Abstract.A recent study showed that both 5-fluorouracil (5FU)-stimulated apoptosis and Fas-mediated apoptosis in human endometrial adenocarcinoma cells are enhanced by targeted knockdown of endogenous death-associated protein kinase (DAPK) with DAPK small-interfering RNAs. Therefore, we investigated the DAPK survival signals in three 5FU-resistant subclones. DAPK knockdown did not enhance 5FU-stimulated or Fas-mediated apoptosis in any of the three 5FU-resistant subclones, but the subclones acquired resistance to VP16-stimulated cell death that was DAPK-independent. Semiquantitative flow cytometric analyses showed that there was no differential expression in nine cell surface antigens, including Fas, and six intracellular molecules, including DAPK, that may regulate cell death or survival between the parent cells and 5FU-resistant cells. DAPK mRNA and protein were expressed in the 5FU-resistant subclones at similar levels to the parent cells. These results indicate that acquisition of 5FU-resistance may be accompanied by impairment of common apoptotic signals regulating both DAPK-dependent and DAPK-independent pathways.
IntroductionThe death-associated protein kinase (DAPK) cDNA was isolated from human cervical carcinoma cells as a positive mediator of apoptosis triggered by interferon-γ (1). Recent investigations have revealed that DAPK functions as a Ca 2+ /calmodulin-dependent serine/threonine kinase to regulate cell death or survival (1-16). However, the physiological functions of DAPK have not been fully clarified. Loss of DAPK expression has been implicated in tumorigenesis and metastasis (3,4,13), suggesting a crucial role for DAPK in the apoptotic process under pathological conditions. On the other hand, inhibition of DAPK expression in HeLa cells, 3T3 fibroblasts, primary human vascular smooth muscle cells and various human uterine cancer cells using an antisense DAPK or small-interfering RNAs (siRNAs) for DAPK was found to increase apoptosis (6,12,15,16).Specific stimulation of Fas antigen can easily induce apoptotic cell death in differentiated human endometrial adenocarcinoma HHUA cells (17), and Fas-mediated apoptosis can be enhanced in a dose-dependent manner by targeted knockdown of endogenous DAPK protein expression by treatment with specific DAPK siRNAs (DAPK-KD) (18). Since DAPK-KD induces tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-mediated apoptosis in HHUA cells (15), it is highly possible that DAPK-mediated signals constitutively suppress the tumor necrosis factor receptor-mediated cell death signaling common to the Fas-mediated and TRAIL-mediated pathways. Although typical apoptosis with DNA fragmentation can easily be induced in HHUA cells by treatment with 5-fluorouracil (5FU) (19), DAPK-KD increases apoptotic susceptibility to 5FU in HHUA cells (20). However, DAPK-KD has no effect on etoposide (VP16)-sensitivity in HHUA cells (20). Therefore, there are two apoptotic signals in HHUA cells, comprising DAPK-regulated and DAPK-independent death signals.In the human cervi...