Portal de Periódicos da CAPES

Association between Mitotic Spindle Checkpoint Impairment and Susceptibility to the Induction of Apoptosis by Anti-Microtubule Agents in Human Lung Cancers

2003; Elsevier BV; Volume: 163; Issue: 3 Linguagem: Inglês

10.1016/s0002-9440(10)63470-0

1525-2191

Akira Masuda, Ken Maeno, Taku Nakagawa, Hiroko Saito, Takashi Takahashi,

DNA Repair Mechanisms

Anti-microtubule agents such as vinorelbine and paclitaxel, which are extensively used in the treatment of lung cancers, activate mitotic spindle checkpoint. Although defects of the mitotic spindle checkpoint are thought to play a role in the genesis of chromosome instability, we previously reported its frequent impairment in human lung cancer cell lines. In this study, we examined a panel of 13 human cancer cell lines comprising 11 lung and 2 other cancers and found a significant difference in the resistance to apoptosis induced by anti-microtubule agents between mitotic spindle checkpoint-impaired and -proficient cancer cell lines. This finding was in marked contrast to a lack of such correlation with a DNA damaging agent, cis-platin. Interestingly, anti-microtubule agent-induced apoptosis in mitotic spindle checkpoint-proficient cell lines, NCI-H460 and A549, was shown to be markedly reduced by staurosporine treatment in association with the shortened mitotic arrest, whereas various inhibitors of caspases seemed to have very modest effects. Taken together, these findings suggest the potential involvement of mitotic spindle checkpoint in the induction of apoptosis by anti-microtubule agents in human lung cancers, warranting further studies on the underlying mechanisms. Anti-microtubule agents such as vinorelbine and paclitaxel, which are extensively used in the treatment of lung cancers, activate mitotic spindle checkpoint. Although defects of the mitotic spindle checkpoint are thought to play a role in the genesis of chromosome instability, we previously reported its frequent impairment in human lung cancer cell lines. In this study, we examined a panel of 13 human cancer cell lines comprising 11 lung and 2 other cancers and found a significant difference in the resistance to apoptosis induced by anti-microtubule agents between mitotic spindle checkpoint-impaired and -proficient cancer cell lines. This finding was in marked contrast to a lack of such correlation with a DNA damaging agent, cis-platin. Interestingly, anti-microtubule agent-induced apoptosis in mitotic spindle checkpoint-proficient cell lines, NCI-H460 and A549, was shown to be markedly reduced by staurosporine treatment in association with the shortened mitotic arrest, whereas various inhibitors of caspases seemed to have very modest effects. Taken together, these findings suggest the potential involvement of mitotic spindle checkpoint in the induction of apoptosis by anti-microtubule agents in human lung cancers, warranting further studies on the underlying mechanisms. Cell-cycle checkpoints are a monitoring system that arrests cells at a particular phase of the cell cycle in response to a lack of appropriate signals for progression, thereby maintaining genetic stability and ensuring a smooth progression through the cell cycle.1Hartwell LH Weinert TA Checkpoints: controls that ensure the order of cell cycle events.Science. 1989; 246: 629-634Crossref PubMed Scopus (2397) Google Scholar Recent molecular and cellular biological studies have revealed that cell-cycle checkpoints are often impaired in cancer cells, leading to the failure of normal growth control and the generation of genetic instability in cancer cells.2Elledge SJ Cell cycle checkpoints: preventing an identity crisis.Science. 1996; 274: 1664-1672Crossref PubMed Scopus (1751) Google Scholar We previously reported on the frequent impairment of the mitotic spindle checkpoint in human lung cancer cell lines.3Takahashi T Haruki N Nomoto S Masuda A Saji S Osada H Takahashi T Identification of frequent impairment of the mitotic checkpoint and molecular analysis of the mitotic checkpoint genes, hsMAD2 and p55CDC, in human lung cancers.Oncogene. 1999; 18: 4295-4300Crossref PubMed Scopus (116) Google Scholar The mitotic spindle checkpoint is activated by the presence of unattached kinetochores and impedes the cell cycle at the prometaphase.4Rudner AD Murray AW The spindle assembly checkpoint.Curr Opin Cell Biol. 1996; 8: 773-780Crossref PubMed Scopus (316) Google Scholar This checkpoint thus prevents abnormal chromosome segregation because of the lack of bipolar attachment of kinetochores to mitotic spindles, and its dysfunction in cancer cells is thought to play a role in the development of chromosome instability.5Lengauer C Kinzler KW Vogelstein B Genetic instabilities in human cancers.Nature. 1998; 396: 643-649Crossref PubMed Scopus (3341) Google Scholar, 6Masuda A Takahashi T Chromosome instability in human lung cancers: its possible underlying mechanisms and potential consequences in the pathogenesis.Oncogene. 2002; 21: 6884-6897Crossref PubMed Scopus (121) Google Scholar Anti-microtubule agents including nocodazole, vinorelbine, and paclitaxel activate the mitotic spindle checkpoint, while many of them are extensively used as chemotherapeutic agents for the treatment of various cancers including human lung cancers. Although a possible link between integrity of the mitotic spindle checkpoint and sensitivity to the apoptosis induced by anti-microtubule agents is presumed to be present, very few studies have dealt with this question directly,7Taylor SS McKeon F Kinetochore localization of murine Bub1 is required for normal mitotic timing and checkpoint response to spindle damage.Cell. 1997; 89: 727-735Abstract Full Text Full Text PDF PubMed Scopus (474) Google Scholar, 8Weitzel DH Vandre DD Differential spindle assembly checkpoint response in human lung adenocarcinoma cells.Cell Tissue Res. 2000; 300: 57-65Crossref PubMed Scopus (22) Google Scholar and extensive studies have not yet been conducted using a panel of human cancer cell lines. Thus, it has remained uncertain whether such a relationship is indeed present in human cancer cells with frequent impairment of the mitotic spindle checkpoint. In this study, we examined a panel of 13 human cancer cell lines comprising 11 lung and 2 other cancers and found a significant difference in the resistance to apoptosis induced by anti-microtubule agents between mitotic spindle checkpoint-impaired and -proficient cancer cell lines in contrast to a lack of such a difference in the treatment with the DNA damaging agent, cis-platin. In addition, initial attempts were made to elucidate how signals for the induction of apoptosis are transduced in mitotic checkpoint-proficient cells. ACC-LC-176 was established in our laboratory9Hida T Ariyoshi Y Kuwabara M Sugiura T Takahashi T Hosoda K Niitsu Y Ueda R Glutathione S-transferase pi levels in a panel of lung cancer cell lines and its relation to chemo-radiosensitivity.Jpn J Clin Oncol. 1993; 23: 14-19PubMed Google Scholar and NCI-H460 and A-427 were purchased from American TypeCulture Collection (Manassas, VA). Other cell lines were generously provided by Dr. L. J. Old (Memorial Sloan-Kettering Cancer Center, New York, NY) and Dr. Y. Hayata (Tokyo Medical College, Tokyo, Japan). Cells were cultured in RPMI 1640 medium supplemented with 5% fetal calf serum (Life Technologies, Inc., Grand Island, NY), 100 U/ml penicillin, and 100 μg/ml streptomycin. PD98059, LY294002, and SB203580 were purchased from Calbiochem (Darmstadt, Germany). Staurosporine was obtained from Biomol Res. Inc. (Plymouth Meeting, PA), wortmannin and vinorelbine ditartrate was from Kyowa Medics Inc. (Tokyo, Japan), docetaxel from Chugai Pharmaceutical Co. (Tokyo, Japan), and cis-platin from Bristol-Myers Squibb Co. (Tokyo, Japan). Other chemicals were obtained from Sigma (St. Louis, MO). For cell biological analyses, 1 × 105 cells were inoculated in 60-mm dishes the day before the experiments. Cells were washed with Dulbecco's modified phosphate-buffered saline (PBS) once, then placed into the RPMI 1640 medium containing anti-microtubule agents at the concentrations indicated. After incubation with anti-microtubule agents for the periods of time indicated, the cells were harvested by trypsinization, followed by fixation with 4% formalin in PBS for 30 minutes. Cells were then attached to glass slides by centrifugation using an AutoSmear CF-12D (Sakura, Tokyo, Japan) and stained with 0.1 μg/ml of 4′,6-diamidino-2-phenylindole (DAPI). To measure the mitotic cells and apoptotic cells, at least 300 cells were counted for each slide with fluorescence microscopy. Cells having condensed chromosomes without a nuclear membrane were regarded as mitotic cells, which corresponded very well to positive staining with an anti-phosphohistone H3 antibody10Juan G Traganos F James WM Ray JM Roberge M Sauve DM Anderson H Darzynkiewicz Z Histone H3 phosphorylation and expression of cyclins A and B1 measured in individual cells during their progression through G2 and mitosis.Cytometry. 1998; 32: 71-77Crossref PubMed Scopus (214) Google Scholar (data not shown). Mitotic indices were calculated as the percentage of mitotic cells among the total viable cells. Cells having fragmented and uniformly condensed nuclei were regarded as apoptotic cells, and this criterion showed a good agreement with cells positively stained with an anti-cleaved caspase-3 antibody (data not shown). The terminal dUTP nick-end labeling (TUNEL) assay using an in situ cell death detection kit (Roche Diagnostics, Mannheim, Germany) was used to confirm the results of the morphology-based assay for the detection of apoptotic cells. Cells, which were attached to glass slides as described above, were incubated with an anti-cleaved caspase-3-specific polyclonal antibody (1:1000 dilution; Cell Signaling Technology, Beverly, MA) or an anti-phosphohistone H3-specific antibody (1:200 dilution; Upstate Biotechnology, Lake Placid, NY) for 1 hour at room temperature, followed by a 1-hour incubation with an Alexa 488-conjugated secondary antibody (Molecular Probes, Eugene, OR). Cell nuclei were then stained with DAPI as described above. For staining of BrdU that had been incorporated into nuclear DNA harvested cells were serially fixed with 70% and 100% ethanol before making cytospin preparations as described above. The resultant slides were treated with 2 N HCl for denaturation of DNA and then neutralized with 0.1 mol/L of Tris-HCl (pH 8.0), followed by staining with a fluorescein isothiocyanate-conjugated anti-BrdU antibody (1:20 dilution; Becton & Dickinson, Bedford, MA) and DAPI. The harvested cells were fixed with 70% ethanol for more than 2 hours, then washed with PBS once, and stained with an anti-cyclin B monoclonal antibody (Santa Cruz Biotechnology, Santa Cruz, CA) or an anti-CENP-F polyclonal antibody (Novus Biologicals, Inc., Littleton, CO), followed by incubation with an Alexa 488-conjugated secondary antibody (Molecular Probes). After further staining with propidium iodide, flow cytometric analysis was performed using FACSCalibur and Cellquest software (Becton & Dickinson). Ten μg of total cell lysate solubilized in Laemmli's sample buffer was electrophoresed on 12.5 or 15% sodium dodecyl sulfate-polyacrylamide gels and transferred to Immobilon-P filters (Millipore Corp., Bedford, MA). The filters were first incubated with either a primary antibody against Bcl-2 or those specific to caspase-3, -8, or -9 (Cell Signaling Technology), and then with a horseradish peroxidase-conjugated secondary antibody (Cell Signaling Technology). For visualization, an enhanced chemiluminescence system (Amersham, Buckinghamshire, UK) was used. In our previous study, we used a conventional protocol to examine lung cancer cell lines for the presence of mitotic checkpoint impairment, ie, measurement of mitotic indices in the presence of nocodazole, a microtubule-disrupting agent. To further ascertain the presence of mitotic checkpoint impairment in lung cancer cell lines, we characterized three lung cancer cell lines in greater detail, all of which had wild-type p53 (Table 1). As shown in Figure 1A, the majority of cells in all these cell lines became rapidly arrested at 4n DNA content by treatment with 200 nmol/L of nocodazole for 18 hours. NCI-H460 showed a rapid increase in cells arrested at prometaphase, which reached ∼90% after 18 hours of incubation and gradually decreased because of adaptation, whereas the increases in the mitotic indices in A-427 and PC-1 were very modest (Figure 1B). The rise in the mitotic indices of the latter two cell lines plateaued, even if we added more than 100 nmol/L of nocodazole, and no further rises in mitotic indices were detected at least up to 600 nmol/L of nocodazole (Figure 1C). We further ascertained that the observed lack of clear increases in mitotic indices in A-427 and PC-1 was indeed because of their failure in mitotic arrest, and this was not caused by cell-cycle arrest before entering prometaphase in response to the nocodazole treatment. For this purpose, we measured mitotic indices in synchronized cells (Figure 2A) as well as by counting BrdU-labeled mitoses in asynchronous cultures by simultaneous treatment with BrdU and nocodazole (Figure 2B). Further, the expression of cell-cycle phase markers was examined in these cell lines treated with nocodazole for 18 hours by means of two-color flow cytometry. As shown in Figure 2C, the majority of NCI-H460 cells with 4n-DNA content expressed cyclin B, a cell-cycle marker from late S to metaphase. In contrast, accumulation of cyclinB1-negative cells with 4n DNA content was observed in A-427 and PC-1, suggesting that a large proportion of the cells was in the so-called psuedo-G1 state. Similar results were obtained by using an antibody against CENP-F, another cell-cycle marker for G2 and metaphase (data not shown). Collectively, these results clearly indicated that A-427 and PC-1 were not arrested before the mitotic phase and were arrested at prometaphase for significantly shorter periods of time than NCI-H460 in the presence of nocodazole.Table 1Summary of the Relationship between Nocodazole-Induced Apoptosis and Checkpoint IntegrityCell lineSensitivity to nocodazolep53 statusMitotic spindle checkpoint*Mitotic spindle checkpoint response was examined as described previously and graded for mitotic indices at 18 hours after the initiation of nocodazole treatment: impaired, 40%.Reference for p53 statusA-427ResistantWild typeImpaired29PC-1ResistantWild typeImpaired30SK-LU-1ResistantHis to Arg (codon 193)Impaired31Calu-1ResistantHomozygous deletionPartially impaired30ACC-LC-176ResistantWild typeNormal30QG56ResistantPro to Ser (codon 249)Normal30NCI-H460SensitiveWild typeNormal30SBC-3SensitiveWild typeNormal32A549SensitiveWild typeNormal31PC-10SensitiveGly to Cys (codon 245)Normal30SK-MES-1SensitiveGlu to stop (codon 298)Normal30HCT116SensitiveWild typeNormal30HeLaSensitiveWild typeNormal33* Mitotic spindle checkpoint response was examined as described previously and graded for mitotic indices at 18 hours after the initiation of nocodazole treatment: impaired, 40%. Open table in a new tab Figure 2.Affirmation of mitotic arrest in response to nocodazole. A: Inhibition of entry into mitoses in synchronized cells. Cells that had been arrested at the S phase or G1/S boundary by 16 hours of treatment with 5 μmol/L of aphidicolin were released by replacing the culture media. The initial increases in the mitotic indices are similar regardless of the presence or absence of 200 nmol/L of nocodazole, indicating the absence of entry into mitosis in certain cell lines. B: Inhibition of entry into mitoses in BrdU-labeled asynchronous cells. Simultaneous treatment with 10 μmol/L of BrdU and 200 nmol/L of nocodazole results in the similar initial increases in mitotic cells labeled with BrdU, indicating that cell lines are not differentially arrested before entering mitosis. Note that scales of the y axes are different in each cell line. C: Flow cytometric analyses of expression of cyclin B. Upper figures represent the dot plot, and lower figures represent the percentages of cells residing in each quadrant. The majority of cells having 4n DNA content express cyclin B in a mitotic spindle checkpoint-proficient cell line, but not in the impaired cell lines.View Large Image Figure ViewerDownload Hi-res image Download (PPT) Anti-microtubule agents are known to induce apoptosis in human cancer cells.11Wang LG Liu XM Kreis W Budman DR The effect of antimicrotubule agents on signal transduction pathways of apoptosis: a review.Cancer Chemother Pharmacol. 1999; 44: 355-361Crossref PubMed Scopus (361) Google Scholar, 12Wang TH Wang HS Soong YK Paclitaxel-induced cell death: where the cell cycle and apoptosis come together.Cancer. 2000; 88: 2619-2628Crossref PubMed Scopus (505) Google Scholar We therefore studied the relationship between the integrity of the mitotic spindle checkpoint and susceptibility to anti-microtubule-induced apoptosis. As shown in Figure 3A, apoptotic cells became detectable 18 hours after addition of nocodazole in NCI-H460, and the proportion of apoptotic cells steeply increased with time, reaching ∼60% 48 hours later. In marked contrast, only a small percentage of cells fell into apoptosis in the mitotic spindle checkpoint-impaired A-427 and PC-1 cell lines. To exclude the possibility that the correlation between the two biological characteristics might have arisen by coincidence, we further examined a panel of 13 human cancer cell lines comprising 11 lung and 2 other cancers. Induction of nocodazole-induced apoptosis in cancer cell lines with impaired mitotic spindle checkpoint was found to be significantly lower than that in mitotic spindle checkpoint-proficient cell lines [7.1 ± 1.4 versus 38.0 ± 6.9 (mean ± SE), P = 0.01 by Student's t-test; Figure 3B]. It was noteworthy that all of the mitotic spindle checkpoint-impaired cell lines were highly resistant to the induction of apoptosis. Induction of apoptosis was also measured with the TUNEL assay and showed good concordance of percentages of apoptotic cells between the two types of assays. Specifically, the respective percentages of apoptotic cells determined with the morphology-based and the TUNEL assays were: 55% and 54% in NCI-H460, 70% and 64% in HeLa, 51% and 41% in SBC3, 40% and 42% in A549, 4% and 6% in PC1, 9% and 12% in A427, 5% and 3% in SK-Lu-1, and 10% and 3% in Calu1. On the contrary, susceptibility to apoptosis induced by the DNA damaging anti-cancer agent, cis-platin, did not show any significant differences with the integrity of the mitotic spindle checkpoint (Figure 3C). We next asked whether a similar relationship was present when lung cancer cells were treated with other agents affecting microtubule spindle formation. Two representative mitotic spindle checkpoint-proficient lines, NCI-H460 and SBC3, were exposed to either a microtubule-depolymerizing agent, vinorelbine, or a microtubule-stabilizing agent, docetaxel, for 48 hours. Vinorelbine and docetaxel induced, respectively, 55% and 53% of apoptotic cells in NCI-H460 and 50% and 72% in SBC3. In contrast, SK-Lu-1 and A-427 with an impaired mitotic spindle checkpoint were highly resistant to both of the two distinct types of anti-microtubule agents, showing induction of apoptosis in only 1% and 3% of the SK-Lu-1 cells and 13% and 25% of the A-427. We note that susceptibility to anti-microtubule agents-induced apoptosis was unrelated to the p53 status of each cell line (Table 1). Taken together, these results strongly suggested that the status of mitotic spindle checkpoint integrity might affect the cellular susceptibility of each lung cancer cell line to the induction of apoptosis by anti-microtubule agents. Initial attempts were undertaken to explore the underlying mechanisms of anti-microtubule agent-induced apoptosis. NCI-H460, a representative cell line with intact mitotic spindle checkpoint was treated with a variety of inhibitors, which included PD98059 (a selective MEK inhibitor), LY294002 (a specific phosphatidylinositol 3-kinase inhibitor), wortmannin (phosphatidylinositol 3-kinase and ATM kinase inhibitor), SB203580 (a specific p38 kinase inhibitor), thymidine (DNA synthesis blocker), staurosporine (a broad specific Ser/Thr-kinase inhibitor), Z-VAD-fmk (a broad specific caspase inhibitor), Z-LEHD-fmk (a specific caspase-9 inhibitor), and Z-IETD-fmk (a specific caspase-8 inhibitor) (Figure 4). Tne most notable inhibition of apoptosis was observed with the addition of 30 nmol/L of staurosporine, yielding nearly complete suppression of both nocodazole-induced apoptosis and an increase in mitotic index (data not shown). In addition, 12-hour pretreatment of cells with 2.0 mmol/L of thymidine, which blocks cells at the G1/S boundary and within the S phase, before the addition of nocodazole, modestly reduced apoptosis, although this reduction may have been considerably underestimated because of the toxic effect of prolonged thymidine treatment itself. Unexpectedly, the effect of Z-IETD-fmk, a caspase-8-specific inhibitor, and of Z-LEHD-fmk, a caspase-9-specific caspase inhibitor, was negligible, while Z-VAD-fmk, a caspase inhibitor with broad specificity, had only a limited inhibitory effect on apoptosis in NCI-H460. We did not observe any significant reduction in nocodazole-induced apoptosis as a result of adding other inhibitors except for the PD98059 MEK inhibitor, which yielded a modest effect. In contrast to the limited apoptotic effects of caspase inhibitors on NCI-H460, their effect on A-427, which has an impaired mitotic spindle checkpoint, was significant. Z-VAD-fmk suppressed residual activity of nocodazole-induced apoptosis in this cell line by 94%, while Z-IETD-fmk and Z-LEHD-fmk yielded 39% and 42% reduction of apoptosis, respectively. Staurosporine, which is a broad specificity inhibitor of serine/threonine kinases, is known to force cells to exit from mitotic arrest imposed by anti-microtubule agents.13Hall LL Th'ng JP Guo XW Teplitz RL Bradbury EM A brief staurosporine treatment of mitotic cells triggers premature exit from mitosis and polyploid cell formation.Cancer Res. 1996; 56: 3551-3559PubMed Google Scholar We asked whether nocodazole-induced apoptosis could be reduced by delayed exposure to staurosporine after cells started to accumulate at the mitotic phase. Staurosporine was added to the mitotic spindle checkpoint-proficient NCI-H460 and A549 cell lines 12 hours after the initiation of nocodazole treatment, at which time the increase in the mitotic index had become evident. This delayed exposure to staurosporine effectively caused rapid exit from mitosis in association with a striking reduction in apoptosis (Figure 5; A to D). Further examination revealed that such reduction of apoptosis could be attained, if staurosporine was added within 18 hours after the initiation of nocodazole treatment, but was found to be no longer effective after 24 hours (Figure 5E). Taken together, these results suggest that mitotic arrest for a prolonged period of time, ie, longer than 6 to 12 hours, might destine cells to fall into apoptosis by a mechanism involving a staurosporine-sensitive molecule. It is generally accepted that one of the important targets for staurosporine is the cyclin B/cdc2 kinase. We therefore examined whether olomoucine, a specific cyclin B/cdc2 kinase inhibitor, could also reduce nocodazole-induced apoptosis as was observed with staurosporine. Olomoucine dose dependently prevented cells from entering mitosis, but a reduction in apoptosis was not induced even at a dose of 200 μmol/L (Figure 6, A and B). These results suggest that cyclin B/cdc2 kinase may not be the sole target for staurosporine in terms of apoptosis-reducing activity and that there may well be another staurosporine-sensitive kinase(s) involved in the process. It has been suggested that the induction of apoptosis in response to anti-microtubule agents may result from inactivation of bcl-2 because of its phosphorylation and consequential activation of caspases, although significance of this pathway remains a matter of controversy. We therefore studied on the relationship in our system of susceptibility to nocodazole with phosphorylation of bcl-2 as well as with caspase activation. As shown in Figure 7, degrees of bcl-2 phosphorylation tightly corresponded to the integrity of the mitotic spindle checkpoint. We observed that bcl-2 was extensively phosphorylated at 18 hours in all three mitotic spindle checkpoint-proficient cell lines examined, including nocodazole-resistant QG56. On the other hand, bcl-2 was hardly phosphorylated in any of the mitotic spindle checkpoint-impaired cell lines. Further analysis using mitotic cell fractions collected from NCI-H460 and A-427, however, revealed that phosphorylated bcl-2 was detectable in parallel to the proportion of mitotic cells (data not shown). These findings suggest that low degrees of bcl-2 phosphorylation in the checkpoint-impaired cell lines may reflect the presence of small fractions of mitotic cells. It is generally accepted that inactivation of bcl-2 induces activation of caspases through the release of cytochrome c from mitochondria. The activation of caspases was analyzed by monitoring the appearance of their respective cleaved active forms. As shown in Figure 8, caspases-8, -9, and -3 were clearly activated at 48 hours in NCI-H460, and similarly, but albeit at considerably lower levels, in A-427. It was noted that cleavage of caspase-3, an effector caspase, was completely inhibited by the addition of Z-VAD-fmk, while partially blocked cleavage of caspases-8 and -9 was also detected. Together with our finding described above that Z-VAD-fmk inhibited nocodazole-induced apoptosis only to a very limited extent, the bcl-2/caspase pathway seemed to play a limited role in the anti-microtubule agent-induced apoptosis in mitotic checkpoint-proficient NCI-H460, suggesting the involvement of an additional staurosporine-sensitive pathway(s). Anti-microtubule agents have been shown to be active in the treatment of lung cancers. However, it is rather poorly understood how cancer cells respond to these agents and what determines cellular susceptibility. It has been suggested that response to paclitaxel is related to the expression levels of her2/neu and bcl-2,14Perez-Soler R Kemp B Wu QP Mao L Gomez J Zeleniuch-Jacquotte A Yee H Lee JS Jagirdar J Ling YH Response and determinants of sensitivity to paclitaxel in human non-small cell lung cancer tumors heterotransplanted in nude mice.Clin Cancer Res. 2000; 6: 4932-4938PubMed Google Scholar whereas others have claimed that increased microtubule dynamics are associated with resistance to paclitaxel.15Goncalves A Braguer D Kamath K Martello L Briand C Horwitz S Wilson L Jordan MA Resistance to taxol in lung cancer cells associated with increased microtubule dynamics.Proc Natl Acad Sci USA. 2001; 98: 11737-11742Crossref PubMed Scopus (229) Google Scholar In this study, we have shown that the status of the mitotic spindle checkpoint exhibits a significant relationship with susceptibility to anti-microtubule agent-induced apoptosis in human lung cancer cell lines and that mitotic spindle checkpoint-impaired cell lines are highly resistant to anti-microtubule agents. In this connection, it is of note that impairment of the mitotic spindle checkpoint is present in ∼40% of human lung cancer cell lines.3Takahashi T Haruki N Nomoto S Masuda A Saji S Osada H Takahashi T Identification of frequent impairment of the mitotic checkpoint and molecular analysis of the mitotic checkpoint genes, hsMAD2 and p55CDC, in human lung cancers.Oncogene. 1999; 18: 4295-4300Crossref PubMed Scopus (116) Google Scholar Our results are in line with a previous experimental study by Taylor and McKeon.7Taylor SS McKeon F Kinetochore localization of murine Bub1 is required for normal mitotic timing and checkpoint response to spindle damage.Cell. 1997; 89: 727-735Abstract Full Text Full Text PDF PubMed Scopus (474) Google Scholar They used a dominant-negative mutant of Bub1, a key component of the mitotic spindle checkpoint and showed that dominant-negative Bub1 impaired the mitotic spindle checkpoint and allowed cells to escape from cell death induced by nocodazole. It is interesting that a similar relationship was recently repeated in adult T-cell leukemia,16Kasai T Iwanaga Y Iha H Jeang KT Prevalent loss of mitotic spindle checkpoint in adult T-cell leukemia confers resistance to microtubule inhibitors.J Biol Chem. 2002; 277: 5187-5193Crossref PubMed Scopus (106) Google Scholar in which HTLV-1 Tax protein was shown to affect subcellular localization of the MAD1 and MAD2 proteins, leading to the induction of the failure of mitotic spindle checkpoint response and chemoresistance to microtubule inhibitors. As for lung cancer, Weitzel and Vandré8Weitzel DH Vandre DD Differential spindle assembly checkpoint response in human lung adenocarcinoma cells.Cell Tissue Res. 2000; 300: 57-65Crossref PubMed Scopus (22) Google Scholar observed that a lung cancer cell line with an impaired mitotic spindle checkpoint was more resistant to CI-980, an anti-microtubule agent, than another lung cancer cell line with an intact checkpoint, but comparison merely between two cell lines make it difficult to draw any reliable conclusions. In our study with a panel of 13 human cancer cell lines and representative anti-microtubule agents including both stabilizer and depolymerizers of microtubules, the presence of statistically significant association between the two biological characteristics was clearly shown. In contrast to the status of the mitotic spindle checkpoint, the status of p53 showed no correlation with the susceptibility to nocodazole-induced apoptosis. In this regard, it was once suggested that loss of normal p53 function sensitizes cancer cells to paclitaxel by increasing G2/M arrest and apoptosis,17Wahl AF Donaldson KL Fairchild C Lee FY Foster SA Demers GW Galloway DA Loss of normal p53 function confers sensitization to taxol by increasing G2/M arrest and apoptosis.Nat Med. 1996; 2: 72-79Crossref PubMed Scopus (652) Google Scholar but further studies failed to find such a correlation in human lung cancer.18King TC Akerley W Fan AC Moore T Mangray S Hsiu Chen M Safran H p53 mutations do not predict response to paclitaxel in metastatic nonsmall cell lung carcinoma.Cancer. 2000; 89: 769-773Crossref PubMed Scopus (33) Google Scholar Anti-microtubule agents bind microtubules and cause either destabilization or stabilization in microtubule dynamics. Their anti-tumor activities are thought to be manifested through consequential cell-cycle arrest at the mitotic phase and subsequent apoptosis.19Jordan MA Toso RJ Thrower D Wilson L Mechanism of mitotic block and inhibition of cell proliferation by taxol at low concentrations.Proc Natl Acad Sci USA. 1993; 90: 9552-9556Crossref PubMed Scopus (981) Google Scholar However, the biochemical pathways downstream of their binding to microtubules are not well understood,11Wang LG Liu XM Kreis W Budman DR The effect of antimicrotubule agents on signal transduction pathways of apoptosis: a review.Cancer Chemother Pharmacol. 1999; 44: 355-361Crossref PubMed Scopus (361) Google Scholar, 12Wang TH Wang HS Soong YK Paclitaxel-induced cell death: where the cell cycle and apoptosis come together.Cancer. 2000; 88: 2619-2628Crossref PubMed Scopus (505) Google Scholar and previous reports varied in the way they emphasized the importance of different pathways, although such discrepancies may have resulted from differences in the cell types used. One of the major focuses in this area of research has been phosphorylation of bcl-2 in response to the treatment of anti-microtubule agents in association with the loss of its anti-apoptotic function.20Basu A Haldar S Microtubule-damaging drugs triggered bcl2 phosphorylation-requirement of phosphorylation on both serine-70 and serine-87 residues of bcl2 protein.Int J Oncol. 1998; 13: 659-664PubMed Google Scholar, 21Haldar S Jena N Croce CM Inactivation of Bcl-2 by phosphorylation.Proc Natl Acad Sci USA. 1995; 92: 4507-4511Crossref PubMed Scopus (743) Google Scholar However, it should be noted that the significance of bcl-2 phosphorylation still remains controversial in terms of anti-microtubule agent-induced apoptosis. Some studies have suggested that phosphorylation of bcl-2 may be a molecular determinant of cell survival or death,21Haldar S Jena N Croce CM Inactivation of Bcl-2 by phosphorylation.Proc Natl Acad Sci USA. 1995; 92: 4507-4511Crossref PubMed Scopus (743) Google Scholar, 22Haldar S Basu A Croce CM Bcl2 is the guardian of microtubule integrity.Cancer Res. 1997; 57: 229-233PubMed Google Scholar whereas others have claimed that its phosphorylation is a mere marker of mitotic phase events and is not directly related to the induction of apoptosis.23Ling YH Tornos C Perez-Soler R Phosphorylation of Bcl-2 is a marker of M phase events and not a determinant of apoptosis.J Biol Chem. 1998; 273: 18984-18991Crossref PubMed Scopus (224) Google Scholar In the present study, the degrees of phosphorylation of bcl-2 were shown to be related to the integrity to the mitotic spindle checkpoint, pointing to a possible dependence on the duration of mitotic arrest. Inactivation of bcl-2 is generally thought to induce apoptosis through release of cytochrome c followed by the activation of caspases. Notably, the addition of a broad specificity caspase inhibitor, however, showed a very weak inhibitory effect on the nocodazole-induced apoptosis in mitotic spindle checkpoint-proficient NCI-H460, at a concentration sufficient to completely inhibit activation of caspase-3. Collectively, our results suggest the involvement of an additional apoptotic pathway(s) in the induction of apoptosis by anti-microtubule agents. We note that Huisman and colleagues24Huisman C Ferreira CG Broker LE Rodriguez JA Smit EF Postmus PE Kruyt FA Giaccone G Paclitaxel triggers cell death primarily via caspase-independent routes in the non-small cell lung cancer cell line NCI-H460.Clin Cancer Res. 2002; 8: 596-606PubMed Google Scholar similarly suggested the importance of an as yet unidentified, non-bcl-2/cytochrome c/caspase pathway in the manifestation of the cytotoxic effects of paclitaxel. Consistent results have been obtained in a study analyzing the cytotoxic effect of paclitaxel in NCI-H460. One of the most striking findings observed in this study is the marked suppression by staurosporine in nocodazole-induced apoptosis. Staurosporine is known to inhibit a wide range of serine/threonine kinases25Davis PD Hill CH Keech E Lawton G Nixon JS Sedgwick AD Wadsworth J Westmacott D Wilkinson SE Potent selective inhibitors of protein kinase C.FEBS Lett. 1989; 259: 61-63Crossref PubMed Scopus (437) Google Scholar, 26Herbert JM Seban E Maffrand JP Characterization of specific binding sites for [3H]-staurosporine on various protein kinases.Biochem Biophys Res Commun. 1990; 171: 189-195Crossref PubMed Scopus (162) Google Scholar and that a brief staurosporine treatment of mitotic cells triggers premature exit from mitosis and polyploid cell formation.13Hall LL Th'ng JP Guo XW Teplitz RL Bradbury EM A brief staurosporine treatment of mitotic cells triggers premature exit from mitosis and polyploid cell formation.Cancer Res. 1996; 56: 3551-3559PubMed Google Scholar This study clearly demonstrates that staurosporine not only enhances mitotic exit but also inhibits the induction of apoptosis in nocodazole-treated cells. Although a molecular target(s) of staurosporine in this phenomenon remains to be identified, cyclin B/cdc2 kinase did not appear to be playing a major role, because olomoucine, a specific inhibitor of cyclin B/cdc2, failed to show a comparable effect on the suppression of apoptosis. In this connection, it is interesting that a phosphatase inhibitor, calyculin A, has been shown to inhibit staurosporine-induced effects by directly inhibiting phosphatase responsible for nuclear reassembly and histone H1 dephosphorylation27Paulson JR Patzlaff JS Vallis AJ Evidence that the endogenous histone H1 phosphatase in HeLa mitotic chromosomes is protein phosphatase 1, not protein phosphatase 2A.J Cell Sci. 1996; 109: 1437-1447Crossref PubMed Google Scholar and that farnesyl transferase inhibitors enhance the induction of metaphase block and apoptosis in response to paclitaxel.28Moasser MM Sepp-Lorenzino L Kohl NE Oliff A Balog A Su DS Danishefsky SJ Rosen N Farnesyl transferase inhibitors cause enhanced mitotic sensitivity to taxol and epothilones.Proc Natl Acad Sci USA. 1998; 95: 1369-1374Crossref PubMed Scopus (200) Google Scholar In conclusion, this study is the first clear demonstration of a possible association between the induction of anti-microtubule agent-induced apoptosis and the presence of intact mitotic spindle checkpoint and the consequential mitotic arrest in human lung cancer cell lines. Considering the frequent impairment of the mitotic spindle checkpoint in lung cancers, further studies are warranted to better understand the underlying mechanisms of the relationships, aiming at the development of novel means to overcome resistance to anti-microtubule chemotherapeutic agents.