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Originally published In Press as doi:10.1074/jbc.M209962200 on October 17, 2002

J. Biol. Chem., Vol. 277, Issue 51, 49531-49537, December 20, 2002
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Ceramide Signaling in Fenretinide-induced Endothelial Cell Apoptosis*

Anat Erdreich-EpsteinDagger §, Linda B. TranDagger , Nina N. BowmanDagger , Hongtao Wang, Myles C. Cabot, Donald L. Durden||, Jitka VlckovaDagger , C. Patrick ReynoldsDagger , Monique F. Stins**, Susan GroshenDagger Dagger , and Melissa MillardDagger

From the Dagger  Division of Hematology-Oncology, Childrens Hospital Los Angeles, Department of Pediatrics and the Dagger Dagger  Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California 90027, the  John Wayne Cancer Institute at Saint John's Health Center, Santa Monica, California 90404, the || Section of Hematology/Oncology, Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, Indiana 46202, and the ** Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland 21205

Stress stimuli can mediate apoptosis by generation of the lipid second messenger, ceramide. Herein we investigate the molecular mechanism of ceramide signaling in endothelial apoptosis induced by fenretinide (N-(4-hydroxyphenyl)retinamide (4-HPR)). 4-HPR, a synthetic derivative of retinoic acid that induces ceramide in tumor cell lines, has been shown to have antiangiogenic effects, but the molecular mechanism of these is largely unknown. We report that 4-HPR was cytotoxic to endothelial cells (50% cytotoxicity at 2.4 µM, 90% at 5.36 µM) and induced a caspase-dependent endothelial apoptosis. 4-HPR (5 µM) increased ceramide levels in endothelial cells 5.3-fold, and the increase in ceramide was required to achieve the apoptotic effect of 4-HPR. The 4-HPR-induced increase in ceramide was suppressed by inhibitors of ceramide synthesis, fumonisin B1, myriocin, and L-cycloserine, and 4-HPR transiently activated serine palmitoyltransferase, demonstrating that 4-HPR induced de novo ceramide synthesis. Sphingomyelin levels were not altered by 4-HPR, and desipramine had no effect on ceramide level, suggesting that sphingomyelinase did not contribute to the 4-HPR-induced ceramide increase. Finally, the pancaspase inhibitor, t-butyloxycarbonyl-aspartyl[O-methyl]-fluoromethyl ketone, suppressed 4-HPR-mediated apoptosis but not ceramide accumulation, suggesting that ceramide is upstream of caspases. Our results provide the first evidence that increased ceramide biosynthesis is required for 4-HPR-induced endothelial apoptosis and present a molecular mechanism for its antiangiogenic effects.


* This work was supported by National Institutes of Health Grant CA 81403, the Michael Hoefflin Children's Cancer Research Fund, and the My Brother Joey Foundation. It was also supported in part by the Neil Bogart Memorial Fund of the T. J. Martell Foundation for Leukemia, Cancer, and AIDS Research.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: Childrens Hospital Los Angeles, 4650 Sunset Blvd., Mailstop 57, Los Angeles, CA 90027. Tel.: 323-669-4613; Fax: 323-664-9455; E-mail: epstein@usc.edu.


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