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Originally published In Press as doi:10.1074/jbc.M406749200 on September 16, 2004

J. Biol. Chem., Vol. 279, Issue 48, 50455-50464, November 26, 2004
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N-Acetyl-L-cysteine Enhances Apoptosis through Inhibition of Nuclear Factor-{kappa}B in Hypoxic Murine Embryonic Fibroblasts*

Suparna Qanungo, Mi Wang, and Anna-Liisa Nieminen{ddagger}

From the Department of Anatomy and Case Comprehensive Cancer Center, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106

In this study, we investigated the role of reduced glutathione (GSH) and nuclear factor-{kappa}B (NF{kappa}B) in hypoxia-induced apoptosis. Hypoxia caused p53-dependent apoptosis in murine embryonic fibroblasts transfected with Ras and E1A. N-Acetyl-L-cysteine (NAC) but not other antioxidants, such as the vitamin E analog trolox and epigallocatechin-3-gallate, enhanced hypoxia-induced caspase-3 activation and apoptosis. NAC also enhanced hypoxia-induced apoptosis in two human cancer cell lines, MIA PaCa-2 pancreatic cancer cells and A549 lung carcinoma cells. In murine embryonic fibroblasts, all three antioxidants blocked hypoxia-induced reactive oxygen species formation. NAC did not enhance hypoxia-induced cytochrome c release but did enhance poly-(ADP ribose) polymerase cleavage, indicating that NAC acted at a post-mitochondrial level. NAC-mediated enhancement of apoptosis was mimicked by incubating cells with GSH monoester, which increased intracellular GSH similarly to NAC. Hypoxia promoted degradation of an inhibitor of {kappa}B(I{kappa}B{alpha}), NF{kappa}B-p65 translocation into the nucleus, NF{kappa}B binding to DNA, and subsequent transactivation of NF{kappa}B, which increased X chromosome-linked inhibitor of apoptosis protein levels. NAC failed to block degradation by I{kappa}B{alpha} and sequestration of the p65 subunit of NF{kappa}B to the nucleus. However, NAC did abrogate hypoxia-induced NF{kappa}B binding to DNA, NF{kappa}B-dependent gene expression, and induction of X chromosome-linked inhibitor of apoptosis protein. In conclusion, NAC enhanced hypoxic apoptosis by a mechanism apparently involving GSH-dependent suppression of NF{kappa}B transactivation.


Received for publication, June 16, 2004 , and in revised form, August 19, 2004.

* This research was supported by Grants RO1 NS39469 and P30 CA 43703. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

{ddagger} To whom correspondence should be addressed: Case Comprehensive Cancer Center Laboratories, Case Western Reserve University, 3-134 Wolstein Research Bldg., 10900 Euclid Ave., Cleveland, OH 44106-7285. Tel.: 216-368-5680; Fax: 216-368-8919; E-mail: axn25{at}case.edu.


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