PMID- 20630997 OWN - NLM STAT- MEDLINE DCOM- 20110228 LR - 20121115 IS - 1557-3265 (Electronic) IS - 1078-0432 (Linking) VI - 16 IP - 17 DP - 2010 Sep 1 TI - Preclinical and clinical estimates of the basal apoptotic rate of a cancer predict the amount of apoptosis induced by subsequent proapoptotic stimuli. PG - 4478-89 LID - 10.1158/1078-0432.CCR-10-0859 [doi] AB - PURPOSE: We hypothesized that the basal apoptotic rate (BAR) of a cancer would predict sensitivity to subsequent proapoptotic stimuli. To explore this, preclinical and clinical BAR assays were developed measuring cumulative apoptotic events through ELISAs for soluble caspase-cleaved cytokeratin 18 (M30) normalized to either cell number increase or total tumor volume, respectively. EXPERIMENTAL DESIGN: The BARs of A549, HCC44, and SW1573 non-small cell lung carcinoma cell lines were measured following different pro/antiapoptotic manipulations. In isogenic wild-type and stable knockdown (KD) series, pretreatment BARs were correlated with response to proapoptotic stimuli and compared with established apoptosis assays. Pretreatment and posttreatment serum was available from stereotactic body radiation therapy patients. RESULTS: Caspase inhibition and p53 KDs reduced the BAR, whereas serum deprivation, XIAP, or Bcl2 KDs increased the BAR. The nontreated BAR rank ordering of the XIAP series recapitulated that with terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling and caspase-3/7 activity assays, and predicted each line's sensitivity to TRAIL or irradiation. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling, however, underestimated basal apoptosis during increased apoptotic stress, and caspase-3/7 activity detected minimal death in the media. P53 KDs with lower nontreated BARs were less sensitive to TRAIL and cisplatinum than wild-type. Stereotactic body radiation therapy increased serum M30 values, and the pretreatment clinical BAR strongly correlated with fold change in M30 on treatment (r = 0.93). CONCLUSIONS: M30-based BAR assays reflect apoptosis accurately and are more amenable to clinical application than existing apoptosis assays. The pretreatment BAR correlates with cell and/or tumor sensitivity to extrinsic and intrinsic apoptotic pathway stimulation. Prospective clinical exploration is warranted. FAU - Zhang, Lian AU - Zhang L AD - Department of Pharmacology, University of Colorado, School of Medicine, Aurora, CO, USA. FAU - Kavanagh, Brian D AU - Kavanagh BD FAU - Thorburn, Andrew M AU - Thorburn AM FAU - Camidge, D Ross AU - Camidge DR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100714 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Amino Acid Chloromethyl Ketones) RN - 0 (Caspase Inhibitors) RN - 0 (Cysteine Proteinase Inhibitors) RN - 0 (Keratin-18) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (X-Linked Inhibitor of Apoptosis Protein) RN - 0 (XIAP protein, human) RN - 0 (benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amino Acid Chloromethyl Ketones/pharmacology MH - *Apoptosis MH - Blotting, Western MH - Caspase 3/*metabolism MH - Caspase Inhibitors MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cysteine Proteinase Inhibitors/pharmacology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunoblotting MH - In Situ Nick-End Labeling MH - Keratin-18/*metabolism MH - Male MH - Middle Aged MH - Neoplasms/drug therapy/*metabolism/pathology MH - Prognosis MH - Proto-Oncogene Proteins c-bcl-2/genetics/metabolism MH - RNA Interference MH - Signal Transduction/drug effects MH - Tumor Suppressor Protein p53/genetics/metabolism MH - X-Linked Inhibitor of Apoptosis Protein/genetics/metabolism EDAT- 2010/07/16 06:00 MHDA- 2011/03/01 06:00 CRDT- 2010/07/16 06:00 PHST- 2010/07/16 06:00 [entrez] PHST- 2010/07/16 06:00 [pubmed] PHST- 2011/03/01 06:00 [medline] AID - 1078-0432.CCR-10-0859 [pii] AID - 10.1158/1078-0432.CCR-10-0859 [doi] PST - ppublish SO - Clin Cancer Res. 2010 Sep 1;16(17):4478-89. doi: 10.1158/1078-0432.CCR-10-0859. Epub 2010 Jul 14.