This information is in agreement with our previous observation th

This information is in agreement with our previous observation that in induced colon carcinomatosis in the rat, bosentan, a dual ETA/ETB-receptor antagonist (Clozel et al, 1993), has the potential to reduce initial tumour growth found (Peduto-Eberl et al, 2000; Egidy et al, 2000). In human colon carcinoma cells, bosentan induced low levels of apoptosis in SW480 cells and potentiated FasL-mediated apoptosis in FasL-resistant HT-29 cells. In our experiments, exposure to bosentan did not significantly modify Fas, FLIP or caspase-8 expression, which suggests that the ET-1 pathways does not directly interfere with expression of the molecules of the Fas pathway in the control of apoptosis in these cells.

This information also suggests that antiapoptotic molecules other than FLIP or different intracellular regulatory pathways are involved in carcinoma cells when compared to glioblastoma cells, as we had previously shown (Egidy et al, 2000c) that in human glioblastoma cells, bosentan could decrease the levels of the short form of the FLIP protein. However, in human colon cancer as in glioblastoma cells (Egidy et al, 2000c), ET-1 is not a proliferation-inducing factor, but is necessary for the survival of cancer cells. In our experiments, low concentrations of ET-1 (10?13�C10?10M) antagonised bosentan-induced apoptosis in HT-29 cells, even in the presence of a high concentration (80��M) of bosentan. These low concentrations of ET-1 are comparable to ET-1 plasma levels and to the levels secreted by colon carcinoma cells.

Thus ET-1 is not a proliferation-inducing factor for human colon carcinoma cells; however, ET-1 is necessary for tumour cell survival. At high ET-1 concentrations, ET-1 did not stimulate DNA synthesis but sensitised HT-29 death-resistant cells to FasL/bosentan-induced apoptosis. Thus, at physiological plasma concentrations, ET-1 may exert an antiapoptotic effect, while at high concentrations ET-1 and bosentan are proapototic. Therefore, ET-1 production by colon cell lines is sufficient for this peptide to act as an autocrine survival factor, but not a proapoptotic factor. Interestingly, exogenous radioactive ET-1, at concentrations corresponding to the affinity constants of this peptide for its receptors, was bound only by SW480 cells, not by HT-29 cells.

These results suggest that ET-receptor antagonists have binding sites different from the cell-surface ETA/B receptors, and also suggest that ET peptides and antagonists, including bosentan, BQ123 or BQ788, have two binding sites in human colon cancer cells: a high-affinity binding site, whose occupancy by ET-1 protects against FasL-induced apoptosis, and a low-affinity Dacomitinib binding site, whose occupancy either by ET-1 or receptor antagonists sensitises cells to apoptosis and whose exact nature is presently not defined.

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