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Carcinogenesis Advance Access originally published online on May 4, 2006
Carcinogenesis 2006 27(10):2047-2058; doi:10.1093/carcin/bgl051
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Mechanism of 4-HPR-induced apoptosis in glioma cells: evidences suggesting role of mitochondrial-mediated pathway and endoplasmic reticulum stress

Meenakshi Tiwari, Ashok Kumar, Rohit Anthony Sinha, Ashutosh Shrivastava, Anil Kumar Balapure1, Ramesh Sharma1, Virendra Kumar Bajpai2, Kalyan Mitra2, Satish Babu and Madan Madhav Godbole*

Department of Endocrinology, Sanjay Gandhi Post Graduate Institute of Medical Sciences Raebareli Road, Lucknow, 226 014, India
1 Tissue Culture Laboratory, Central Drug Research Institute Mahatma Gandhi Marg, Lucknow, 226 001, India
2 Electron Microscopy Division, Central Drug Research Institute Mahatma Gandhi Marg, Lucknow, 226 001, India

*To whom correspondence should be addressed. Tel: +91 522 2668700 ext. 2368; Fax: +91 522 2668017; Email: madangodbole{at}yahoo.co.in

N-(4-Hydroxyphenyl)retinamide (4-HPR), a synthetic retinoid is under clinical evaluation as a therapeutic agent in a variety of cancers. Its mechanism(s) of action involves multiple overlapping pathways that still remain unclear. In glioma cells its mechanism of action is not well elucidated. Here, we show that 4-HPR and not all-trans retinoic acid and 9-cis retinoic acid effectively induce apoptosis in glioma cells. 4-HPR-induced apoptosis is associated with hydroperoxide production and loss of mitochondrial membrane potential ({Delta}{Psi}m). Ultrastructural changes further indicate 4-HPR-induced mitochondrial swelling, endoplasmic reticulum (ER) dilation as well as close proximity of mitochondria and ER. As suggested by dilated ER, 4-HPR treatment increased the free cytosolic Ca2+ as well as mitochondrial Ca2+. Chelation of extracellular Ca2+ by EGTA did not prevent Ca2+ elevation, thus suggesting involvement of intracellular calcium stores in the release. Buffering of intracellular calcium by BAPTA-AM did not prevent 4-HPR-induced apoptosis; however, blocking the release of Ca2+ from ER by heparin inhibited apoptosis, indicating the role of depletion of Ca2+ from ER stores in apoptosis. 4-HPR treatment also resulted in an increase in Bax levels along with its translocation to mitochondria that promote mitochondrial membrane permeabilization. 4-HPR-induced apoptosis was further associated with the release of cytochrome c and apoptosis-inducing factor (AIF) from mitochondria to cytosol and nucleus, respectively, along with caspase-3 and caspase-7 activation. However, AIF nuclear translocation, peripheral chromatin condensation and apoptosis were not completely prevented by general caspase inhibitors, thus suggesting involvement of a caspase-dependent and caspase-independent pathway in 4-HPR-induced apoptosis. Taken together, these results suggest the role of mitochondrial-mediated pathway and ER stress as a key event in 4-HPR-induced apoptosis in glioma cells.


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