PMID- 24052077 OWN - NLM STAT- MEDLINE DCOM- 20140312 LR - 20211021 IS - 2041-4889 (Electronic) VI - 4 IP - 9 DP - 2013 Sep 19 TI - VDAC1-based peptides: novel pro-apoptotic agents and potential therapeutics for B-cell chronic lymphocytic leukemia. PG - e809 LID - 10.1038/cddis.2013.316 [doi] AB - The voltage-dependent anion channel 1 (VDAC1), localized in the outer mitochondrial membrane, mediates metabolic cross-talk between the mitochondrion and the cytoplasm and thus serves a fundamental role in cell energy metabolism. VDAC1 also plays a key role in mitochondria-mediated apoptosis, interacting with anti-apoptotic proteins. Resistance of cancer cells to apoptosis involves quenching the mitochondrial apoptotic pathway by over-expression of anti-apoptotic/pro-survival hexokinase (HK) and Bcl-2 family proteins, proteins that mediate their anti-apoptotic activities via interaction with VDAC1. Using specifically designed VDAC1-based cell-penetrating peptides, we targeted these anti-apoptotic proteins to prevent their pro-survival/anti-apoptotic activities. Anti-apoptotic proteins are expressed at high levels in B-cell chronic lymphocytic leukemia (CLL), an incurable disease requiring innovative new approaches to improve therapeutic outcome. CLL is characterized by a clonal accumulation of mature neoplastic B cells that are resistant to apoptosis. Specifically, we demonstrate that the VDAC1-based peptides (Antp-LP4 and N-Terminal-Antp) selectively kill peripheral blood mononuclear cells (PBMCs) obtained from CLL patients, yet spare those obtained from healthy donors. The cell death induction competence of the peptides was well correlated with the amount of double positive CD19/CD5 cancerous CLL PBMCs, further illustrating their selectivity toward cancer cells. Moreover, these VDAC1-based peptides induced apoptosis by activating the mitochondria-mediated pathway, reflected in membrane blebbing, condensation of nuclei, DNA fragmentation, release of mitochondrial cytochrome c, loss of mitochondrial membrane potential, decreased cellular ATP levels and detachment of HK, all leading to apoptotic cell death. Thus, the mode of action of the peptides involves decreasing energy production and inducing apoptosis. Over 27 versions of cell-penetrating VDAC1-based peptides were designed and screened to identify the most stable, short and apoptosis-inducing peptides toward CLL-derived lymphocytes. In this manner, three optimized peptides suitable for in vivo studies were identified. This study thus reveals the potential of VDAC1-based peptides as an innovative and effective anti-CLL therapy. FAU - Prezma, T AU - Prezma T AD - Department of Life Sciences and the National Institute for Biotechnology in the Negev, BeerSheva, Israel. FAU - Shteinfer, A AU - Shteinfer A FAU - Admoni, L AU - Admoni L FAU - Raviv, Z AU - Raviv Z FAU - Sela, I AU - Sela I FAU - Levi, I AU - Levi I FAU - Shoshan-Barmatz, V AU - Shoshan-Barmatz V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130919 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Cell-Penetrating Peptides) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 9007-43-6 (Cytochromes c) RN - EC 1.6.- (Voltage-Dependent Anion Channel 1) RN - EC 2.7.1.1 (Hexokinase) SB - IM MH - Adenosine Triphosphate/metabolism MH - Aged MH - Amino Acid Sequence MH - Apoptosis/*drug effects MH - Cell Line, Tumor MH - Cell-Penetrating Peptides/chemistry/*pharmacology/*therapeutic use MH - Cytochromes c/metabolism MH - Female MH - Hexokinase/metabolism MH - Humans MH - Leukemia, Lymphocytic, Chronic, B-Cell/*drug therapy/*pathology MH - Leukocytes, Mononuclear/drug effects/pathology MH - Male MH - Membrane Potential, Mitochondrial/drug effects MH - Mitochondria/drug effects/metabolism/ultrastructure MH - Models, Biological MH - Molecular Sequence Data MH - Protein Binding/drug effects MH - Protein Multimerization/drug effects MH - Voltage-Dependent Anion Channel 1/*chemistry PMC - PMC3789174 EDAT- 2013/09/21 06:00 MHDA- 2014/03/13 06:00 PMCR- 2013/09/01 CRDT- 2013/09/21 06:00 PHST- 2013/04/30 00:00 [received] PHST- 2013/07/15 00:00 [revised] PHST- 2013/07/19 00:00 [accepted] PHST- 2013/09/21 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2014/03/13 06:00 [medline] PHST- 2013/09/01 00:00 [pmc-release] AID - cddis2013316 [pii] AID - 10.1038/cddis.2013.316 [doi] PST - epublish SO - Cell Death Dis. 2013 Sep 19;4(9):e809. doi: 10.1038/cddis.2013.316.