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Clinical Cancer Research Vol. 12, 1828-1838, March 2006
© 2006 American Association for Cancer Research


Cancer Therapy: Preclinical

A Synthetic Triterpenoid, CDDO-Me, Inhibits I{kappa}B{alpha} Kinase and Enhances Apoptosis Induced by TNF and Chemotherapeutic Agents through Down-Regulation of Expression of Nuclear Factor {kappa}B–Regulated Gene Products in Human Leukemic Cells

Shishir Shishodia1, Gautam Sethi1, Marina Konopleva2, Michael Andreeff2 and Bharat B. Aggarwal1

Authors' Affiliations: 1 Cytokine Research Laboratory, Department of Experimental Therapeutics and 2 Section of Molecular Hematology and Therapy, Department of Blood and Marrow Transplantation, The University of Texas M.D. Anderson Cancer Center, Houston, Texas

Requests for reprints: Bharat B. Aggarwal, Department of Experimental Therapeutics, M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Box 143, Houston, TX 77030. Phone: 713-792-3503/6459; Fax: 713-794-1613; E-mail: aggarwal{at}mdanderson.org.

The C-28 methyl ester of 2-cyano-3,12-dioxoolean-1,9-dien-28-oic acid (CDDO-Me), a synthetic triterpenoid based on naturally occurring ursolic and oleanolic acids, induces apoptosis in tumor cells, induces differentiation, and inhibits inflammatory response through a poorly understood mechanism. Because the nuclear transcription factor nuclear factor {kappa}B (NF-{kappa}B) has been shown to suppress apoptosis and promote proliferation and is linked with inflammation and differentiation, we postulated that CDDO-Me modulates NF-{kappa}B activity and NF-{kappa}B-regulated gene expression. Using human leukemia cell lines and patient samples, we show that CDDO-Me potently inhibits both constitutive and inducible NF-{kappa}B activated by tumor necrosis factor (TNF), interleukin (IL)-1ß, phorbol ester, okadaic acid, hydrogen peroxide, lipopolysaccharide, and cigarette smoke. CDDO-Me was more potent than CDDO and its imidazole derivative. NF-{kappa}B suppression occurred through inhibition of I{kappa}B{alpha} kinase activation, I{kappa}B{alpha} phosphorylation, I{kappa}B{alpha} degradation, p65 phosphorylation, p65 nuclear translocation, and NF-{kappa}B-mediated reporter gene transcription. This inhibition correlated with suppression of NF-{kappa}B-dependent genes involved in antiapoptosis (IAP2, cFLIP, TRAF1, survivin, and bcl-2), proliferation (cyclin d1 and c-myc), and angiogenesis (VEGF, cox-2, and mmp-9). CDDO-Me also potentiated the cytotoxic effects of TNF and chemotherapeutic agents. Overall, our results suggest that CDDO-Me inhibits NF-{kappa}B through inhibition of I{kappa}B{alpha} kinase, leading to the suppression of expression of NF-{kappa}B-regulated gene products and enhancement of apoptosis induced by TNF and chemotherapeutic agents.




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Copyright © 2006 by the American Association for Cancer Research.