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Originally published In Press as doi:10.1074/jbc.M209236200 on October 14, 2002

J. Biol. Chem., Vol. 277, Issue 51, 49374-49382, December 20, 2002
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Cellular Response to an Antisense-mediated Shift of Bcl-x Pre-mRNA Splicing and Antineoplastic Agents*

Danielle R. MercatanteDagger , James L. Mohler§, and Ryszard KoleDagger

From the Dagger  UNC Lineberger Comprehensive Cancer Center and Departments of Pharmacology, § Surgery (Division of Urology), and Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, North Carolina 27599

Overexpression of Bcl-xL, an anti-apoptotic member of the Bcl-2 family, negatively correlates with the sensitivity of various cancers to chemotherapeutic agents. We show here that high levels of expression of Bcl-xL promoted apoptosis of cells treated with an antisense oligonucleotide (5'Bcl-x AS) that shifts the splicing pattern of Bcl-x pre-mRNA from the anti-apoptotic variant, Bcl-xL, to the pro-apoptotic variant, Bcl-xS. This surprising finding illustrates the advantage of antisense-induced modulation of alternative splicing versus down-regulation of targeted genes. It also suggests a specificity of the oligonucleotide effects since non-cancerous cells with low levels of Bcl-xL should resist the treatment. 5'Bcl-x AS sensitized cells to several antineoplastic agents and radiation and was effective in promoting apoptosis of MCF-7/ADR cells, a breast cancer cell line resistant to doxorubicin via overexpression of the mdr1 gene. Efficacy of 5'Bcl-x AS combined with chemotherapeutic agents in the PC3 prostate cancer cell line may be translated to clinical prostate cancer since recurrent prostate cancer tissue samples expressed higher levels of Bcl-xL than benign prostate tissue. Treatment with 5'Bcl-x AS may enhance the efficacy of standard anti-cancer regimens and should be explored, especially in recurrent prostate cancer.


* This work was supported in part by Grants PO1-GM59299-01 (to R. K.) and PO1-CA77739 (to J. L. M.) from the National Institutes of Health.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

To whom correspondence should be addressed: University of North Carolina, UNC-Lineberger Comprehensive Cancer Center, CB7295, Chapel Hill, NC 27599-7295. Tel.: 919-966-1143; Fax: 919-966-3015; E-mail: kole@med.unc.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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