis of PC-3 and DU145 in combination with tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), which is a promising candidate for anticancer agent but its efficacy is limited by the existence of resistant cancer cells. We examined the underlying mechanism by which allopurinol overcomes the resistance of prostate cancer cells to TRAIL. Allopurinol up-regulated the expression of a proapoptotic TRAIL receptor, death receptor 5 (DR5). Allopurinol increased DR5 protein, mRNA, and promoter activity. Using DR5 small interfering RNA (siRNA), we showed that allopurinol-mediated DR5 up-regulation contributed to the enhancement of TRAIL effect by allopurinol. Furthermore, we examined the mechanism of allopurinol-mediated DR5 up-regulation. DR5 promoter activity induced by allopurinol was diminished by a mutation of a CAAT/enhancer binding protein homologous protein (CHOP)-binding site. In addition, allopurinol also increased CHOP expression, suggesting that allopurinol induced DR5 expression via CHOP. Allopurinol possesses the activity of a xanthine oxidase (XO) inhibitor. We used XO siRNA instead of allopurinol. XO siRNA also up-regulated DR5 and CHOP expression and sensitized the prostate cancer cells to TRAIL-induced apoptosis. Here, we show the novel potential of allopurinol in cancer treatment and indicate that the combination of allopurinol with TRAIL is effective strategy to expand the TRAIL-mediated cancer therapy. FAU - Yasuda, Takashi AU - Yasuda T AD - Department of Molecular-Targeting Cancer Prevention, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, Japan. FAU - Yoshida, Tatsushi AU - Yoshida T FAU - Goda, Ahmed E AU - Goda AE FAU - Horinaka, Mano AU - Horinaka M FAU - Yano, Kimihiro AU - Yano K FAU - Shiraishi, Takumi AU - Shiraishi T FAU - Wakada, Miki AU - Wakada M FAU - Mizutani, Yoichi AU - Mizutani Y FAU - Miki, Tsuneharu AU - Miki T FAU - Sakai, Toshiyuki AU - Sakai T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mol Cancer Res JT - Molecular cancer research : MCR JID - 101150042 RN - 0 (Antimetabolites) RN - 0 (DDIT3 protein, human) RN - 0 (RNA, Small Interfering) RN - 0 (Receptors, TNF-Related Apoptosis-Inducing Ligand) RN - 0 (TNF-Related Apoptosis-Inducing Ligand) RN - 0 (TNFSF10 protein, human) RN - 147336-12-7 (Transcription Factor CHOP) RN - 63CZ7GJN5I (Allopurinol) RN - EC 1.17.3.2 (Xanthine Oxidase) SB - IM MH - Allopurinol/*pharmacology MH - Antimetabolites/*pharmacology MH - Apoptosis/*drug effects MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - Drug Therapy, Combination MH - Endoplasmic Reticulum/metabolism MH - Flow Cytometry MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Male MH - Promoter Regions, Genetic/physiology MH - Prostatic Neoplasms/*drug therapy/pathology MH - RNA, Small Interfering MH - Receptors, TNF-Related Apoptosis-Inducing Ligand/genetics/metabolism MH - Response Elements MH - TNF-Related Apoptosis-Inducing Ligand/*pharmacology MH - Transcription Factor CHOP/genetics MH - Up-Regulation/drug effects MH - Xanthine Oxidase/genetics EDAT- 2008/12/17 09:00 MHDA- 2009/02/03 09:00 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/02/03 09:00 [medline] AID - 6/12/1852 [pii] AID - 10.1158/1541-7786.MCR-08-0012 [doi] PST - ppublish SO - Mol Cancer Res. 2008 Dec;6(12):1852-60. doi: 10.1158/1541-7786.MCR-08-0012.