Laboratory Investigation
United States and Canadian Academy of Pathology The United States and Canadian Academy of Pathology
LWW Lippincott Williams and Wilkins
publishes Laboratory Investigation
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  Induction of Inducible Nitric Oxide Synthase Is an Essential Part of Tumor Necrosis Factor-[alpha]-Induced Apoptosis in MCF-7 and other Epithelial Tumor Cells
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  Claudia Binder, Matthias Schulz, Wolfgang Hiddemann, and Michael Oellerich
   
  Departments of Haematology/Oncology (CB, MS), and Clinical Chemistry (MO), Georg-August-University, Göttingen, Med. Klinik III (WH), Klinikum Gro[beta]hadern, Ludwig-Maximilians-University, München, Germany
   
  SUMMARY: TNF-[alpha]-induced cytotoxicity is mediated by the intracellular "death domain" of the 55-kDa TNF-[alpha] receptor and has been demonstrated to be coupled with induction of inducible nitric oxide synthase (iNOS), leading to generation of nitric oxide radicals (NO|b1). Because it is still widely unknown, to what extent NO|b1 participates in the execution of TNF-[alpha]-induced apoptosis, NO|b1 production, iNOS expression, and enzyme activity in relation to TNF-[alpha]-induced apoptotic cell death were investigated in the human breast cancer cell line MCF-7 and various other malignant cell lines. Incubation with TNF-[alpha] led to induction of iNOS mRNA and protein as well as enhancement of NOS activity. Augmented synthesis of NO2, the stable end product of NO|b1 generation, was significantly correlated with augmented rates of cell death. Measurement of TNF-[alpha]-triggered production of reactive oxygen species (ROS) suggested a major role for NO|b1 within the generated oxygen radicals. Dying cells showed characteristic features of apoptosis. Addition of cycloheximide (CX) enhanced apoptotic cell death by increasing iNOS activity. L-Nitro-arginine-methyl-ester (L-NAME), a competitive NOS-inhibitor, and iNOS antisense oligonucleotides effectively prevented NO2 generation and apoptosis. Evaluation of iNOS expression during TNF-[alpha]-induced cell death in various malignant cell lines demonstrated iNOS positivity for all TNF-[alpha]-sensitive cells. The only primarily resistant line was iNOS negative. In a resistant variant of MCF-7, iNOS mRNA was still detectable; however, treatment with TNF-[alpha] did not enhance NOS activity. TNF-[alpha] sensitivity and NO2 production were completely restored by the addition of CX. Taken together, iNOS induction plays an essential role in TNF-[alpha]-induced apoptosis of the investigated cell lines. Further studies are necessary to define the impact of NO|b1 in relation to other specific effectors of apoptosis such as the caspases.