PMID- 22984202 OWN - NLM STAT- MEDLINE DCOM- 20121210 LR - 20211021 IS - 1460-2105 (Electronic) IS - 0027-8874 (Print) IS - 0027-8874 (Linking) VI - 104 IP - 19 DP - 2012 Oct 3 TI - Protumorigenic activity of plasminogen activator inhibitor-1 through an antiapoptotic function. PG - 1470-84 LID - 10.1093/jnci/djs377 [doi] AB - BACKGROUND: Plasminogen activator inhibitor-1 (PAI-1) is a protease inhibitor but is paradoxically associated with poor outcomes in cancer patients. However, the mechanisms of its effects on tumor cells have not been explored. METHODS: Endogenous PAI-1 in human tumor cell lines (HT-1080, A549, HCT-116, and MDA-MB-231) was suppressed by small interfering RNAs (siRNAs) and PAI-039, a small molecule inhibitor of PAI-1, and the effects on apoptosis were examined. Tumorigenicity of PAI-1 knockdown (KD) tumor cells was examined in immunodeficient PAI-1 wild-type and knockout (KO) mice (9-15 per group), and event-free survival was analyzed by the Kaplan-Meier method. The effect of PAI-1 suppression on HT-1080 xenotransplanted tumors was evaluated for cell proliferation, apoptosis, and angiogenesis. All statistical tests were two-sided. RESULTS: Genetic and pharmacological inhibition of PAI-1 in the four tumor cell lines increased spontaneous apoptosis (mean fold increase relative to control: HT-1080, siRNA#1, mean = 4.0, 95% CI = 2.6 to 5.3, P < .001; siRNA#2, mean = 2.6, 95% CI = 2.4 to 2.9, P < .001, Student t test), which was blocked in the presence of recombinant PAI-1, a caspase-8 inhibitor, or Fas/FasL neutralizing antibodies and was partially attenuated by a plasmin inhibitor-aprotinin. PAI-1 KO mice implanted with PAI-1 KD HT-1080 cells had decreased tumorigenesis and prolonged survival compared with control mice (P = .002, log-rank test), and their tumors exhibited decreased cell proliferation and angiogenesis and increased apoptosis. Furthermore, five of 15 PAI-1 KO mice implanted with PAI-1 KD HT-1080 cells never developed tumors. CONCLUSIONS: These data suggest that PAI-1 exerts a protective effect against tumor cell apoptosis by a mechanism that, in part, involves plasmin activation and inhibition of Fas/Fas-L-mediated apoptosis and may be a promising therapeutic target. FAU - Fang, Hua AU - Fang H AD - Division of Hematology-Oncology, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. FAU - Placencio, Veronica R AU - Placencio VR FAU - DeClerck, Yves A AU - DeClerck YA LA - eng GR - R01 CA129377/CA/NCI NIH HHS/United States GR - CA129377/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 - 20120913 PL - United States TA - J Natl Cancer Inst JT - Journal of the National Cancer Institute JID - 7503089 RN - 0 (Antibodies, Neutralizing) RN - 0 (Caspase Inhibitors) RN - 0 (Fas Ligand Protein) RN - 0 (Fasl protein, mouse) RN - 0 (Indoleacetic Acids) RN - 0 (Oligopeptides) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 0 (RNA, Small Interfering) RN - 0 (benzyloxycarbonyl-isoleucyl-glutamyl-threonyl-aspartic acid fluoromethyl ketone) RN - 0 (tiplaxtinin) RN - 9001-32-5 (Fibrinogen) RN - 9001-91-6 (Plasminogen) RN - EC 3.4.21.7 (Fibrinolysin) RN - EC 3.4.21.73 (Urokinase-Type Plasminogen Activator) SB - IM MH - Animals MH - Antibodies, Neutralizing/pharmacology MH - *Apoptosis/drug effects MH - Blotting, Western MH - Caspase Inhibitors/pharmacology MH - Cell Line, Tumor MH - *Cell Proliferation/drug effects MH - Disease Progression MH - Disease-Free Survival MH - Down-Regulation MH - Fas Ligand Protein/immunology MH - Female MH - Fibrinogen/metabolism MH - Fibrinolysin/metabolism MH - Flow Cytometry MH - Gene Knockdown Techniques MH - Humans MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Indoleacetic Acids MH - Kaplan-Meier Estimate MH - Mice MH - Mice, Knockout MH - *Neovascularization, Pathologic/metabolism MH - Oligopeptides/pharmacology MH - Plasminogen/metabolism MH - Plasminogen Activator Inhibitor 1/*genetics/*metabolism MH - RNA, Small Interfering MH - Transplantation, Heterologous MH - Urokinase-Type Plasminogen Activator/metabolism PMC - PMC3529616 EDAT- 2012/09/18 06:00 MHDA- 2012/12/12 06:00 PMCR- 2013/10/03 CRDT- 2012/09/18 06:00 PHST- 2012/09/18 06:00 [entrez] PHST- 2012/09/18 06:00 [pubmed] PHST- 2012/12/12 06:00 [medline] PHST- 2013/10/03 00:00 [pmc-release] AID - djs377 [pii] AID - 10.1093/jnci/djs377 [doi] PST - ppublish SO - J Natl Cancer Inst. 2012 Oct 3;104(19):1470-84. doi: 10.1093/jnci/djs377. Epub 2012 Sep 13.