Dysregulated apoptosis plays a critical role in the development of a number of aberrant cellular processes, including tumorigenesis and chemoresistance. However, the mechanisms that govern the normal apoptotic program are not completely understood. Soluble guanylyl cyclase (sGC) and cyclic guanosine monophosphate (cGMP) promote mammalian cell viability via an unknown mechanism and p53 status is a key determinant of cell fate in human ovarian cancer cells. Whether an interaction exists between these two determinants of cell fate is unknown. We hypothesized that basal sGC activity reduces p53 content and attenuates p53-dependent apoptosis in human ovarian cancer cells. Suppression of sGC activity with the specific inhibitor 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ) lowered cGMP content, and increased p53 protein content and induced apoptosis in three ovarian cancer cell lines, effects which were attenuated by the cGMP analog 8-Br-cGMP and by Atrial Natriuretic Factor, an activator of particulate guanylyl cyclase, which circumvent the inhibition of sGC. ODQ prolonged p53 half-life, induced phosphorylation of p53 on Ser15, and upregulated the p53-dependent gene products p21, murine double minute-2, and the proapoptotic, p53-responsive gene product Bax. ODQ activated caspase-3, and ODQ-induced apoptosis was inhibited by overexpression of X-linked inhibitor of apoptosis Protein. Pretreatment with the specific p53 inhibitor pifithrin or downregulation of p53 using a specific small inhibitory RNA significantly attenuated ODQ-induced apoptosis. Moreover, ODQ-induced upregulation of p21 and Bax and ODQ-induced apoptosis were significantly reduced in a p53 mutant cell line relative to the wild-type parental cell line. Thus, the current study establishes that basal sGC/cGMP activity regulates p53 protein stability, content, and function, possibly by altering p53 phosphorylation and stabilization, and promotes cell survival in part through regulation of caspase-3 and p53.Oncogene (
IntroductionDysregulated apoptosis contributes to the development of a number of pathologies, including cancer (Liebermann et al., 1995;Reap et al., 1995;Estevez et al., 1998;Fiscus, 2002;Fiscus et al., 2002). Tumor growth results, in part, from an imbalance between cell proliferation and apoptosis (Kerr et al., 1994;Levine et al., 1995;Sheets and Yeh, 1997;LaCasse et al., 1998) and our laboratory has been interested in the role of dysregulated apoptosis in the regulation of cell fate in human ovarian cancer cells (Sasaki et al., 2000;Asselin et al., 2001;Fraser et al., 2003).Soluble guanylyl cyclase (sGC) is one of the major producers of basal cyclic guanosine monophosphate (cGMP) content in mammalian cells (Waldman and Murad, 1987;Garthwaite et al., 1995;Fiscus, 2002), and is necessary for the survival of several cell types under normal growth conditions, as well as for protection against various apoptotic stimuli (Flamigni et al., 2001). Our previous studies have demonstrated that the basal activities of sGC and a downstream target pro...