Mitochondrial permeabilization engages NF-κB-dependent anti-tumour activity under caspase deficiency

E Giampazolias, B Zunino, S Dhayade, F Bock… - Nature cell …, 2017 - nature.com
E Giampazolias, B Zunino, S Dhayade, F Bock, C Cloix, K Cao, A Roca, J Lopez, G Ichim
Nature cell biology, 2017nature.com
Apoptosis represents a key anti-cancer therapeutic effector mechanism. During apoptosis,
mitochondrial outer membrane permeabilization (MOMP) typically kills cells even in the
absence of caspase activity. Caspase activity can also have a variety of unwanted
consequences that include DNA damage. We therefore investigated whether MOMP-
induced caspase-independent cell death (CICD) might be a better way to kill cancer cells.
We find that cells undergoing CICD display potent pro-inflammatory effects relative to …
Abstract
Apoptosis represents a key anti-cancer therapeutic effector mechanism. During apoptosis, mitochondrial outer membrane permeabilization (MOMP) typically kills cells even in the absence of caspase activity. Caspase activity can also have a variety of unwanted consequences that include DNA damage. We therefore investigated whether MOMP-induced caspase-independent cell death (CICD) might be a better way to kill cancer cells. We find that cells undergoing CICD display potent pro-inflammatory effects relative to apoptosis. Underlying this, MOMP was found to stimulate NF-κB activity through the downregulation of inhibitor of apoptosis proteins. Strikingly, engagement of CICD displays potent anti-tumorigenic effects, often promoting complete tumour regression in a manner dependent on intact immunity. Our data demonstrate that by activating NF-κB, MOMP can exert additional signalling functions besides triggering cell death. Moreover, they support a rationale for engaging caspase-independent cell death in cell-killing anti-cancer therapies.
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