Abstract
Background
Oxaliplatin is frequently used in the treatment of metastatic colorectal cancer (CRC). Our previous work shows that oxaliplatin induces the pro-apoptotic protein Noxa in CRC cells. The Bcl2-inhibitor ABT-737 is particularly effective in cells with high Noxa levels. Therefore, we tested whether oxaliplatin and ABT-737 display synergy in killing CRC cells.
Methods
A panel of CRC cell lines was treated with oxaliplatin and ABT-737, either alone or in combination. Apoptosis was measured by FACS analysis of sub-G1 DNA content and by Western blot analysis of caspase-3 processing. Noxa expression was suppressed by lentiviral RNA interference.
Results
Oxaliplatin and ABT-737 displayed a strong synergistic apoptotic response, which was dependent on wildtype TP53 and oncogenic KRAS. TP53 and KRAS were required for drug-induced Noxa expression and this was essential for tumor cell apoptosis. Oxaliplatin, but not ABT-737, induced p53 accumulation, but both drugs stimulated Noxa expression. Combination treatment of mice with subcutaneous tumor xenografts drastically reduced tumor volume, while single drug treatment had no effect.
Conclusion
ABT-737 synergizes with oxaliplatin to kill colorectal cancer cells. This requires induction of Noxa by wildtype TP53 and oncogenic KRAS. Future studies should explore the anti-tumor efficacy of this drug combination in mouse models for spontaneous CRC development and in patient-derived tumor cell cultures and xenografts.
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Acknowledgements
This study was supported by grants from the Association for International Cancer Research (07–552 to MTdB), the Vanderes Foundation (07–177 to DAER) and the Dutch Cancer Society (2009–4367 to EJAS and 2009–4367 to BLE)
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Daniëlle A. E. Raats and Menno T. de Bruijn contributed equally to this manuscript
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Raats, D.A.E., de Bruijn, M.T., Steller, E.J.A. et al. Synergistic killing of colorectal cancer cells by oxaliplatin and ABT-737. Cell Oncol. 34, 307–313 (2011). https://doi.org/10.1007/s13402-011-0026-8
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DOI: https://doi.org/10.1007/s13402-011-0026-8