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Research ArticleExperimental Studies

Nelfinavir Induces Endoplasmic Reticulum Stress and Sensitizes Renal Cancer Cells to TRAIL

KAZUKI OKUBO, AKINORI SATO, MAKOTO ISONO, TAKAKO ASANO and TOMOHIKO ASANO
Anticancer Research August 2018, 38 (8) 4505-4514; DOI: https://doi.org/10.21873/anticanres.12754
KAZUKI OKUBO
Department of Urology, National Defense Medical College, Tokorozawa, Japan
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AKINORI SATO
Department of Urology, National Defense Medical College, Tokorozawa, Japan
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  • For correspondence: zenpaku{at}ndmc.ac.jp
MAKOTO ISONO
Department of Urology, National Defense Medical College, Tokorozawa, Japan
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TAKAKO ASANO
Department of Urology, National Defense Medical College, Tokorozawa, Japan
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TOMOHIKO ASANO
Department of Urology, National Defense Medical College, Tokorozawa, Japan
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    Figure 1.

    Nelfinavir had anti-proliferative activity against renal cancer cells. A: MTS assay. Cells were treated for 48 h with 2-20 μM nelfinavir. Bars represent mean±SD, n=12. B: Colony-formation assay. Cells were treated for 48 h with 5-20 μM nelfinavir, then given fresh media and allowed to grow for 1-2 weeks. Bars represent mean±SD, n=3. *Relative to the untreated control.

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    Figure 2.
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    Figure 2.

    Nelfinavir induced apoptosis of renal cancer cells. A: Cell-cycle analysis. Cells were treated for 48 h with 5-20 μM nelfinavir. Changes in the cell-cycle distribution were evaluated using flow cytometry; 10,000 cells were counted. The number inset in each graph shows the percentage of cells in the sub-G1 fraction. B: Western blotting for cyclin D1 and cyclin-dependent kinase 4 (CDK4). Cells were treated for 48 h with 5-20 μM nelfinavir. Actin was used as the loading control. Representative blots are shown. C: Annexin-V assay. Cells were treated for 48 h with 10 or 20 μM nelfinavir. Apoptotic cells were detected by annexin-V assay using flow cytometry; 10,000 cells were counted. Bar graphs show the percentages of apoptotic cells. Data are expressed as mean±SD from three independent experiments. FITC, Fluorescein isothiocyanate; 7-AAD, 7-amino-actinomycin D. D: Western blotting for cleaved poly(ADP-ribose) polymerase (PARP), phorbol-12-myristate-13-acetate-induced protein 1 (NOXA), and survivin. Cells were treated for 48 h with 5-20 μM nelfinavir. Actin was used for the loading control. Representative blots are shown.

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    Figure 3.

    Nelfinavir induced endoplasmic reticulum (ER) stress in renal cancer cells. Western blotting for the ER stress markers glucose-regulated protein 78 (GRP78), endoplasmic oxidoreductin-1-like protein alpha (ERO1-Lα), and endoplasmic reticulum resident protein 44 (ERp44). Cells were treated for 48 h with 5-20 μM nelfinavir. Actin was used for the loading control. Representative blots are shown.

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    Figure 4.

    Nelfinavir caused aggresome formation and induced autophagy in renal cancer cells. A: Aggresome detection after 48 h treatment with 10 or 20 μM nelfinavir. Red, aggresome; blue, nucleus. Original magnification, 100×. B: Western blotting for the autophagy marker light chain 3 (LC3). Cells were treated for 48 h with 5-20 μM nelfinavir. The emergence of LC3-II marks the occurrence of autophagy. Actin was used for the loading control. Representative blots are shown.

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    Figure 5.
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    Figure 5.

    Nelfinavir increased the expression of death receptor 4 (DR4) and DR5 and sensitized renal cancer cells to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL). A: Western blotting for DR4 and DR5. Cells were treated for 48 h with 5-20 μM nelfinavir. Actin was used as the loading control. Representative blots are shown. B: MTS assay. Cells were cultured for 24 h in medium with or without 20 μM nelfinavir. Then they were given 25 ng/ml TRAIL with or without 1 μg/ml DR4/Fc or DR5/Fc chimeric protein and incubated for another 24 h. Bars represent mean±SD, n=12. Significantly different at *p=0.0001, **p=0.0007, ***p=0.0033, and ****p=0.0021; N.S., not significantly different. C: Photomicrographs after 48-h treatment. Cells were cultured for 24 h in medium with or without 20 μM nelfinavir. Then they were given 25 ng/ml TRAIL with or without 1 μg/ml DR4/Fc or DR5/Fc chimeric protein and incubated for another 24 h. Note that TRAIL exerted very strong cytotoxicity only when it was preceded by nelfinavir treatment, and this cytotoxicity was blocked by DR4/Fc and DR5/Fc chimeric protein. Original magnification, 100×. D: Annexin-V assay. Cells were cultured for 24 h in medium with or without 20 μM nelfinavir. Then they were given 25 ng/ml TRAIL with or without 1 μg/ml DR4/Fc or DR5/Fc chimeric protein and incubated for another 24 h. Apoptotic cells were detected by annexin-V assay using flow cytometry; 10,000 cells were counted. Bar graphs show the percentages of apoptotic cells. Data are expressed as mean±SD from three independent experiments. FITC, Fluorescein isothiocyanate; 7-AAD, 7-amino-actinomycin D. *Significantly different at p=0.0495; N.S., not significantly different.

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Nelfinavir Induces Endoplasmic Reticulum Stress and Sensitizes Renal Cancer Cells to TRAIL
KAZUKI OKUBO, AKINORI SATO, MAKOTO ISONO, TAKAKO ASANO, TOMOHIKO ASANO
Anticancer Research Aug 2018, 38 (8) 4505-4514; DOI: 10.21873/anticanres.12754

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Nelfinavir Induces Endoplasmic Reticulum Stress and Sensitizes Renal Cancer Cells to TRAIL
KAZUKI OKUBO, AKINORI SATO, MAKOTO ISONO, TAKAKO ASANO, TOMOHIKO ASANO
Anticancer Research Aug 2018, 38 (8) 4505-4514; DOI: 10.21873/anticanres.12754
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Keywords

  • nelfinavir
  • endoplasmic reticulum stress
  • tumor necrosis factor-related apoptosis-inducing ligand
  • renal cancer
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