Proteasomal inhibition sensitizes cervical cancer cells to mitomycin C-induced bystander effect: the role of tumor microenvironment

Cell Death Dis. 2015 Oct 22;6(10):e1934. doi: 10.1038/cddis.2015.292.

Abstract

Inaccessibility of drugs to poorly vascularized strata of tumor is one of the limiting factors in cancer therapy. With the advent of bystander effect (BE), it is possible to perpetuate the cellular damage from drug-exposed cells to the unexposed ones. However, the role of infiltrating tumor-associated macrophages (TAMs), an integral part of the tumor microenvironment, in further intensifying BE remains obscure. In the present study, we evaluated the effect of mitomycin C (MMC), a chemotherapeutic drug, to induce BE in cervical carcinoma. By using cervical cancer cells and differentiated macrophages, we demonstrate that MMC induces the expression of FasL via upregulation of PPARγ in both cell types (effector cells) in vitro, but it failed to induce bystander killing in cervical cancer cells. This effect was primarily owing to the proteasomal degradation of death receptors in the cervical cancer cells. Pre-treatment of cervical cancer cells with MG132, a proteasomal inhibitor, facilitates MMC-mediated bystander killing in co-culture and condition medium transfer experiments. In NOD/SCID mice bearing xenografted HeLa tumors administered with the combination of MMC and MG132, tumor progression was significantly reduced in comparison with those treated with either agent alone. FasL expression was increased in TAMs, and the enhanced level of Fas was observed in these tumor sections, thereby causing increased apoptosis. These findings suggest that restoration of death receptor-mediated apoptotic pathway in tumor cells with concomitant activation of TAMs could effectively restrict tumor growth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bystander Effect*
  • Cell Proliferation / drug effects
  • Fas Ligand Protein / genetics
  • Fas Ligand Protein / metabolism
  • Female
  • Gene Expression Regulation, Neoplastic
  • HeLa Cells
  • Humans
  • In Situ Nick-End Labeling
  • Leupeptins / pharmacology
  • Macrophages / drug effects
  • Macrophages / metabolism
  • Macrophages / physiology
  • Mice, Inbred NOD
  • Mice, SCID
  • Mitomycin / pharmacology*
  • PPAR gamma / genetics
  • PPAR gamma / metabolism
  • Tumor Microenvironment*
  • Uterine Cervical Neoplasms / drug therapy
  • Uterine Cervical Neoplasms / metabolism
  • Uterine Cervical Neoplasms / pathology*

Substances

  • Fas Ligand Protein
  • Leupeptins
  • PPAR gamma
  • Mitomycin
  • benzyloxycarbonylleucyl-leucyl-leucine aldehyde