Originally published In Press as doi:10.1194/jlr.M200224-JLR200 on August 16, 2002
Journal of Lipid Research, Vol. 43, 1818-1828, November 2002
Copyright © 2002 by Lipid Research, Inc.
15-Deoxy-
12,14-prostaglandin J2-induced apoptosis does not require PPAR
in breast cancer cells
Carl E. Clay
,
,
Arta Monjazeb*,
Jacqueline Thorburn*,
Floyd H. Chilton
,
,
and
Kevin P. High1,
,**
* Department of Cancer Biology, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157
Department of Internal Medicine, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157
Section of Pulmonary Critical Care, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157
** Section of Infectious Diseases, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157
Department of Physiology and Pharmacology, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157
Published, JLR Papers in Press, August 16, 2002. DOI 10.1194/jlr.M200224-JLR200
1 To whom correspondence should be addressed. e-mail: khigh{at}wfubmc.edu
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ABSTRACT
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Naturally occurring derivatives of arachidonic acid are potent agonists for the nuclear hormone receptor peroxisome proliferator-activated receptor gamma (PPAR
) and block cancer cell proliferation through the induction of apoptosis. We have previously reported that induction of apoptosis using cyclopentenone prostaglandins of the J series, including 15deoxy
12,14PGJ2 (15dPGJ2), is associated with a high degree of PPAR-response element (PPRE) activity and requires early de novo gene expression in breast cancer cells. In the current study, we used pharmacologic and genetic approaches to test the hypothesis that PPAR
is required for 15dPGJ2-induced apoptosis. The PPAR
agonists 15dPGJ2, trogliltazone (TGZ), and GW7845, a synthetic and highly selective tyrosine-based PPAR
agonist, all increased transcriptional activity of PPAR
, and expression of CD36, a PPAR
-dependent gene. Transcriptional activity and CD36 expression was reduced by GW9662, a selective and irreversible PPAR
antagonist, but GW9662 did not block apoptosis induced by 15dPGJ2. Moreover, dominant negative expression of PPAR
blocked PPRE transcriptional activity, but did not block 15dPGJ2-induced apoptosis.
These studies show that while 15dPGJ2 activates PPRE-mediated transcription, PPAR
is not required for 15dPGJ2-induced apoptosis in breast cancer cells. Other likely mechanisms through which cyclopentenone prostaglandins induce apoptosis of cancer cells are discussed.
Abbreviations: CDDO, 2-cyano-3,12-dioxoolean-1,9-dien-28-oic acid; DN, dominant negative PPAR
; 15dPGJ2, 15deoxy
12,14PGJ2; PPAR
, peroxisome proliferator-activated receptor gamma; PPRE, PPAR-response element; ROS, reactive oxygen species; TGZ, troglitazone; TZD, thiazolidinedione; WT, wild type PPAR
Supplementary key words cyclopentenone prostaglandins arachidonic acid metabolism peroxisome proliferator-activated receptor 
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INTRODUCTION
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Peroxisome proliferator-activated receptor gamma (PPAR
) is a ligand activated transcription factor that induces expression of PPAR-response element (PPRE) containing genes critical to diabetes, obesity, inflammation, and cancer (1). PPAR
is activated by a diverse array of synthetic compounds including thiazolidinediones (TZDs), triterpenoids and tyrosine-based compounds, and naturally occurring lipid compounds including derivatives of fatty acid metabolism and oxidized fractions of LDL. The tyrosine based PPAR
agonists (GW7845 and GW1929) induce neuroblastoma differentiation (2), inhibit mammary carcinogenesis (3), reverse the diabetic phenotype in mouse models (4), and block atherosclerosis (5) in part by inhibiting vascular smooth muscle cell proliferation and neointima formation (6). The synthetic triterpinoid 2-cyano-3,12-dioxoolean-1,9-dien-28-oic acid (CDDO) induces differentiation and apoptosis in human osteosarcoma and myeloid leukemia cells (7, 8). The TZDs, troglitazone (TGZ, Rezulin®), rosiglitazone (Rosi, BRL49653, Avandia®), and pioglitazone (Pio, Actos®) are effective anti-diabetes drugs and reduce the growth of several cancer cell types (9). However, their clinical application as chemotherapeutic drugs has been discouraging to date, due to unpredictable clinical performance and lack of efficacy in human trials (1012). However, very recent data suggest that some properties of these drugs may not be related to their capacity to activate PPAR
(13), suggesting there may be opportunities to enhance the anti-cancer activity of these compounds by better understanding their mechanism of action while maintaining their relative safety versus conventional chemotherapeutic agents.
Of the naturally occurring PPAR
agonists, the cyclopentenone prostaglandin, 15deoxy
12,14PGJ2 (15dPGJ2), is among the most potent for both transactivating PPAR
(14, 15) and inducing apoptosis (16). However, controversy exists as to the molecular mechanism(s) of 15dPGJ2 activity. Clearly, 15dPGJ2 is an effective PPAR
agonist, but it also exerts effects that are independent of PPAR
(17). Two electrophilic carbonyls within the ring structure of 15dPGJ2 can form covalent Michael adducts with cysteine containing proteins. In this way, 15dPGJ2 negatively regulates NF
B activity by covalent inhibition of the IKK, I
B
, and the DNA binding domain of NF
B (1821). Additionally, the immediate precursor to 15dPGJ2 biosynthesis,
12PGJ2, inhibits ubiquitin isopeptidase activity of the proteosome pathway (22). 15dPGJ2 may also induce the formation of reactive oxygen species that lead to cell death (23, 24).
In addition to its diverse mechanisms of action, the concentration of 15dPGJ2 dictates opposing biologic outcomes in several types of cancer cells and cell lines (9, 25). Specifically, low concentrations of 15dPGJ2, increase cellular proliferation, and moderate concentrations induce cell cycle arrest and cellular differentiation, while higher concentrations induce apoptosis. However, it is clear that 15dPGJ2 induces apoptosis only when expression of critical gene products occurs, since inhibition by actinomycin D or cycloheximide blocks 15dPGJ2-induced apoptosis (26). Thus, transcriptional activation is required for 15dPGJ2-induced apoptosis and it is reasonable to suspect PPRE containing genes are the most likely mediators. It is clear from knockout studies that PPAR
is required for differentiation of adipose tissue (27, 28) and perhaps differentiation of cancer cells. However, in the current study, we show that while PPAR
does account for the PPRE-mediated transcriptional activation of 15dPGJ2, it does not mediate 15dPGJ2-induced apoptosis in breast cancer cells. Other plausible mechanisms of 15dPGJ2-induced apoptosis are discussed.
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MATERIALS AND METHODS
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Cells and reagents
MDA-MB-231 breast cancer epithelial cells were maintained in DMEM supplemented with 10% fetal calf serum, 1% penicillin, 1% streptomycin, and 1% L-glutamine (Life Technologies, Rockville, MD). 15dPGJ2 was purchased from Cayman Chemical (Ann Arbor, MI). 15dPGJ2 is rapidly inter-converted to a mixture of at least five active isomers (29). Troglitazone was a generous gift from Parke Davis Warner Lambert (Plainsboro, NJ) and GW7647 (30), GW7845 (31), GW0742 (32), and GW9662 (33) were generous gifts from Dr. Timothy M. Willson and Dr. Peter J. Brown (Glaxo Smith Kline, Research Triangle Park, NC). Each compound was used at a concentration where it is selective for the indicated receptor subtype. All tissue culture experiments were done in humid 5% CO2 atmosphere at 37oC.
Breast cancer cellular responses to 15deoxy
12,14PGJ2
15dPGJ2 was submitted to the Developmental Therapeutics Program (National Institutes of Health, National Cancer Institute, Bethesda, MD, http://dtp.nci.nih.gov) for in vitro screening against 60 human tumor cell lines (3436). Briefly, the human tumor cell lines were grown at 37°C, 5% CO2 and 100% relative humidity in 100 µl of RPMI 1640 medium containing 5% FBS and 2 mM L-glutamine in 96-well microtiter plates at densities ranging from 5,000 to 40,000 cells/well depending on the doubling time of individual cell lines. After 24 h, two plates of each cell line were fixed in situ with TCA, to represent a measurement of the cell population for each cell line at the time of drug addition. One hundred microliters aliquots of 15dPGJ2 in growth media was added to the appropriate microtiter wells already containing 100 µl of media, resulting in the indicated final drug concentrations. Plates were incubated for 48 h at 37°C, 5% CO2 and 100% relative humidity. Adherent cells were fixed in situ by the gentle addition of 50 µl of cold 50% (w/v) TCA (final concentration, 10% TCA) and suspension cells were fixed by gently adding 50 µl of 80% TCA (final concentration, 16% TCA). Cells were then incubated for 60 min at 4°C, washed five times with tap water, and air-dried. Sulforhodamine B (SRB) solution (100 µl) at 0.4% (w/v) in 1% acetic acid was added to each well, and plates were incubated for 10 min at room temperature. After staining, unbound dye was removed by washing five times with 1% acetic acid and the plates were air-dried. Bound stain was subsequently solubilized with 10 mM trizma base, and the absorbance was read on an automated plate reader at a wavelength of 515 nm. Using the seven absorbance measurements [time zero (Tz), control growth (C), and test growth in the presence of drug at the five concentration levels (Ti)], the percentage growth is calculated at each of the drug concentrations.
Relative levels of PPAR
mRNA expression in breast cancer cells
Relative PPAR
mRNA in breast cancer cell lines was determined by the Developmental Therapeutics Program (National Institutes of Health, National Cancer Institute, Bethesda, MD, http://dtp.nci.nih.gov). Briefly, mRNA was isolated from logarithmically growing cells and labeled cDNA was prepared by reverse transcription of test cell mRNA in the presence of Cy5-dUTP. Reference probes were made by pooling equal amounts of mRNA from HL-60, K562, NCI-H226, COLO205, SNB-19, LOX-IMVI, OVCAR-3, OVCAR-4, CAKI-1, PC-3, MCF7, and Hs578T cell lines. Labeled cDNA was prepared from the pooled reference cell mRNA by reverse transcription in the presence of Cy3-dUTP. Test and reference probes were combined, denatured, and hybridized overnight to Synteni microarrays (Incyte Genomics, Fremont, CA) containing cDNA from 9,703 human clones, including PPAR
. Arrays were scanned using a laser-scanning microscope, the ScanAlyze program was used to analyze the microarray images and relative RNA level were determined by log (test cell line mRNA levels/reference pool RNA level).
Cell proliferation assays
1 x 104 MDA-MB-231 cells were seeded in 1 ml of medium in each well of a 24-well plate. After 24 h, the indicated concentration of drug was added. After 96 h, medium was removed, cells were washed with PBS, and stained with 0.16% w/v methylene blue in methanol. After 10 min, cells were washed with PBS and digital images were obtained.
Transcriptional activity assays
2 x 105 MDA-MB-231 cells were seeded in 2 ml of media in a 35 mm dish. After 24 h, cells were transfected with 1.0 µg of a 3x PPRE-tk-luciferase vector, which has three copies of PPRE upstream of the TK promoter/luciferase fusion gene (37), a kind gift from Dr. Bruce Spiegelman, and 1 µg of ß-galactosidase as an internal control using Fugene 6 (Roche, Indianapolis, IN). After 24 h, cells were incubated for 1 h with or without the PPAR
antagonist, GW9662 (10 µM), and the indicated PPAR
agonists were provided, 15dPGJ2 (10 µM), TGZ (100 µM), or GW7845 (10 µM). After 24 h, cells were scraped, transferred to microfuge tubes, and luciferase activity was measured using a Luciferase Assay Kit (Promega, Madison, WI) according to manufacturer's protocol. Light intensity was measured using a Turner 20E luminometer (Turner Designs, Sunnyvale, CA). All experiments were done in triplicate. Luciferase activity was standardized to ß-galactosidase activity and reported as mean fold increase over control with standard deviation.
Apoptosis assays
5 x 105 MDA-MB-231 cells were seeded in 3 ml of media in 60 mm dishes. After 24 h, cells were incubated for 1 h with or without the PPAR
antagonist, GW9662 (10 µM) and the indicated concentration of PPAR
agonist was provided, 15dPGJ2 (10 µM), TGZ (100 µM), or GW7845 (10 µM). After 24 h, cells were collected by trypsinization, pelleted, and the percentage of cells undergoing apoptosis was determined by flow cytometry using a TACS Annexin V-FITC Kit (Trevegin, Gaithersburg, MD) according to manufactuer's protocol. Fluorescent intensity was measured using a Coulter Epics XL-MCL flow cytometer (Hileah, FL).
Microinjection
1 x 104 MDA-MB-231 cells were seeded in 35 mm dishes. After 24 h, cells were injected as described previously (38) with 0.25 µg/µl of yellow fluorescent protein and 0.25 µg/µl of either the wild type form of PPAR
(WT) or the dominant negative form of PPAR
(DN), a generous gift of Dr. VKK Chatterjee (39), using a Zeiss Aviovert microscope equipped with an Eppendorf FemtoJet and Injectman (Brinkman Instruments, Westbury, NY). After 24 h, the number of live cells was determined by counting fluorescent cells, and the indicated PPAR
agonists were provided, 15dPGJ2 (10 µM), TGZ (100 µM), or GW7845 (10 µM). Twenty-four hours and 48 h after the addition of PPAR
agonist, the number of surviving cells was determined by counting and digital images were obtained using a Hamamatsu C4742-95 digital camera (Bridgewater, NJ) and OpenLab software (Improvision, Warwick, UK).
Immunofluorescence
Cells were transfected with 1.0 µg of FLAG-tagged WT or DN using Fugene 6 (Roche, Indianapolis, IN) and after 24 h, the expression and localization of PPAR
was determined. Cells were washed with PBS, fixed in 3.7% formaldehyde in PBS for 10 min at room temperature (RT), washed with PBS, permeablized with 0.3% Triton X-100 in PBS for 10 min at RT and washed in PBS-0.1% Tween. Cells were blocked with 10% goat serum in PBS-0.1% Tween for 10 min at RT and incubated with M2-FLAG primary antibody (25 µg/ml) (Sigma, St. Louis, MO) for 1 h at 37°C in humid atmosphere. Cells were washed with PBS-0.1% Tween and incubated with rhodamine red-X-conjugated anti-mouse IgG secondary antibody (1:100, v/v) (Jackson ImmunoResearch Laboratories, West Grove, PA) for 1 h at 37°C in humid atmosphere. Cells were washed with PBS-0.1% Tween and digital images were obtained as described above.
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RESULTS
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PPAR
expression does not correlate with 15dPGJ2-induced apoptosis
The proliferation of breast cancer cell lines exposed to various concentrations of 15dPGJ2 for 48 h was determined and these same breast cancer cell lines were screened for relative PPAR
expression (Developmental Therapeutics Program, National Cancer Institute, Bethesda, MD) (Fig. 1)
. All breast cancer cell lines tested were sensitive to 15dPGJ2-induced apoptosis (Fig. 1A) independent of PPAR
mRNA expression level (Fig. 1B). These early data suggested that PPAR
might not play a pivitol role in 15dPGJ2-induced apoptosis.
Pharmacologic PPAR
antagonism does not block 15dPGJ2-induced apoptosis
The structure of the PPAR
agonists and antagonists tested, as well as the structure of WT and DN constructs used is shown in Fig. 2
. We tested three different classes of PPAR
agonists, 15dPGJ2, TGZ, and GW7845, and an irreversible PPAR
antagonist, GW9662, for their capacity to alter cellular proliferation and induce apoptosis of MDA-MB-231 breast cancer epithelial cells. We have previously reported that 15dPGJ2 and TGZ induce rapid and irreversible apoptosis in this cell line (16). Here we show that 15dPGJ2 and TGZ block cellular proliferation of MDA-MB-231 cells, but the selective PPAR
agonist, GW7647, the selective PPAR
agonist, GW7845, the selective PPARß/
agonist, GW0742, and the selective and irreversible PPAR
antagonist, GW9662, did not alter cellular proliferation compared to control cells in a clonogenic assay (Fig. 3)
. Consistent with this finding, studies by Gupta and colleagues have shown that GW7845 and the PPAR
selective thiazolidinedione rosiglitazone (Rosi, BRL49653, Avandia®) slowed, but did not completely stop proliferation and did not induce apoptosis of colon cancer cells (40). Pretreatment of MDA-MB-231 cells with the irreversible PPAR
antagonist, GW9662, did not block 15dPGJ2 or TGZ-induced inhibition of cellular proliferation (Fig. 4A, B)
. Moreover, 15dPGJ2-induced apoptosis was not significantly reduced (P = 0.07) and GW7845 did not induce apoptosis in this cell line. In contrast, TGZ-induced apoptosis was reduced by nearly 50% by GW9662 (P = 0.04) (Fig. 4C). Together these data show that selective synthetic activators of different PPARs do not block cellular proliferation and that the anti-cancer effects of less selective PPAR ligands may be independent of PPARs. Furthermore, these data show that pharmacologic inhibition of PPAR
does not rescue cells from apoptosis induced by 15dPGJ2 and that TGZ and 15dPGJ2 may have different mechanisms through which they induce apoptosis, some independent of PPAR
and some potentially involving PPAR
.

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Fig. 3. Effect of PPAR ligands on cellular proliferation. MDA-MB-231 cells were in grown in the presence of various concentrations of the indicated PPAR agonists and cell proliferation was determined by methylene blue staining. PPAR agonist concentration ranges are TGZ (PPAR agonist), 10, 20, 50, 100, 200 µM; 15dPGJ2 (PPAR agonist), 0.5, 1, 2.5, 5, 10 µM; GW7647 (PPAR agonist), GW7845 (PPAR agonist), GW0742 (PPARß/ agonist), and GW9662 (PPAR antagonist), 10-9, 10-8, 10-7, 10-6, 10-5 M.
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15dPGJ2-induced PPRE-mediated gene transcription is incompletely blocked by pharmacologic antagonism
PPAR
antagonism using GW9662 had no affect on blocking cellular proliferation of MDA-MB-231 cells, but was able to markedly reduce PPRE-mediated gene transcription. MDA-MB-231 cells were transiently co-transfected with a PPRE driven luciferase construct and a ß-galactosidase construct as an internal control. TGZ and GW7845-induced transcriptional activity was completely blocked by GW9662, but 15dPGJ2-induced transcriptional activity was only blocked by half and was still higher than levels achieved by either TGZ or GW7845 in the absence of inhibitor (Fig. 5A)
. However, expression of DN by transient transfection reduced PPRE-mediated gene transcription induced by all three agonists to baseline values (Fig. 5B). While GW9662 is a selective and irreversible inhibitor of PPAR
(33, 41), over-expression of DN more effectively blocked PPRE-mediated gene transcription in the results presented, perhaps by competing with other PPARs or related transcription factors, for binding to PPREs and/or enhanced recruitment of transcriptional co-repressors (39). These findings are consistent with our earlier data that show 15dPGJ2 is the most potent activator of PPRE-mediated gene transcription (16, 25, 26). Surprisingly, the expression of CD36, a reported PPAR
-dependent gene product (17), was inversely correlated with PPAR
activation (Fig. 5C). 15dPGJ2 induced only 1.5-fold increase in CD36 expression whereas TGZ and GW7845 increased CD36 expression by nearly 3-fold and the expression of CD36 was blocked by GW9662, no matter which agonist was used. These data suggest that all three PPAR
agonists tested enhance PPRE-mediated gene transcription, but 15dPGJ2-mediated PPRE activity cannot be fully blocked by pharmacologic PPAR
antagonism and the protein levels of PPRE-containing genes do not always correlate with luciferase reporter measures of gene expression.

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Fig. 5. PPAR antagonism blocks PPAR-response element (PPRE)-mediated gene transcription and expression of CD36. A: MDA-MB-231 cells were transiently transfected with a PPRE-driven luciferase reporter construct and the degree of PPRE-mediated gene transcription was determined after 24 h exposure to 15dPGJ2 (10 µM), TGZ (100 µM), and GW7845 (10 µM) with or without GW9662 (10 µM). Data are the mean ± SD of three separate experiments. *Luciferase activity was significantly higher versus TGZ or GW7845 without GW9662, P < 0.05. B: WT or DN was co-transfected with a PPRE-driven luciferase reporter construct and the degree of PPRE-mediated gene transcription was determined after 24-h exposure to 15dPGJ2 (10 µM), TGZ (100 µM), or GW7845 (10 µM). Data are the mean ± SD of three separate experiments. C: MDA-MB-231 cells were treated for 1 h with or with out GW9662, then grown in the presence of the indicated PPAR agonists for 12 h and the expression of CD36 was determined by flow cytometry. PPAR agonist and antagonist concentrations are 15dPGJ2, 1 µM; TGZ, 25 µM; GW7845, .5 µM; GW9662, 1 µM. Data are the mean ± SD of three separate experiments.
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Dominant negative PPAR
localizes to the nucleus but does not rescue cells from 15dPGJ2-induced apoptosis
We have shown here that the irreversible antagonist GW9662 reduces transcriptional activation of PPAR
and expression of CD36, but does not rescue cells from 15dPGJ2-induced apoptosis. However, since residual PPRE activity could be measured, we could not rule out PPAR
-mediated transcription as a mediator of 15dPGJ2-induced apoptosis. Furthermore, since PPAR
must bind DNA for transcriptional activation of PPRE-containing genes, we identified the localization of PPAR
expression in MDA-MB-231 cells. WT or DN was co-injected by single cell microinjection with YFP and visualized by immunofluorescence. Both WT and DN localized to the nucleus of MDA-MB-231 cells suggesting that WT and DN are functionally active in these cells (Fig. 6A)
. However, consistent with the data from clonogenic and apoptosis assays using the selective antagonist GW9662, dominant negative expression of PPAR
by single-cell microinjection does not rescue cells from 15dPGJ2 or TGZ-induced apoptosis. MDA-MB-231 cells expressing either WT or DN showed morphologic characteristic of apoptosis 24 and 48 h after cells were exposed to 15dPGJ2 or TGZ (Fig. 6B) and the total number of surviving 15dPGJ2 or TGZ-treated cells was decreased at both 24 h and 48 h (Fig. 6C). However, the selective PPAR
agonist, GW7845, did not induce apoptosis in these cells. Taken together, these data suggest that 15dPGJ2-induced apoptosis is not mediated by PPAR
in breast cancer cells.
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DISCUSSION
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PPAR
dependent gene expression and PPAR
agonist-induced apoptosis using fatty acid derivatives, thiazolidinediones and tyrosine-based agonists has been reported in several cancer cell types (4252). This is the first report, however, that specifically addresses the role of PPAR
in apoptosis of breast cancer cells. Using three classes of PPAR
agonists and an irreversible antagonist, we show that selective activation of PPAR
(via GW7845) does activate PPRE-driven gene transcription but does not induce apoptosis. Furthermore, inhibition of PPAR
(via GW9662 or a DN) in the presence of 15dPGJ2 or TGZ reduces PPRE-mediated transcription but does not rescue cells from apoptosis. These results show that 15dPGJ2 and TGZ have PPAR
-independent effects in breast cancer cells and suggest that PPAR
does not mediate 15dPGJ2-induced apoptosis. Moreover, these data highlight the need for both a better understanding of cyclopentenone-induced apoptosis and the role of PPAR
in cancer.
Most PPAR
agonists, including 15dPGJ2, 15(s)-HETE, TGZ, and BRL49653, have PPAR
-dependent and PPAR
-independent effects that result in variable biologic effects (9, 25). In mouse models of colon cancer, TGZ was reported to increase aberrant crypt foci and colon polyp number in one model (53, 54), but induce differentiation and a reversal of the malignant phenotype in another model (55). In humans, TGZ was reported to increase, rather than decrease, the size of liposarcomas (12). These disparate results may be due, in part, to PPAR
-dependent and -independent pathways. We have previously shown that 15dPGJ2-blocks the progression of breast tumors in a mouse model (16), and that 15dPGJ2-induced apoptosis requires early de novo gene transcription (26). However, here we report that PPAR
is not required for, and thus not the mediator of, 15dPGJ2-induced apoptosis in breast cancer cells. Alternate proposed mechanisms are represented in Fig. 7
. One possible mechanism is inhibition of NF
B-mediated survival pathways. The exocyclic electorophilic carbonyl of 15dPGJ2 covalently inactivates IKK, I
B
, and I
Bß NF
B (1821). However, if this were a major initiator of apoptosis, inhibition of new RNA and protein would be expected to enhance apoptosis. We found the opposite to be true (26). A second mechanism could be inhibition of the ubiquitin proteosome, which would lead to accumulation of unmodified proteins and signal cell death. The immediate precursor to 15dPGJ2 synthesis,
12-PGJ2, blocks polyubiquitin disassembly by inhibition of isopeptidase activity (22); however these events occurred at very high concentrations of
12-PGJ2. Nonetheless, inhibition of the proteosome is a focus of novel drug design and cancer therapy (56, 57). Third, 15dPGJ2 inhibits transcriptional activation of COX-2, and perhaps other arachidonic acid metabolizing enzymes (58, 59) that may lead to increased intracellular levels of free arachidonic acid, an event know to induce apoptosis (6062).

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Fig. 7. Potential mechanisms for cyclopentenone prostaglandin-induced apoptosis. The exocyclic electrophilic carbonyl of J series cyclopentenone prostaglandins confers unique pro-apoptotic activity in part, perhaps, by inhibition of isopeptidase activity of the ubiquitin proteosome and covalent inactivation of NF B-mediated survival pathways. 15dPGJ2 and other cyclopentenone prostaglandins mediate transcriptional inhibition of COX-2 and induce reactive oxygen species (ROS). COX-2 inhibition may lead to increased intracellular levels of free arachidonic acid and increased intracellular oxidative stress may lead to the production of oxidized lipids and lipid modified proteins could account for some of the 15dPGJ2-induced PPRE-mediated gene transcription and/or result in cell death. 15dPGJ2 and other cyclopentenone prostaglandins, increase expression of glutamate-cysteine ligase, GSH reductase, superoxide dismutase, heme oxygenase-1, and catalase, which may be cyto-protective at low levels, but higher expression levels are cytotoxic. Black lines represent likely pathways for 15dPGJ2-induced apoptosis. Light gray lines represent less likely pathways based on current data.
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Finally, 15dPGJ2 and other cyclopentenone prostaglandins induce reactive oxygen species (ROS), in part by the generation of superoxide anion (63), leading to the production of oxidized lipids and lipid modified proteins resulting in cell death (23, 24). ROS could oxidize LDL, a potent anti-inflammatory PPAR
agonist (64, 65) or oxidize fatty acid derivatives that activate PPRE-mediated gene transcription and exert potent anti-neoplastic activity (Chilton, unpublished observations) (66). Lipid oxidation induced by cyclopentenone prostaglandins can lead to increased expression of cyto-protective enzymes in normal cells, but may represent a novel approach to the treatment of cancer cells. For example, Levonen and colleagues showed that low concentration of 15dPGJ2, and other cyclopentenone prostaglandins, increase expression of glutamate-cysteine ligase as well as GSH reductase independent of PPAR
(67). However, the cyto-protection was overwhelmed by higher concentrations of 15dPGJ2. Robbins and colleagues showed that
-linolenic acid and 15dPGJ2 increase the expression of catalase and other antioxidant enzymes in normal astrocytes, but not in glioma cells (68) (unpublished observations). In addition, 15dPGJ2 induces expression of heme oxygenase-1 (22), which is cyto-protective at low levels while higher expression levels are cyto-toxic (6971).
PPAR
is clearly involved in lipid metabolism and is essential for cellular differentiation (27, 28). However, the current study shows that PPAR
is not required for 15dPGJ2-induced apoptosis in breast cancer cells. Furthermore, these studies show that PPAR
specific agonists, and likely the endogenous PPAR
ligand(s), may not be pro-apoptotic, but may be anti-angiogenic (58) and protective against ischemia/reperfusion injury (72), inflammatory diseases (7375), and the complications associated with diabetes (7678). The synthesis and activity of endogenous PPAR
ligands such as 15dPGJ2 has been a matter of debate. However, the identification of increased in vivo production of 15dPGJ2 in lipopolysaccharide-stimulated RAW264.7 macrophages and in macrophages of human atherosclerotic plaques (79) provides better clues to the site-specific production and biologic activity of 15dPGJ2. Clearly, the pleiotropic nature of PPAR
signaling and the mechanisms by which fatty acid derivatives, particularly the cyclopentenone prostaglandins, exert anti-inflammatory and anti-neoplastic activity warrants additional investigation.
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ACKNOWLEDGMENTS
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This work supported by National Institutes of Health Grant RO1AI42022 and developmental funds from Cancer Center Support Grant CA12197-27. C.E.C. received support through a grant from the United States Army Medical Research Acquisition Activity (USAMRAA) DAMD17-00-1-0489. The authors thank Dr. Timothy M. Willson, Dr. Peter J. Brown, Dr. V. Krishna K. Chatterjee, and Dr. Bruce M. Spiegelman for valuable reagents and Dr. Mark C. Willingham, and Katherine Barrett for technical assistance. The authors also thank Dr. Keith L. Clay and Dr. Timothy M. Willson for insightful discussion and critical reading of this manuscript.
Manuscript received June 8, 2002
and in revised form July 24, 2002.
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