NF-κB Inhibition by Bortezomib Permits Interferon-γ-Activated RIP1 Kinase-Dependent Necrosis in Renal Cell Carcinoma
Menée sur des lignées cellulaires, cette étude suggère l'intérêt de combiner bortezomib et interféron gamma pour le traitement d'un carcinome à cellules rénales de stade métastatique
Advanced renal cell carcinoma (RCC) is an invariably fatal cancer. Currently, small-molecule inhibitors that target cell-growth, angiogenesis, or nutrient-sensing pathways represent the primary pharmacological interventions for this disease, but these inhibitors only delay tumor progression and are not curative. The cytokine interferon (IFN)-γ showed the potential to provide lasting remission in several phase I/II trials for advanced RCC, but subsequent trials, including a multi-center phase III study using IFN-γ as a monotherapy for RCC, were less promising. Notably, these trials were designed to exploit the indirect immune-modulatory effects of IFN-γ, while its direct anti-tumor properties - including its ability to trigger programmed cell death in tumors - remain mostly untapped. Here, we show that the proteasome inhibitor bortezomib (PS-341, Velcade) sensitizes otherwise-resistant RCC cells to direct necrotic death by IFN-γ. Mechanistically, we demonstrate that bortezomib functions at least in part by inhibiting pro-survival NF-κB signaling. In the absence of this signal, IFN-γ triggers programmed necrosis (or 'necroptosis') dependent on the kinase RIP1. When taken together with the observation that NF-κB signaling is elevated in RCC, these results provide rationale for the combined use of IFN-γ and bortezomib in the treatment of metastatic RCC.
http://mct.aacrjournals.org/content/early/2013/05/08/1535-7163.MCT-12-1010.abstract