PMID- 22008998 OWN - NLM STAT- MEDLINE DCOM- 20120705 LR - 20211020 IS - 1432-1440 (Electronic) IS - 0946-2716 (Linking) VI - 90 IP - 3 DP - 2012 Mar TI - Glucocorticoid receptor antagonist sensitizes TRAIL-induced apoptosis in renal carcinoma cells through up-regulation of DR5 and down-regulation of c-FLIP(L) and Bcl-2. PG - 309-19 LID - 10.1007/s00109-011-0821-8 [doi] AB - RU486 (Mifepristone) has been known as antiprogesterone and antiglucocorticoid agent. RU486 is also used for treatment of several cancers, such as breast, ovarian, prostate, and glaucoma. Here, we investigated the effect of RU486 on TRAIL-induced apoptosis in human renal carcinoma Caki cells. Low dose of RU486 (30-50 muM) alone had no effect on apoptosis, but RU486 markedly sensitized Caki cells to TRAIL-induced apoptosis. We found that up-regulation of death receptor 5 (DR5; receptor for TRAIL ligand), and down-regulation of Bcl-2 and c-FLIP (caspase regulator) contributes to RU-486 induced TRAIL sensitization. Down-regulation of DR5 by siRNA also blocked RU486 induced TRAIL sensitization. Furthermore, overexpression of Bcl-1 or c-FLIP(L) inhibited the cell death induced by the combined treatment with RU486 and TRAIL. RU486 increased DR5 expression at the transcriptional levels through induction of CHOP expression. By contrast, RU486 did not sensitize normal human mesangial cells to TRAIL-mediated apoptosis. Effect of RU486 on TRAIL-induced cancer cell apoptosis was independent of glucocorticoid receptor and progesterone receptor. Taken together, RU486 enhances TRAIL-mediated apoptosis through down-regulation of Bcl-2 and c-FLIP(L) as well as CHOP-mediated DR5 up-regulation. FAU - Min, Kyoung-Jin AU - Min KJ AD - Department of Immunology, School of Medicine, Keimyung University, 2800 Dalgubeoldaero, Dalseo-Gu, Daegu 704-701, South Korea. FAU - Jang, Ji Hoon AU - Jang JH FAU - Lee, Jung Tae AU - Lee JT FAU - Choi, Kyeong Sook AU - Choi KS FAU - Kwon, Taeg Kyu AU - Kwon TK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111019 PL - Germany TA - J Mol Med (Berl) JT - Journal of molecular medicine (Berlin, Germany) JID - 9504370 RN - 0 (CASP8 and FADD-Like Apoptosis Regulating Protein) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Receptors, Glucocorticoid) RN - 0 (Receptors, TNF-Related Apoptosis-Inducing Ligand) RN - 0 (TNF-Related Apoptosis-Inducing Ligand) RN - 147336-12-7 (Transcription Factor CHOP) RN - 320T6RNW1F (Mifepristone) SB - IM MH - Apoptosis/*drug effects MH - CASP8 and FADD-Like Apoptosis Regulating Protein/*drug effects/genetics/metabolism MH - Carcinoma, Renal Cell/*metabolism/pathology MH - Cell Line MH - Down-Regulation MH - HT29 Cells MH - Humans MH - Mesangial Cells/metabolism/pathology MH - Mifepristone/*pharmacology MH - Proto-Oncogene Proteins c-bcl-2/*drug effects/genetics/metabolism MH - Receptors, Glucocorticoid/antagonists & inhibitors MH - Receptors, TNF-Related Apoptosis-Inducing Ligand/*drug effects/genetics/metabolism MH - TNF-Related Apoptosis-Inducing Ligand/*drug effects/metabolism/pharmacology MH - Transcription Factor CHOP/*drug effects/genetics/metabolism/pharmacology MH - Up-Regulation EDAT- 2011/10/20 06:00 MHDA- 2012/07/06 06:00 CRDT- 2011/10/20 06:00 PHST- 2011/06/01 00:00 [received] PHST- 2011/10/07 00:00 [accepted] PHST- 2011/09/28 00:00 [revised] PHST- 2011/10/20 06:00 [entrez] PHST- 2011/10/20 06:00 [pubmed] PHST- 2012/07/06 06:00 [medline] AID - 10.1007/s00109-011-0821-8 [doi] PST - ppublish SO - J Mol Med (Berl). 2012 Mar;90(3):309-19. doi: 10.1007/s00109-011-0821-8. Epub 2011 Oct 19.