Taxane derivatives such as paclitaxel elicit their antitumor effects at least in part by induction of apoptosis, but the underlying mechanisms are incompletely understood. Here, we used different cellular models with deficiencies in key regulators of apoptosis to elucidate the mechanism of paclitaxel-induced cell death. Apoptosis by paclitaxel was reported to depend on the activation of the initiator caspase-10; however, we clearly demonstrate that paclitaxel kills murine embryonic fibroblasts (MEFs) devoid of caspase-10 as well as human tumor cell lines deficient in caspase-10, caspase-8, or Fas-associating protein with death domain. In contrast, the lack of Apaf-1 or caspase-9, key regulators of the mitochondrial pathway, not only entirely protected against paclitaxel-induced apoptosis but could even confer clonogenic survival, depending on the cell type and drug concentration. Thus, paclitaxel triggers apoptosis not through caspase-10, but via caspase-9 activation at the apoptosome. This conclusion is supported by the fact that Bcl-2-overexpressing cells and Bax/Bak doubly-deficient MEFs were entirely resistant to paclitaxel-induced apoptosis. Interestingly, also the single knockout of Bim or Bax, but not that of Bak or Bid, conferred partial resistance, suggesting a particular role of these mediators in the cell-death pathway acti-
IntroductionPaclitaxel (Taxol; Calbiochem, Darmstadt, Germany) is one of the most effective antitumor drugs and is approved for chemotherapy of a variety of human malignancies, including breast, ovarian and non-small cell lung cancer. 1 Like other taxane derivatives, paclitaxel binds to the -subunit of tubulin, thus preventing microtubule depolymerization that is required for proper mitosis and cell division. During mitosis, the spindle checkpoint ensures proper chromosome segregation by blocking the anaphase onset until all chromosomes are attached to microtubules and tension across the kinetochores is generated. Paclitaxel inhibits the dynamic instability of the mitotic spindle, leading to impaired chromosome alignment. Consequently, the cells become arrested by the spindle checkpoint at the G 2 /M phase and then die eventually by an apoptotic pathway, called mitotic catastrophe. 2 Cells that escape this pathway can be also arrested by a second, postmitotic checkpoint, which is activated by aberrant division of cells with multipolar spindles, and leads to cell death in polyploid cells following paclitaxel treatment. 3 Although both p53-dependent and -independent mechanisms have been implicated in cell death during aberrant mitosis, the exact mechanisms of paclitaxelinduced apoptosis are currently unknown.Apoptosis is largely controlled by a family of aspartate-specific cysteine proteases, called caspases, that function as initiators and executioners of the apoptotic process. 4,5 Caspases are activated by two major signaling routes, the extrinsic death receptor and the intrinsic mitochondrial pathway, that both depend on the formation of large multiprotein complexes. 4,6 Initia...