Object. Cells that lose their ability to undergo apoptosis may promote the
development of neoplasms and result in resistance to clinical treatment wit
h DNA-damaging modalities such as radio- and chemotherapy. Four established
human glioma cell lines that are resistant to apoptosis were transfected w
ith the proapoptotic gene bar and assessed for their sensitivity to a proap
optotic stimulus.
Methods. Two cell lines had a wild-type p53 genotype (U87 and D247MG) and t
wo had mutant p53 genotypes (U138 and U373). Constitutive overexpression of
murine bax was achieved in U138 and U373 only, which resulted in an increa
sed sensitivity of these lines to the apoptosis-inducing effect of cytosine
arabinoside (ara-C). Multiple attempts to produce constitutive overexpress
ion of bax in U87 and D247MG cells resulted in spontaneous, near-complete c
ell loss. Vector-only control transfections were successful in all four cel
l lines. Inducible overexpression of bax was achieved in the U87 cells and
elevated levels of BAX were observed as early as 6 hours after gene inducti
on. This overexpression of BAX resulted in the spontaneous induction of apo
ptosis in these cells.
Conclusions. Overexpression of BAX in four human glioma cell lines resulted
in increased sensitivity to apoptosis. In the two lines that had a wild-ty
pe p53 genotype, overexpression of BAX produced spontaneous apoptosis. In c
ontrast, the lines that had mutant, nonfunctional P53 did not undergo spont
aneous apoptosis, but they were rendered more sensitive to the apoptosis-in
ducing effect of ara-C. Modulation of BAX expression may be a useful therap
eutic modality for gliomas, regardless of p53 genotype.