PMID- 25980443 OWN - NLM STAT- MEDLINE DCOM- 20160520 LR - 20181113 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 19 DP - 2015 Jul 10 TI - Mitochondrial p53 phosphorylation induces Bak-mediated and caspase-independent cell death. PG - 17192-205 AB - Chemoresistance in cancer has previously been attributed to gene mutations or deficiency. Caspase mutations or Bax deficiency can lead to resistance to cancer drugs. We recently demonstrated that Bak initiates a caspase/Bax-independent cell death pathway. We show that Plumbagin (PL) (5-hydroxy-2-methyl-1,4-napthoquinone), a medicinal plant-derived naphthoquinone that is known to have anti-tumor activity in a variety of models, induces caspase-independent cell death in HCT116 Bax knockout (KO) or MCF-7 Bax knockdown (KD) cells that express wild-type (WT) Bak. The re-expression of Bax in HCT116 Bax KO cells fails to enhance the PL-induced cell death. Additionally, Bak knockdown by shRNA efficiently attenuates PL-induced cell death. These results suggest that PL-induced cell death depends primarily on Bak, not Bax, in these cells. Further experimentation demonstrated that p53 Ser15 phosphorylation and mitochondrial translocation mediated Bak activation and subsequent cell death. Knockdown of p53 or a p53 Ser15 mutant significantly inhibited p53 mitochondrial translocation and cell death. Furthermore, we found that Akt mediated p53 phosphorylation and the subsequent mitochondrial accumulation. Taken together, our data elaborate the role of Bak in caspase/Bax-independent cell death and suggest that PL may be an effective agent for overcoming chemoresistance in cancer cells with dysfunctional caspases. FAU - Wang, Jinjing AU - Wang J AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Guo, Wenhao AU - Guo W AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Zhou, Hang AU - Zhou H AD - Department of Chemotherapy, Sichuan Cancer Hospital, Chengdu, Sichuan 610041, P. R. China. FAU - Luo, Na AU - Luo N AD - Nankai University School of Medicine, Collaborative Innovation Center of Biotherapy, Tianjin 300071, P. R. China. FAU - Nie, Chunlai AU - Nie C AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Zhao, Xinyu AU - Zhao X AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Yuan, Zhu AU - Yuan Z AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Liu, Xinyu AU - Liu X AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. FAU - Wei, Yuquan AU - Wei Y AD - Department of Abdominal Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, P. R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (BAK1 protein, human) RN - 0 (Naphthoquinones) RN - 0 (RNA, Small Interfering) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (bcl-2 Homologous Antagonist-Killer Protein) RN - 0 (bcl-2-Associated X Protein) RN - EC 3.4.22.- (Caspases) RN - YAS4TBQ4OQ (plumbagin) SB - IM MH - Antineoplastic Agents, Phytogenic/pharmacology MH - *Apoptosis/drug effects MH - Blotting, Western MH - Caspases/metabolism MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm/drug effects/*physiology MH - Fluorescent Antibody Technique MH - Gene Knockdown Techniques MH - Gene Knockout Techniques MH - Humans MH - Mitochondria/metabolism MH - Naphthoquinones/pharmacology MH - Phosphorylation MH - RNA, Small Interfering MH - Transfection MH - Tumor Suppressor Protein p53/*metabolism MH - bcl-2 Homologous Antagonist-Killer Protein/*metabolism MH - bcl-2-Associated X Protein/metabolism PMC - PMC4627301 OTO - NOTNLM OT - Akt OT - Bak OT - caspase-independent OT - p53 COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2015/05/20 06:00 MHDA- 2016/05/21 06:00 PMCR- 2015/07/10 CRDT- 2015/05/19 06:00 PHST- 2015/01/19 00:00 [received] PHST- 2015/04/10 00:00 [accepted] PHST- 2015/05/19 06:00 [entrez] PHST- 2015/05/20 06:00 [pubmed] PHST- 2016/05/21 06:00 [medline] PHST- 2015/07/10 00:00 [pmc-release] AID - 3780 [pii] AID - 10.18632/oncotarget.3780 [doi] PST - ppublish SO - Oncotarget. 2015 Jul 10;6(19):17192-205. doi: 10.18632/oncotarget.3780.