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NF-?B inhibition by bortezomib permits IFN-?-activated RIP1 kinase-dependent necrosis in renal cell carcinoma.


ABSTRACT: Advanced renal cell carcinoma (RCC) is an invariably fatal cancer. Currently, small-molecule inhibitors that target cell growth, angiogenesis, or nutrient-sensing pathways represent the primary pharmacologic interventions for this disease, but these inhibitors only delay tumor progression and are not curative. The cytokine IFN-? showed the potential to provide lasting remission in several phase I/II trials for advanced RCCs, but subsequent trials, including a multicenter phase III study using IFN-? as a monotherapy for RCCs, were less promising. Notably, these trials were designed to exploit the indirect immunomodulatory effects of IFN-?, whereas its direct antitumor properties--including its ability to trigger programmed cell death in tumors-remain mostly untapped. Here, we show that the proteasome inhibitor bortezomib (PS-341, Velcade) sensitizes otherwise resistant RCC cells to direct necrotic death by IFN-?. Mechanistically, we show that bortezomib functions, at least in part, by inhibiting prosurvival NF-?B signaling. In the absence of this signal, IFN-? triggers programmed necrosis (or "necroptosis") dependent on the kinase RIP1. When taken together with the observation that NF-?B signaling is elevated in RCCs, these results provide rationale for the combined use of IFN-? and bortezomib in the treatment of metastatic RCCs.

SUBMITTER: Thapa RJ 

PROVIDER: S-EPMC3746800 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature

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NF-κB inhibition by bortezomib permits IFN-γ-activated RIP1 kinase-dependent necrosis in renal cell carcinoma.

Thapa Roshan J RJ   Chen Peirong P   Cheung Mitchell M   Nogusa Shoko S   Pei Jianming J   Peri Suraj S   Testa Joseph R JR   Balachandran Siddharth S  

Molecular cancer therapeutics 20130508 8


Advanced renal cell carcinoma (RCC) is an invariably fatal cancer. Currently, small-molecule inhibitors that target cell growth, angiogenesis, or nutrient-sensing pathways represent the primary pharmacologic interventions for this disease, but these inhibitors only delay tumor progression and are not curative. The cytokine IFN-γ showed the potential to provide lasting remission in several phase I/II trials for advanced RCCs, but subsequent trials, including a multicenter phase III study using IF  ...[more]

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