Tyrosine-phosphorylated Caveolin-1 (Tyr-14) Increases Sensitivity to Paclitaxel by Inhibiting BCL2 and BCLxL Proteins via c-Jun N-terminal Kinase (JNK)*

Background: Phosphorylation of caveolin-1 (CAV1) on Tyr-14 facilitates apoptosis by inactivating BCL2 in response to paclitaxel. Results: Wild-type CAV1 (wtCAV1), but not the phosphorylation-deficient mutant (Y14F), inactivates BCL2 and BCLxL through activation of JNK. Conclusion: Inhibition of CAV1 phosphorylation confers paclitaxel resistance because it cannot inhibit BCL2 and BCLxL. Significance: Knowledge of CAV1 variant-specific function is necessary to determine its precise role(s) in cancer progression. Paclitaxel, an anti-microtubule agent, is an effective chemotherapeutic drug in breast cancer. Nonetheless, resistance to paclitaxel remains a major clinical challenge. The need to better understand the resistant phenotype and to find biomarkers that could predict tumor response to paclitaxel is evident. In estrogen receptor α-positive (ER+) breast cancer cells, phosphorylation of caveolin-1 (CAV1) on Tyr-14 facilitates mitochondrial apoptosis by increasing BCL2 phosphorylation in response to low dose paclitaxel (10 nm). However, two variants of CAV1 exist: the full-length form, CAV1α (wild-type CAV1 or wtCAV1), and a truncated form, CAV1β. Only wtCAV1 has the Tyr-14 region at the N terminus. The precise cellular functions of CAV1 variants are unknown. We now show that CAV1 variants play distinct roles in paclitaxel-mediated cell death/survival. CAV1β expression is increased in paclitaxel-resistant cells when compared with sensitive cells. Expression of CAV1β in sensitive cells significantly reduces their responsiveness to paclitaxel. These activities reflect an essential role for Tyr-14 phosphorylation because wtCAV1 expression, but not a phosphorylation-deficient mutant (Y14F), inactivates BCL2 and BCLxL through activation of c-Jun N-terminal kinase (JNK). MCF-7 cells that express Y14F are resistant to paclitaxel and are resensitized by co-treatment with ABT-737, a BH3-mimetic small molecule inhibitor. Using structural homology modeling, we propose that phosphorylation on Tyr-14 enables a favorable conformation for proteins to bind to the CAV1 scaffolding domain. Thus, we highlight novel roles for CAV1 variants in cell death; wtCAV1 promotes cell death, whereas CAV1β promotes cell survival by preventing inactivation of BCL2 and BCLxL via JNK in paclitaxel-mediated apoptosis.

Paclitaxel (Taxol) is a microtubule-polymerizing agent widely used in combination with anthracyclines or alkylating agents, which improves both overall survival and disease-free survival in metastatic breast cancer (1,2). Paclitaxel is also used in the management of early-stage breast cancer. Although the response rate for paclitaxel is 25-69% when used as first-line treatment, drug resistance is common (3). Both intrinsic and acquired resistance to paclitaxel can result from multiple factors including changes in signaling associated with apoptosis or programmed cell death (4). Apoptosis is initiated either by death receptor activation, leading to induction of the extrinsic pathway, or at the mitochondria by the intrinsic or mitochondrial pathway (5). Because the BCL2 family of proteins regulates the integrity of the outer mitochondrial membrane, and hence the mitochondrial pathway of apoptosis, targeting the anti-apoptotic function of BCL2 in drug-resistant cancer cells is a rational strategy to restore the normal apoptotic processes.
The caveolin (CAV) 2 family of proteins is composed of three isoforms: CAV1, -2, and -3 (6,7). CAV1 is a 178-amino acid protein that exists as two variants. The wild type (hereafter referred to as wtCAV) is the full-length protein, and CAV1␣ contains residues 1-178. CAV1␤ contains only residues 32-178 (see Fig. 1A) and is formed by translation initiation from the second AUG codon (7,8). Although both wtCAV1 and CAV1␤ are co-expressed in most human cells, only wtCAV1 can be phosphorylated on Tyr-14 by Src, Abl, or Fyn (9,10). CAV1 is an integral membrane protein that can be localized in multiple cellular domains (11)(12)(13). CAV1 expression during breast tumorigenesis is compartment-and stage-specific (6,14). Although the role of CAV1 as a tumor suppressor is controversial (15,16), its role as an essential modulator of tumorigenesis is well accepted (6,7,13,16). In breast cancer cell mod-els, CAV1 is down-regulated in cells with a noninvasive phenotype, but it is overexpressed in cells with an invasive phenotype (6,7,15,16). To date, work on CAV1 in breast cancer had focused on total CAV1 expression, but the specific roles of wtCAV1 versus CAV1␤ had remained unknown. In zebrafish, CAV1 variants play distinct roles in development, particularly in actin cytoskeleton organization (17). Here we establish a novel role for CAV1␤ in conferring resistance to paclitaxel in ER ϩ breast cancer cells by preventing inactivation of BCL2 and BCLxL.
Tyrosine phosphorylation of CAV1 on Tyr-14 is an essential determinant of paclitaxel responsiveness in breast cancer cells (18), and expression of a phosphorylation-deficient mutant, Y14F, prevents the paclitaxel-mediated increase in mitochondrial apoptosis. We now show that paclitaxel-resistant MCF-7 (ER ϩ ) breast cancer cells show increased expression of the CAV1␤ isoform that lacks Tyr-14 when compared with wtCAV1/CAV1␣. Moreover, expression of CAV1␤ in sensitive MCF-7 cells decreased their sensitivity to paclitaxel when compared with expression of wtCAV1. To understand how tyrosine phosphorylation on Tyr-14 regulates paclitaxel resistance via BCL2 and BCLxL, we used cell lines stably expressing wtCAV1, Y14F mutant, or the empty vector (EV). Although both wtCAV1 and Y14F CAV1 localize in mitochondrial fractions, wtCAV1, but not Y14F, readily forms a complex with anti-apoptotic BCL2 and BCLxL. Moreover, expression of wtCAV1, and not Y14F, increases phosphorylation of BCL2 and BCLxL, at Ser-70 and Ser-62, respectively, via JNK, a member of the mitogen-activated protein kinase (MAPK) family. Paclitaxel synergizes with ABT-737, a small molecule inhibitor of BCL2, and restores paclitaxel sensitivity in MCF-7 cells expressing the Y14F mutant. Thus, paclitaxel resistance in these cells occurs primarily through BCL2 and BCLxL activation. Using homology modeling, we show that Tyr-14 phosphorylation of CAV1 results in a structure that enables the CAV1 scaffolding domain (CSD) (9) to be more accessible to bind other proteins. Therefore, in ER ϩ breast cancer cells, CAV1 facilitates JNK-mediated phosphorylation/inactivation of BCL2 and BCLxL and enables paclitaxel-induced apoptosis.
Subcellular Fractionation-70 -80% confluent cells were treated with either vehicle or 10 nM paclitaxel for 48 h. Mitochondria were isolated using with the Qproteome mitochondria isolation kit (Qiagen, Valencia, CA) by following the manufacturer's protocol to isolate cytosolic and mitochondrial fractions. Equal amounts of protein from samples were subjected to Western blotting.
Cell Viability and Apoptosis Assays-To measure cell viability, cells were plated in 96-well plastic tissue culture plates at a density of 5 ϫ 10 3 cells/well. 24 h after plating, cells were treated with paclitaxel or inhibitors of JNK (SP600125), ERK (PD98059), or BCL2 proteins (ABT-737). After treatment (48 h), cell culture media were removed, and plates were stained with 100 ml/well of a solution containing 0.5% crystal violet and 25% methanol, rinsed with deionized water, dried overnight, and resuspended in 100 ml of citrate buffer (0.1 M sodium citrate in 50% ethanol) to assess plating efficiency. Intensity of crystal violet staining, assessed at 570 nm and quantified using a VMax kinetic microplate reader and SoftMax software (Molecular Devices Corp., Menlo Park, CA), is directly proportional to cell number (21). Data were normalized to vehicle-treated cells and are presented as the mean Ϯ S.E. from representative experiments. To measure apoptosis, cells were treated with 10 nM paclitaxel for 24 h, and annexin V and propidium iodide staining was done using an annexin V-fluorescein isothiocyanate kit (Trevigen, Gaithersburg, MD) and measured by fluorescence-activated cell sorting in the Lombardi Comprehensive Cancer Center Flow Cytometry Shared Resource facility.
Immunostaining and Confocal Microscopy-Cells were grown on coverslips for 24 h and then incubated with 50 l/ml of medium with CellLight TM mitochondria-RFP (Invitrogen) for an additional 24 h. Cells were then fixed, permeabilized, and incubated with primary antibody for CAV1. Fluorophore conjugates and 4Ј,6-diamidino-2-phenylindole dihydrochloride (DAPI) were obtained from Molecular Probes, Inc. (Eugene, OR). DAPI was added to visualize nuclei, and nonconfocal DAPI images were acquired using mercury lamp excitation and a UV filter set. Confocal microscopy was performed using an Olympus FV300 confocal microscope with 405-, 488-, and 543-nm excitation lasers. Fluorescence emission was separately detected for each fluorophore in Ͻ1-m-thick optical sections (pinhole set to achieve 1 Airy unit) (22).
Transfection of Small Interfering (si) RNA-Cells were plated in 6-well plates in complete medium and allowed to grow to 60 -80% confluence. ϳ100 nM JNK siRNA (Cell Signaling) or the respective control siRNA was transfected using the Tran-sIT-siQUEST transfection reagent according to the manufacturer's protocol (Mirus, Madison, WI). At 24 h after transfection, 10 nM paclitaxel or vehicle was added to the siRNA transfected cells. At 48 h after treatment, cells were subjected to Western blot analysis as described above to validate protein expression.
Structure Prediction and Molecular Dynamics Simulations-Structural models of CAV1 (wtCAV1, phosphorylated CAV1, or phosphorylated Tyr-14 (Y14p) or Y14F mutant) were built based primarily on the homology-modeled structure of CAV1. Structure of the CAV1 sequence 1-78 was predicted using the x-ray crystal structure of cytochrome c oxidase (Protein Data base Bank ID: 1M56) as a template (31% homology). Predicted structural models were energy-minimized using the consistent valence force field (CFF91) with AMBER 9.0 (23). The cutoff for nonbonded interaction energies was set to ∞ (no cutoff); other parameters were set to default. Energy-minimized structures of pCAV1 and Y14F were subjected to 1-ns molecular dynamics simulations conducted with a distance-dependent dielectric constant using the SANDER module of the AMBER 9.0 software (23) and the PARM98 force-field parameter. The SHAKE algorithm (24) was used to keep rigid all bonds involving hydrogen atoms. Weak coupling temperature and pressure coupling algorithms were used to maintain constant temperature and pressure, respectively (25). Molecular dynamics simulations were performed using 0.003-ps time intervals with the temperature set to 300 K. Electrostatic interactions were calculated using the Ewald particle mesh method (26) with a dielectric constant at 1R ij and a nonbonded cutoff of 14 Å for the electrostatic interactions and for van der Waals interactions. Structural analyses were done using the SYBYL 8.2 molecular modeling program (Tripos International, St. Louis, MO).
Statistical Analyses-Statistical analyses were performed using the SigmaStat software package (Jandel Scientific, SPSS, Chicago, IL). Where appropriate, protein expression and cell growth were compared using Student's t test. Differences were considered significant at p Յ 0.05. One-way analysis of variance was used to determine overall significant differences following treatment in apoptosis assays. The interaction between paclitaxel and ABT-737 was evaluated by determining the R index (27). R index values were obtained by calculating the expected cell survival (S exp ; the product of survival obtained with drug A alone and the survival obtained with drug B alone) and dividing S exp by the observed cell survival in the presence of both drugs (S obs ). S exp /S obs Ͼ 1.0 indicates a synergistic interaction (27).

CAV1␤ Expression Confers Resistance to Paclitaxel in MCF-7
Cells-Breast cancer cells with a weak invasive phenotype, such as MCF-7, express low but detectable levels of CAV1. ϳ50 g of total protein was needed to detect endogenous CAV1 expression in nontransfected MCF-7 cells by Western blotting (Fig.  1B), whereas 20 g of total protein was sufficient to detect overexpressed CAV1 (wtCAV1, CAV1␤) (Fig. 2B). Thus, endogenous levels of CAV1 in Fig. 1B are not comparable with those for MCF7/EV cells in Fig. 1C. To determine whether the expression levels of CAV1 variants vary in sensitive versus resistant breast cancer cells, we compared the expression levels of total CAV1 protein in MCF-7 cells that are either sensitive or resistant to 25 or 50 nM paclitaxel (20). Although CAV1␣ levels did not change across cell lines, CAV1␤ levels were increased in the resistant cells when compared with those in sensitive cells (Fig. 1B). To test whether responsiveness to paclitaxel in MCF-7 cells differs based on expression of CAV1 variants, stable cell lines expressing wtCAV1, CAV1␤, or EV were treated with increasing concentrations of paclitaxel. Fig. 1C shows that although MCF7/wtCAV1 cells express both wtCAV1 (or CAV1␣) and CAV1␤, MCF7/CAV1␤ cells primarily express CAV1␤. MCF7/CAV␣ cells showed increased sensitivity to paclitaxel when compared with MCF7/CAV1␤ or MCF7/EV at 48 (Fig. 1D) and 96 h (Fig. 1E). At 48 h, significantly more  MAY 18, 2012 • VOLUME 287 • NUMBER 21 JOURNAL OF BIOLOGICAL CHEMISTRY 17685 MCF7/wtCAV1 cells undergo apoptosis following treatment with 10 nM paclitaxel when compared with MCF7/EV or MCF7/CAV1␤ cells (Fig. 1F). Thus, signaling that is regulated by the 31 amino acids of wtCAV1, which are absent in CAV1␤, is important in determining paclitaxel-mediated inhibition of cell survival.

CAV1 Localizes to Mitochondria and Forms Complexes with BCL2 and BCLxL That Are Dependent upon Tyr-14
Phosphorylation-Fractionation of mitochondrial and cytosolic fractions were carried out in stably transfected MCF-7 cells that express the empty vector (MCF7/EV), wild-type CAV1 (MCF7/wtCAV1), or a tyrosine phosphorylation-deficient mutant (MCF7/Y14F) (18). Each cell line was treated with either vehicle (ethanol) or 10 nM paclitaxel for 48 h. Western blot analyses of fractionated proteins showed the presence of both wtCAV1 and Y14F in the mitochondria irrespective of drug treatment (Fig. 3A). Moreover, both wtCAV1 and the Y14F mutant partly co-localized with a mitochondrion-specific fluorescent reagent (see under "Experimental Procedures": CellLight TM mitochondria-RFP) (Fig. 2B). Primarily, CAV1 colocalized with a subset of mitochondria surrounding the nucleus. CAV1 staining was also present in other areas of the cell that did not stain with the mitochondrion-specific dye. Therefore, CAV1 is also present in nonmitochondrial compartments. Thus, phosphorylation on Tyr-14 does not control localization of CAV1 to the mitochondria. Because overexpression of wtCAV1 increased BCL2 phosphorylation and mitochondrial permeability following paclitaxel treatment (18), we explored the possible interaction between CAV1 and BCL2 or BCLxL. Whole cell lysates from MCF7/EV, MCF7/wtCAV1, or MCF7/Y14F cells were immunoprecipitated using antibodies specific for BCL2 or BCLxL followed by immunoblotting with a CAV1 antibody. Increased amounts of wtCAV1 immunoprecipitated with both BCL2 and BCLxL when compared with the Y14F mutant form following treatment with 10 nM paclitaxel for 24 h (Fig. 2,C and D). Similarly, when whole cell lysates were immunoprecipitated with a CAV1 antibody (Fig. 2E), increased amounts of BCL2 and BCLxL immunoprecipitated with wtCAV1 when compared with Y14F. Thus, phosphorylation on Tyr-14 may facilitate CAV1 complex formation with BCL2 and BCLxL.
wtCAV1 Expression Potentiates BCL2(Ser-70) and BCLx-L(Ser-62) Phosphorylation by JNK-In MCF7/wtCAV1 cells, the level of phosphorylated BCL2(Ser-70) detected following 24 h of treatment with 10 nM paclitaxel is significantly higher than in either control or MCF7/Y14F cells (18). Mitogen-activated protein (MAP) kinase pathways such as JNK, ERK, and p38 are activated by paclitaxel and may regulate BCL2(Ser-70) phosphorylation (28 -31). To determine whether CAV1 regu-lates the aforementioned MAP kinase pathways to control BCL2 and BCLxL activation, we measured their activation in cells treated with either vehicle or 10 nM paclitaxel. Although no significant differences were seen for ERK or p38 (data not shown), increased JNK phosphorylation was detected in MCF7/wtCAV1 cells when compared with MCF7/Y14F or MCF7/EV cells (Fig. 3A). Consequently, immunoprecipitation with phospho-JNK-conjugated Sepharose beads from whole cell lysates from MCF7/EV, MCF7/wtCAV1, and MCF7/Y14F showed increased levels of wtCAV1 bound to phospho-JNK with either vehicle or 10 nM paclitaxel treatment (Fig. 3B). Thus, CAV1 phosphorylation on Tyr-14 may favor complex formation with JNK. To test this, we measured cell viability in the presence of paclitaxel and a specific inhibitor of JNK (10 M, SP600125). Inhibition of JNK decreased paclitaxel-mediated inhibition of cell viability (Fig. 3C) and apoptosis as indicated by PARP cleavage (Fig. 3D) in MCF7/wtCAV1 cells. In addition, inhibition of JNK with the JNK-specific inhibitor SP600125 abolished BCL2 and BCLxL phosphorylation at Ser-70 and Ser-62, respectively, in MCF7/wtCAV1 cells (Fig. 3E). A specific antibody to phosphorylated c-Jun(Ser-63), a substrate for JNK (32), was used to detect activation of JNK. Knockdown of JNK with specific siRNA inhibited paclitaxel-induced phosphorylation of BCL2(Ser-70) and BCLxL(Ser-62) in MCF7/wtCAV1 cells (Fig. 3F). Thus, CAV1 phosphorylation on Tyr-14 may favor activation of JNK and its consequent phosphorylation of BCL2 and BCLxL.
ABT-737 Synergistically Increases Sensitivity to Paclitaxel in MCF-7/Y14F Cells-Because overexpression of wtCAV1 in MCF-7 cells phosphorylates and thereby inhibits BCL2 and BCLxL activity to sensitize cells to paclitaxel, inhibition of BCL2 and BCLxL in the resistant MCF7/Y14F cells may restore sensitivity to paclitaxel. MCF7/EV, MCF7/wtCAV1, and MCF7/ Y14F cells were treated with the small molecule BCL2 inhibitor ABT-737, a BH3-only mimetic that disrupt the anti-apoptotic functions of BCL2, BCLxL, and BCLW by binding to their hydrophobic cleft (33). MCF7/Y14F cells were most sensitive to increasing doses of ABT-737 (Fig. 4A) when compared with either MCF7/wtCAV1 or MCF7/EV cells. Furthermore, although 100 nM ABT-737 was ineffective in further sensitizing MCF7/EV or MCF7/wtCAV1 cells to 10 nM paclitaxel, it synergistically increased inhibition of cell viability as indicated by R index ϭ 2.48 (see "Statistical Analyses") in MCF7/Y14F cells (Fig. 4B). An increase in PARP cleavage was also apparent in MCF7/Y14F cells following treatment with paclitaxel and ABT-737 versus paclitaxel alone (Fig. 4C).
Structural Modeling of CAV1 and Y14p and Y14F Mutants-The crystal structure of CAV1 protein remains to be determined. However, using in silico structural modeling, we obtained key Very low levels of CAV1 were detected in EV-expressing cells when compared with wtCAV1-or Y14F-expressing cells. Note that not all CAV1 co-localized with mitochondria. Scale bar, 10 m. C, D, and E, co-immunoprecipitation of BCL2 or BCLxL with CAV1 is increased in MCF7/wtCAV1 cells. MCF7/EV, MCF7/wtCAV1, or MCF7/Y14F were treated with 10 nM paclitaxel for 24 h. Total cell lysates were immunoprecipitated using either BCL2 or BCLxL antibodies, and bound proteins were immunoblotted with CAV, BLC2, or BCLxL antibodies. Arrows point toward total CAV1 precipitated in MCF7/wtCAV1 cells following paclitaxel treatment. insights into the likely biological roles of Tyr-14. We modeled CAV1 (amino acid 6 -85) as a phosphorylated Tyr-14 (Y14p) in wtCAV1 and as the Y14F mutant protein (as described under "Experimental Procedures"). In wtCAV1, Tyr-14 forms a network of hydrogen bonds with the adjacent charged residues at His-12 and Glu-20 (Fig. 5A). Phosphorylation at Tyr-14 (Y14p) introduces a negatively charged moiety that disrupts the interaction of Tyr-14 with His-12 and Glu-20. The His-12 residue forms a salt bridge with the phosphate group of Tyr-14 and a hydrogen bond interaction with Glu-20 (Fig. 5A). Because of the high net negative charge of the phosphate group, Glu-20 is predicted to move away from, and the positively charged Arg-19 moves toward, the negatively charged phosphate group to form a salt bridge. His-12 and Glu-10 contribute to maintaining stability of the salt bridge. Consequently, when phosphorylated, Tyr-14 enables the N-terminal region of CAV1 to fold into a more compact structure. This folding likely reorients the nearby CSD to create an interface that favors the interaction with other proteins containing CAV1-binding motifs (e.g. ⌽XXXX⌽XX⌽) (34). Unlike wCAV1, Y14F is predicted to exhibit unfavorable hydrophobic properties in the exposed surface. Consequently, the CSD is pushed inward and excluded from the protein surface (Fig. 5B). This movement of Y14F affects the neighboring residues, and in turn, alters the local folding. For example, Gln-21 now replaces Y14F at the interface to compensate for the hydrophobicity of Y14F (Fig. 5B). Glu-20 and Arg-19 are also refolded to make the salt bridge. Thus, the presence of Phe at Tyr-14 changes CAV1 folding, is expected to alter the interface shape and size, and modifies the net charge on the surface.

DISCUSSION
Response rates to paclitaxel vary widely among breast cancer patients (4); to date, there are no predictive molecular markers for paclitaxel sensitivity. Our group was the first to show that phosphorylated CAV1 triggers paclitaxel-mediated apoptosis by inactivating BCL2 and increasing mitochondrial permeability more efficiently than nonphosphorylated CAV1 (18). Although the role of CAV1 phosphorylation in paclitaxel responsiveness remains unknown, sustained phosphorylation of CAV1 and BCL2 occurs upon paclitaxel treatment in HeLa cells (35). The data presented here uniquely show that expression of wtCAV1/ CAV1␣, which harbors the Tyr-14 residue, sensitizes ER ϩ breast cancer cells to paclitaxel by inhibiting BCL2 and BCLxL. Moreover, paclitaxel-resistant MCF-7 cells up-regulate expression levels of CAV1␤ when compared with sensitive cells. Increased levels of both wtCAV1 and Y14F CAV1 were present in mitochondrial fractions from MCF-7 cells before and after paclitaxel treatment, but wtCAV1 formed more complexes with BCL2 and BCLxL. The precise function of CAV1 in the mitochondria remains unknown, but our data show that phosphorylated CAV1 (on Tyr-14) increases its interaction with BCL2 and BCLxL. Thus, wtCAV1 may facilitate cell death by sequestering specific signaling molecules involved in apoptosis. To date, the specific role of CAV1 variants has remained unclear. CAV1 variant-dependent sequestration of essential apoptotic regulators such as BCL2 and BCLxL may explain why paclitaxel-resistant breast cancer cells overexpress CAV1␤ to evade apoptosis.
MAPK family members such as ERK (36), p38 (37), and JNK (38) can become activated following paclitaxel treatment. Although activation of ERK1 and p38 protects cells from the cytotoxic affects of paclitaxel, activation of JNK is associated with increased sensitivity to paclitaxel (39). Paclitaxel causes a rapid increase in JNK activation, and inhibition of JNK is associated with decreased levels of paclitaxel-mediated apoptosis (40). Induction of JNK activation following paclitaxel treatment  MAY 18, 2012 • VOLUME 287 • NUMBER 21 may be a converging point for both drug-induced apoptosis and activation of genes such as interleukin-8 (IL-8) that may indirectly facilitate cell death (38). Modulation of MAPK signaling, in response to cytotoxic drugs, depends on cellular context and can either enhance or decrease drug activity (41). Because MAPKs can interact with the CAV1 CSD (34), CAV1-JNK complex formation may regulate the activation/function of JNK following paclitaxel treatment.

Caveolin-1 and Paclitaxel Responsiveness
Alterations in the intrinsic apoptotic pathway, which is regulated by pro-survival BCL2 family members, could contribute to paclitaxel resistance. Combining small molecule BCL2 antagonists such as ATB-737 with paclitaxel could resensitize breast cancer cells to this taxane (20). Phosphorylation of BCL2 (28,30,42) and BCLxL (29) by the stress-activated kinase JNK can inhibit their pro-survival function. Increased BCL2 phosphorylation corresponds to increased sensitivity to paclitaxel in MCF-7 cells (18). We now show that JNK activation is greatest in MCF7/wtCAV1 cells. MCF7/wtCAV1 cells express increased level of phospho-JNK and show increased binding of wtCAV1 with vehicle or paclitaxel treatment (Fig. 3B). Thus, wtCAV1 may help sequester phospho-JNK along with BCL2 and BCLxL, and thereby, may inhibit BLC2 and BCLxL more efficiently than the Y14F mutant.
Emerging data suggest an essential, but yet unclear, role for BCL2 in paclitaxel-mediated cell death. Up-regulation of BCL2 is associated with better clinical outcome and favorable prognosis for some cancers (43). In human ovarian cancer cell lines and tumors, down-regulation of BCL2 correlated with increased resistance to paclitaxel (44). BCL2 levels in human hepatoblastoma HepG2 cells did not affect sensitivity, whereas down-regulation of BCLxL increased sensitivity to paclitaxel (45). Factors that regulate expression levels of BCL2 or BCLxL in human cancers remain unknown. Whether CAV1 variants regulate BCL2 and/or BCLxL transcription is yet to be determined.
Phosphorylated proteins can form docking scaffolds that enable the assembly of other proteins into a functional complex (46). Homology modeling of CAV1 suggests that the aromatic ring of Tyr-14 forms a stable structure to facilitate protein binding to the scaffolding domain. Tyrosine phosphorylation of CAV1 is an important determinant of caveolae formation (47), and paclitaxel treatment can modulate both CAV1 phosphorylation and caveolae dynamics (35). Within caveolae, CAV1 can  bind to various signaling molecules (6,7). Thus, paclitaxel-resistant breast cancer cells may increase CAV1␤ to dismantle signaling complexes that favor paclitaxel-mediated apoptosis. In sensitive cells, wtCAV1 enables the formation of a JNK-BCL2-BCLxL complex to allow apoptosis. In resistant cells, overexpression of CAV1␤, which is unable to complex with JNK-BCL2-BCLxL, inhibits apoptosis (Fig. 6). Sensitivity to paclitaxel in ER ϩ breast cancer cells is regulated by pro-survival BCL2 proteins (20,48). Because expression of CAV1␤ in MCF-7 cells failed to increase sensitivity to paclitaxel, the presence of increased levels of CAV1␤ in paclitaxel-resistant cells likely competes with the CAV1␣ to prevent phosphorylation/ inactivation of BCL2 and BCLxL via JNK.