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Cathepsin D Protects Human Neuroblastoma Cells from Doxorubicin-Induced Cell Death.

by: Vitalia Sagulenko, Daniel Muth, Evgeny Sagulenko, Tobias Paffhausen, Manfred Schwab, Frank Westermann
Carcinogenesis (19 June 2008)


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High incidence of chemotherapy resistance is the primary cause of treatment failure in a subset of neuroblastomas with amplified MYCN. We have previously reported that ectopic MYCN expression promotes proliferation of neuroblastoma Tet21N cells, and simultaneously sensitizes them to the drug-induced apoptosis. In search for genes that are involved in MYCN-dependent regulation of drug resistance, we used a function-based gene cloning approach, and identified CTSD, encoding for a lysosomal aspartyl protease cathepsin D. Downregulation of cathepsin D expression by RNA-interference or inhibition of its enzymatic activity increased sensitivity of MYCN-expressing Tet21N cells to doxorubicin. Overexpression of cathepsin D in Tet21N cells attenuated doxorubicin-induced apoptosis. It was accompanied by activation of Akt and persistent anti-apoptotic activity of Bcl-2. In primary neuroblastomas, high CTSD mRNA levels were associated with amplified MYCN, a strong predictive marker of adverse outcome. Chromatin immunoprecipitation (ChIP) and luciferase promoter assays revealed that MYCN protein binds to the CTSD promoter and activates its transcription, suggesting a direct link between deregulated MYCN and CTSD mRNA expression. We further show that neuroblastoma cells can secrete mitogenic procathepsin D, and that MYCN expression and especially doxorubicin treatment promote procathepsin D secretion. Extracellular exogenous cathepsin D induces Akt-1 phosphorylation and doxorubicin resistance in sensitive cells. These results demonstrate an important role of cathepsin D in antiapoptotic signaling in neuroblastoma cells and suggest a novel mechanism for the development of chemotherapy resistance in neuroblastoma.


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