Ovarian cancer ascites protects from TRAIL-induced cell death through alphavbeta5 integrin-mediated focal adhesion kinase and Akt activation

Oncogene. 2010 Jun 17;29(24):3519-31. doi: 10.1038/onc.2010.107. Epub 2010 Apr 19.


Interactions between ovarian cancer cells and the surrounding tumor microenvironment are not well characterized. We have earlier shown that ovarian cancer ascites induces Akt activation and protect tumor cells from TRAIL-induced apoptosis. Here, we investigated the mechanism by which ascites activates Akt. The ability of ovarian cancer ascites to activate Akt and inhibit TRAIL-induced cell death and caspase activity was decreased by heat inactivation, but was retained in ascites fractions >5 kDa. The survival promoting activity of ascites was not affected by inhibitors of growth factor receptor including epidermal growth factor receptor (EGFR), VEGFR, FGFR, Her2/neu, and IGF-R1. However, this activity was inhibited by an alphavbeta5 integrin-blocking antibody, but not by blocking antibodies against alphavbeta3, beta1, or beta3 integrins. alphavbeta5 integrin-blocking antibodies also inhibited ascites-induced Akt phosphorylation and c-FLIPs up-regulation. Ovarian cancer ascites induced a rapid phosphorylation of focal adhesion kinase (FAK), which closely correlated with the phosphorylation of Akt overtime. FAK phosphorylation was strongly inhibited by alphavbeta5 integrin-blocking antibodies. Depletion of FAK content by RNA interference was also associated with inhibition of ascites-mediated Akt activation and survival. These results suggest that ovarian cancer ascites induces FAK and Akt activation in an alphavbeta5 integrin-dependent pathway, which confers protection from TRAIL-induced cell death and caspase activation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ascites / metabolism*
  • Ascites / pathology
  • Cell Death
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Enzyme Activation
  • ErbB Receptors / antagonists & inhibitors
  • Female
  • Focal Adhesion Protein-Tyrosine Kinases / deficiency
  • Focal Adhesion Protein-Tyrosine Kinases / genetics
  • Focal Adhesion Protein-Tyrosine Kinases / metabolism*
  • Gene Knockdown Techniques
  • Hot Temperature
  • Humans
  • Molecular Weight
  • Ovarian Neoplasms / enzymology
  • Ovarian Neoplasms / metabolism*
  • Ovarian Neoplasms / pathology*
  • Phosphorylation
  • Proto-Oncogene Proteins c-akt / metabolism*
  • Receptors, Vitronectin / metabolism*
  • TNF-Related Apoptosis-Inducing Ligand / metabolism*


  • Receptors, Vitronectin
  • TNF-Related Apoptosis-Inducing Ligand
  • integrin alphaVbeta5
  • ErbB Receptors
  • Focal Adhesion Protein-Tyrosine Kinases
  • Proto-Oncogene Proteins c-akt