PMID- 19834494 OWN - NLM STAT- MEDLINE DCOM- 20100615 LR - 20240323 IS - 1476-5403 (Electronic) IS - 1350-9047 (Print) IS - 1350-9047 (Linking) VI - 17 IP - 4 DP - 2010 Apr TI - The receptor for advanced glycation end products (RAGE) sustains autophagy and limits apoptosis, promoting pancreatic tumor cell survival. PG - 666-76 LID - 10.1038/cdd.2009.149 [doi] AB - Activation of the induced receptor for advanced glycation end products (RAGE) leads to initiation of NF-kappaB and MAP kinase signaling pathways, resulting in propagation and perpetuation of inflammation. RAGE-knockout animals are less susceptible to acute inflammation and carcinogen-induced tumor development. We have reported that most forms of tumor cell death result in release of the RAGE ligand, high-mobility group protein 1 (HMGB1). We now report a novel role for RAGE in the tumor cell response to stress. Targeted knockdown of RAGE in the tumor cell, leads to increased apoptosis, diminished autophagy and decreased tumor cell survival . In contrast, overexpression of RAGE is associated with enhanced autophagy, diminished apoptosis and greater tumor cell viability. RAGE limits apoptosis through a p53-dependent mitochondrial pathway. Moreover, RAGE-sustained autophagy is associated with decreased phosphorylation of mammalian target of rapamycin (mTOR) and increased Beclin-1/VPS34 autophagosome formation. These findings show that the inflammatory receptor, RAGE, has a heretofore unrecognized role in the tumor cell response to stress. Furthermore, these studies establish a direct link between inflammatory mediators in the tumor microenvironment and resistance to programmed cell death. Our data suggest that targeted inhibition of RAGE or its ligands may serve as novel targets to enhance current cancer therapies. FAU - Kang, R AU - Kang R AD - Department of Surgery, Hillman Cancer Center, University of Pittsburgh Cancer Institute, Pittsburgh, PA 15232, USA. FAU - Tang, D AU - Tang D FAU - Schapiro, N E AU - Schapiro NE FAU - Livesey, K M AU - Livesey KM FAU - Farkas, A AU - Farkas A FAU - Loughran, P AU - Loughran P FAU - Bierhaus, A AU - Bierhaus A FAU - Lotze, M T AU - Lotze MT FAU - Zeh, H J AU - Zeh HJ LA - eng GR - P01 CA101944/CA/NCI NIH HHS/United States GR - P01 CA101944-05S1/CA/NCI NIH HHS/United States GR - 1 PO1 CA 101944-04/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20091016 PL - England TA - Cell Death Differ JT - Cell death and differentiation JID - 9437445 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (BECN1 protein, human) RN - 0 (Beclin-1) RN - 0 (HMGB1 Protein) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Membrane Proteins) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis/*physiology MH - Apoptosis Regulatory Proteins/genetics/metabolism MH - Autophagy/*physiology MH - Beclin-1 MH - Carcinoma/*metabolism/physiopathology MH - Cell Line, Tumor MH - Cell Survival/physiology MH - HMGB1 Protein/metabolism MH - Humans MH - Inflammation/immunology MH - Intracellular Signaling Peptides and Proteins/genetics/metabolism MH - Membrane Proteins/genetics/metabolism MH - Mice MH - Pancreatic Neoplasms/*metabolism/physiopathology MH - Phosphorylation MH - Protein Serine-Threonine Kinases/genetics/metabolism MH - RNA Interference MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/genetics/*metabolism MH - Stress, Physiological/*physiology MH - TOR Serine-Threonine Kinases MH - Tumor Suppressor Protein p53/genetics/metabolism PMC - PMC3417122 MID - NIHMS143869 EDAT- 2009/10/17 06:00 MHDA- 2010/06/16 06:00 PMCR- 2012/08/12 CRDT- 2009/10/17 06:00 PHST- 2009/10/17 06:00 [entrez] PHST- 2009/10/17 06:00 [pubmed] PHST- 2010/06/16 06:00 [medline] PHST- 2012/08/12 00:00 [pmc-release] AID - cdd2009149 [pii] AID - 10.1038/cdd.2009.149 [doi] PST - ppublish SO - Cell Death Differ. 2010 Apr;17(4):666-76. doi: 10.1038/cdd.2009.149. Epub 2009 Oct 16.