Abstract. Apoptosis inhibitor 5 (API-5) is a 55 kDa nuclear protein with potent anti-apoptotic signaling in tumor cells in vitro. In this study, we analyzed the expression of the API-5 protein in vivo in a broad spectrum of human carcinomas, including those of the colon, lung, liver, kidney, pancreas, stomach and esophagus using tumor tissues obtained during tumor resection. The results showed significant upregulation of API-5 expression in biopsies of lung (23%, n=13) and colorectal tumors (33%, n=27) in comparison with biopsies from the adjacent normal tissue. Colon cancer biopsies were used to study the cell populations with an upregulated level of expression of API-5 more closely. Using a magnetic bead-based selection for the epithelial cell marker EpCAM, we purified epithelial cells from the tumor and control tissues and analyzed these cells for API-5 expression by western immunoblotting. We observed that EpCAM-positive tumor cells expressed API-5 in all three colorectal cancer cases tested, in contrast to the control EpCAM-positive and EpCAM-negative cells isolated from the control or tumor tissues. These data suggest that the expression of the API-5 protein is upregulated in tumor epithelial cells and may serve as a prognostic marker in colorectal cancer.
IntroductionApoptosis inhibitor 5 [API-5; FIF (fibroblast growth factor-2-interacting factor); AAC-11 (anti-apoptosis clone 11)] is a 55 kDa nuclear protein with biological properties relevant to cancer (1). API-5 was originally identified based upon its marked anti-apoptotic action, demonstrated in mouse BALB/c3T3 fibroblasts, human cervical carcinoma CUMC-6 cells and immortalized primary liver THLE-3 cells, where ectopic API-5 expression significantly enhanced the cell survival following serum withdrawal or UV irradiation (1-4). Similarly, a decrease in API-5 levels sensitized human squamous cell carcinoma (JHU-029), colon cancer (HCT116), cervical cancer (HeLa), lung adenocarcinoma (A549), acute lymphoblastic leukemia (Molt-4), endothelial (HUVEC) and osteosarcoma (U20S) cells to a number of forms of apoptosis, demonstrating the pro-survival signaling of API-5 in several experimental tumor cell systems in vitro (4-6).Two studies have addressed the mechanism of the API-5-mediated regulation of apoptosis. First, global Drosophila genetic screening identified API-5 as a suppressor of apoptosis mediated by E2 promoter-binding factors (E2F) in multiple cell types and developmental contexts (5). This genetic interaction was confirmed in human cancer cells in vitro and appears to be mediated by API-5 binding and inactivation of acinus, a protein necessary for apoptotic DNA fragmentation (5,6). Second, API-5 protected tumor cells against the stress generated by suboptimal growth conditions or death-triggering chemicals, as demonstrated by Rigou et al, who found a marked increase of etoposide-and camptotecininduced apoptosis in various types of cancer cells caused by a depletion in the level of API-5 (6).Taken together, the in vitro experimental evidence sugge...