PT - JOURNAL ARTICLE AU - OKUBO, KAZUKI AU - SATO, AKINORI AU - ISONO, MAKOTO AU - ASANO, TAKAKO AU - ASANO, TOMOHIKO TI - Nelfinavir Induces Endoplasmic Reticulum Stress and Sensitizes Renal Cancer Cells to TRAIL AID - 10.21873/anticanres.12754 DP - 2018 Aug 01 TA - Anticancer Research PG - 4505--4514 VI - 38 IP - 8 4099 - http://ar.iiarjournals.org/content/38/8/4505.short 4100 - http://ar.iiarjournals.org/content/38/8/4505.full SO - Anticancer Res2018 Aug 01; 38 AB - Background/Aim: Induction of endoplasmic reticulum (ER) stress is a novel strategy for cancer treatment. The human immunodeficiency virus protease inhibitor nelfinavir was recently shown to induce ER stress, but its anti-neoplastic activity has never been investigated in renal cancer, as far as we are aware. Materials and Methods: Using renal cancer cells (769-P, 786-O, Caki-2), the ability of nelfinavir to induce ER stress and sensitize them to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) was tested. Results: Nelfinavir caused apoptosis and inhibited renal cancer growth in a dose-dependent fashion. It also suppressed colony formation significantly. Nelfinavir induced ER stress and increased the expression of TRAIL death receptor (DR) 4 and DR5, sensitizing the cancer cells to TRAIL. This sensitization was blocked by human recombinant DR4/Fc and DR5/Fc chimeric protein, confirming that the sensitization was due to increased expression of both DR4 and DR5. Conclusion: Nelfinavir induces ER stress in renal cancer cells and sensitizes them to TRAIL.