Nonsteroidal anti-inflammatory drugs (NSAID) reduce the risk for cancer, du
e to their antiproliferative and apoptosis-inducing effects. A critical pat
hway for apoptosis Involves the release of cytochrome c from mitochondria,
which then interacts with Apaf-1 to activate caspase proteases that orchest
rate cell death, In this study we found that treatment of a human cancer ce
ll line with aspirin induced caspase activation and the apoptotic cell morp
hology, which was blocked by the caspase inhibitor zVAD-fmk. Further analys
is of the mechanism underlying this apoptotic event showed that aspirin ind
uces translocation of Bax to the mitochondria and triggers release of cytoc
hrome c into the cytosol. The release of cytochrome c from mitochondria was
inhibited by overexpression of the antiapoptotic protein Bcl-2 and cells t
hat lack Apaf-1 were resistant to aspirin-induced apoptosis, These data pro
vide evidence that the release of cytochrome c is an important part of the
apoptotic mechanism of aspirin.