Abstract. Targeted knockdown of the death-associated protein kinase (DAPK) expression in the endometrial adenocarcinoma HHUA cells reportedly induces cell death by enhancing the tumor necrosis factor-related apoptosisinducing ligand (TRAIL)-mediated apoptosis in an autocrine/ paracrine manner. This suggests that endogenous DAPK is a potential candidate for a molecularly targeted anticancer therapy for patients with endometrial adenocarcinoma. To investigate the role of endogenous DAPK in anticancer drug sensitivity, we examined effects on cellular anticancer drug sensitivities of transfections with 5 different specific DAPK small-interfering RNAs (siRNAs) into HHUA cells. DAPK siRNA transfections strongly enhanced 5-fluorouracil (5FU)-sensitivity, but not etoposide-sensitivity, of HHUA cells compared with control siRNA-transfected cells. These results indicate that etoposide-stimulated cell death signals may share or include TRAIL-mediated apoptotic signals, and that 5FU-stimulated cell death signals may be independent from TRAIL-mediated apoptotic signals induced by DAPK siRNA transfections. Moreover, 5FU-combined chemotherapy with DAPK siRNA transfection may show stronger anticancer effects on patients with endometrial adenocarcinoma than does chemotherapy alone.
IntroductionThe death-associated protein kinase (DAPK) cDNA was isolated as a positive mediator of apoptosis triggered by IFN-Á from human cervical carcinoma cells (1). Investigations have revealed that DAPK functions as a Ca 2+ /calmodulindependent serine/threonine kinase to regulate cell death or cell survival (1-14). However, DAPK's physiological functions have not been fully clarified. Loss of DAPK expression has been implicated in tumorigenesis and metastasis (3,4,13), thereby 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 and primary human vascular smooth muscle cells with an antisense DAPK was found to increase apoptosis (6,12).In a human cervical squamous cell carcinoma cell line ME180, DAPK protein expression is constitutively suppressed but can be strongly induced by treatment with a demethylation agent, 5-aza-2'-deoxycitidine (5-aza-CdR), and a histone deacetylation inhibitor, trichostatin (15). However, in ME180-derived cisplatin (CDDP)-resistant cell lines, DAPK protein expression can not be induced by treatment with 5-azaCdR and trichostatin. Although DAPK mRNA is expressed in the CDDP-resistant cells as in ME180 parent cells, DAPK mRNA translation is strongly suppressed in CDDP-resistant cells (15). These facts suggest that strong suppression of DAPK protein induction is involved in acquisition of CDDP resistance, and that DAPK protein regulates anticancer drug sensitivity and/or acquired anticancer drug resistance in cancer cells.We recently reported that targeted knockdown of DAPK protein expression in the HHUA cell line (16), a highly differentiated endometrial adenocarcinoma cell line, induced cell death by enh...