While TRAIL is a promising anticancer agent due to its ability to selectively induce
apoptosis in neoplastic cells, many tumors, including pancreatic ductal adenocarcinoma
(PDA), display intrinsic resistance, highlighting the need for TRAIL-sensitizing agents.
Here we report that TRAIL-induced apoptosis in PDA cell lines is enhanced by
pharmacological inhibition of glycogen synthase kinase-3 (GSK-3) or by shRNA-mediated
depletion of either GSK-3α or GSK-3β. In contrast, depletion
of GSK-3β, but not GSK-3α, sensitized PDA cell lines to
TNFα-induced cell death. Further experiments demonstrated that
TNFα-stimulated IκBα phosphorylation and
degradation as well as p65 nuclear translocation were normal in
GSK-3β-deficient MEFs. Nonetheless, inhibition of GSK-3β
function in MEFs or PDA cell lines impaired the expression of the NF-κB
target genes Bcl-xL and cIAP2, but not IκBα. Significantly,
the expression of Bcl-xL and cIAP2 could be reestablished by expression of
GSK-3β targeted to the nucleus but not GSK-3β targeted to
the cytoplasm, suggesting that GSK-3β regulates NF-κB
function within the nucleus. Consistent with this notion, chromatin immunoprecipitation
demonstrated that GSK-3 inhibition resulted in either decreased p65 binding to the
promoter of BIR3, which encodes cIAP2, or increased p50 binding as well as
recruitment of SIRT1 and HDAC3 to the promoter of BCL2L1, which encodes Bcl-xL.
Importantly, depletion of Bcl-xL but not cIAP2, mimicked the sensitizing effect of GSK-3
inhibition on TRAIL-induced apoptosis, whereas Bcl-xL overexpression ameliorated the
sensitization by GSK-3 inhibition. These results not only suggest that
GSK-3β overexpression and nuclear localization contribute to TNFα
and TRAIL resistance via anti-apoptotic NF-κB genes such as Bcl-xL, but
also provide a rationale for further exploration of GSK-3 inhibitors combined with TRAIL
for the treatment of PDA.