S. Mandlekar et al., Activation of caspase-3 and c-Jun NH2-terminal kinase-1 signaling pathwaysin tamoxifen-induced apoptosis of human breast cancer cells, CANCER RES, 60(21), 2000, pp. 5995-6000
Tamoxifen (TAM) is widely used in the treatment of breast cancer. The cytos
tatic effects of TAM have been attributed to the antagonism of estrogen rec
eptor (ER) and inhibition of estrogen-dependent proliferative events. Howev
er, the mechanism by which TAM is also effective against certain ER-negativ
e breast tumors remains to be elucidated. Here we report that TAM induced t
he activity of caspase-3-like proteases in ER-negative breast cancer cell l
ines MDA-MB-231 and BT-20, as evidenced by the cleavage of fluorogenic tetr
apeptide substrate and of poly(ADP-ribose) polymerase. The activation of ca
spase-1-like proteases preceded TAM-induced chromatin condensation and nucl
ear fragmentation, the typical apoptotic morphologies. Pretreatment of cell
s with a specific inhibitor of caspase-3, acetyl-Asp-Glu-Val-Asp-aldehyde,
or with a general inhibitor of caspases, benzyloxycarbonyl-Val-Ala-Asp-fluo
romethyl ketone, prevented TAM-induced apoptosis. TAM also stimulated c-Jun
NH2-terminal kinase (JNK) 1 activity, and interfering with the JNK pathway
by overexpressing a DN JNK1 mutant attenuated TAM-induced apoptosis. In ad
dition, treatment of cells with a lipid-soluble antioxidant vitamin E block
ed TAM-induced caspase-3 and JNK1 activation as well as apoptosis, whereas
water-soluble antioxidants N-acetyl L-cysteine and glutathione had little e
ffect. Thus, this study demonstrates that TAM induces apoptosis in ER-negat
ive breast cancer cells through caspase-3 and JNK1 pathways, which are prob
ably initiated at the cell membrane by an oxidative mechanism.