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Carcinogenesis, Vol. 22, No. 9, 1393-1397, September 2001
© 2001 Oxford University Press


CANCER BIOLOGY

Non-steroidal anti-inflammatory drugs induce apoptosis in gastric cancer cells through up-regulation of bax and bak

Xin Min Zhou1,3,*, Benjamin Chun Yu Wong1,4,*, Xiao Ming Fan1, Hong Bo Zhang3, Marie Chia Mi Lin2, Hsiang Fu Kung2, Dai Ming Fan3 and Shiu Kum Lam1

1 Department of Medicine and
2 Institute of Molecular Biology, University of Hong Kong, Hong Kong and
3 Institute of Digestive Disease, Xijing Hospital, Fourth Military Medical University, Xian, People's Republic of China

Aspirin- and non-steroidal anti-inflammatory drug (NSAID)-induced apoptosis is one of the important mechanisms for their anti-tumour effect in gastric cancer. We aimed at determining the role of bcl-2 family proteins and caspases in the apoptotic process. Gastric cancer cell lines AGS (wild-type p53) and MKN-28 (mutant p53) were used. Cell proliferation was measured by MTT assay. Apoptosis was determined by acridine orange staining. Protein expressions were determined by western blotting. Aspirin and indomethacin inhibited cell proliferation and induced apoptosis in both cells. AGS cells were more sensitive compared with MKN-28 cells. The pro-apoptotic proteins bax and bak were overexpressed after treatment, while the protein level of bcl-2 remained unchanged. Apoptosis was accompanied by an increase in caspase-3 activity and cleavage of caspase-3 and poly(ADP-ribose) polymerase. Inhibition of caspase-3 rescued aspirin-induced apoptosis. Our results suggest that one of the major pathways which mediates the anti-tumour response of aspirin and indomethacin in gastric cancer cells is through up-regulation of bax and bak and activation of caspase-3. Bax and bak are important in the chemoprevention of gastric cancer.


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