Biochemical Pharmacology, Vol. 52, pp. 481-488, 1996. Copyright © 1996 Elsevier Science Inc.
ELSEVIER
ISSN 0006-2952/96/$15.00 + 0.00 PII S0006-2952(96)00251.1
Differential Induction of
Apoptosis in Oncogene-Transformed
NIH 3T3 Cells by Methylmethanesulfonate
Min-Liang Kuo,*~ Yi-Wen Chou,* Yat-Pang Chau~ and Tzu-Ching Meng*
*INSTITUTE OF TOXICOLOGY, COLLEGE OF MEDICINE, NATIONAL TA1WAN UNIVERSITY, TAIPE1, TAIWAN; AND~INST1TUTE OF ANATOMY, SCHOOL OF LIFE SCIENCE, NATIONAL YANG-M1NG UNIVERSITY, TAIPEI, TA1WAN ABSTRACT. Cellular oncogenes have been shown to play crucial roles in the cell death process induced by cytotoxic agents. In this study, we have demonstrated that v-H-ras transformed NIH 3T3 cells but not other transformants (v-:@, v-src, v-erbB-2, v-fes and v-mos) exhibited a survival advantage to treatment by a DNA- damaging agent, methylmethanesulfonate (MMS). Subsequently, the biochemical and morphologic criteria of MMS-treated cells were examined. It was found that MMS induced v-H-ras transformants to go through necrosis, but it induced other transformed cells to undergo apoptosis. The levels of glutathione (GSH) within each transforman~: as well as in NIH 3T3 cells, were determined. The results showed that GSH levels within ras transformants were 2- to 7-fold higher than the levels in other transformants and normal NIH 3T3 cells. By using the GSH synthesis inhibitor buthionine sulfoximine, GSH levels were artificially reduced. This depletion, however, made ras transformed cells more sensitive to MMS killing, but the mode of cell death was still necrosis. Western blot analysis demonstrated that the anti-apoptotic protein Bcl-2 was constitutively expressed in ras transformed cells but not in NIH 3T3 or other transformed cells. The level of Bcl-2 was correlated with the resistant phenotype of ras transformants during MMS treatment. These observations suggest that GSH and Bcl-2 levels may cooperatively confer the resistant phenotype of ras transformants in response to MMS. In addition, the mode of cel[ death may possibly be determined at least in part by Bcl-2 protein. BIOCHEM PHARMA- COL 52;3:481--488, 1996.
KEY WORDS. apoptosis; necrosis; glutathione; Bcl-2 protein; NIH 3T3 cells; ras-transformed NIH 3T3 cells
The process of cell death can be classified typically into two types: apoptosis and necrosis. Apoptosis differs from necro- sis in that its early stages show chromatin condensation and D N A fragmentation; in addition, cytoplasmic organelles remain intact [1]. T h e dying cells fragment into small, membrane-enclosed apoptotic bodies, which are taken up rapidly by resident phagocytic cells. The process of apop- tosis often depends on R N A and protein syntheses in the dying cells, indicating positive participation of cells in the death processes [2]. In contrast, necrotic cells undergo rapid cytoplasmic swelling with gross disruption of organelle function prior to cell lysis [1]. Numerous cancer cells have been reported to undergo apoptosis when treated with an- titumor agents such as etoposide (VP-16), camptothecin, cisplatin, and vincristine [3-6].
Some specific oncogenes and oncosuppressors may play
t Corresponding author: Dr. Min-Liang Kuo, Institute of Toxicology, Col- lege of Medicine, National Taiwan University, No. 1, Section 1, Jen-Ai Road, Taipei, Taiwan. FAX (011) 886-2-341-0217.
§ Abbreviations: MAPK, mitogen-activated protein kinase; MAPKK,
MAPK kinase; MEK, (MAP kinase or erk) kinase; MMS, methylmeth- anesulfonate; GSH glutathione; ~.nd BSO, buthionine sulfoximine.
Received 5 December 1995; accepted 19 February 1996.
crucial roles in the regulation of cell proliferation and ap- optosis. For example, N I H 3T3 cells transfected with and overexpressing c-H-ras genes became more resistant to an- ticancer drugs including cisplatin, Adriamycin ®, melpha- lan, and CPT-11 [7]. Also, Burt et al. [8] demonstrated that both v-H-ras and v-raf oncogenes could transform rat liver epithelial cells, resulting in an increase of cellular resistance to treatment with genotoxic agents such as adriamycin, vinblastine, and 2-acetylaminofluorene. Generally, this drug resistance is accompanied by an elevated expression of P-glycoprotein and glutathione-S-transferase P [8]. T h e suppression of endogenous H-ras function by a dominant negative v-H-ras mutant resulted in apoptosis of K562 leu- kemia cells [9]. This directly indicates that ras itself or the ras-associated pathway may have the ability to suppress some apoptosis induced by exogenous stimuli. However, the precise mechanism(s) by which ras oncogenes provide a survival advantage to ceils remains unclear.
It is noteworthy that a core signaling unit has been iden- tified recently, consisting of Ras-Raf and Raf-regulated ki- nases such as MAPKK/MEK-MAPK§, which integrates sig- nals originating from protein tyrosine kinases and protein kinase C at the membrane [10-12]. This signaling pathway has been thought to play a role in both mitogenic and
482 M-L. Kuo et al.
transforming activities in various oncogene-transformed cells, like ras, raf, mos and fes [13-15]. Based on these
observations, a question is raised as to whether oncogenes, which have been suggested to associate with the core sig- naling transduction pathway, are related to the mechanism of resistance to toxic agent-induced cell death.
Therefore, in the present study we employed several viral oncogene-transformed NIH 3T3 cell lines, including v-H-
ras, v-raf-1, v.src, v-fes, v.erbB-2 and v-mos, to examine the
response to cell death following exposure to MMS, a DNA- damaging agent. We further demonstrated that GSH levels determine the capacity of drug resistance but not the mode of cell death in these cell lines. Finally, Bcl-2 protein was found to be elevated in v-H-ras transformed cells but not in normal or other oncogene-transformed cells, suggesting that Bcl-2 may play a role in the prevention of MMS- induced apoptosis.
Triton X-100/PBS and 0.05% RNase A) and incubated for 30 min; 0.5 mL of propidium iodide solution (50 txg/mL) was added and the pellets were allowed to stand on ice for 15-30 min. Fluorescence emitted from the propidium io- dide-DNA complex was quantitated after laser excitation of the fluorescent dye by a FACSort flow cytometer (Bec- ton-Dickinson, San Jose, CA, U.S.A.).
Electron Microscopy
Cells were fixed with 2% glutaraldehyde and 2% paraform- aldehyde in PBS for 15 min. Following several rinses in PBS, cells were postfixed in 1% osmium tetroxide, dehy- drated in alcohol, and embedded in an Epon-Araldite mix- ture. Thin sections were cut and doubly stained with uranyl acetate and lead citrate before being examined in a Joel 2000 EXII electron microscopy at 100 kV.
M A T E R I A L S A N D M E T H O D S
Cells and Culture
v.Ha-ras, v-raf, v.src, v-mos, v.erbB-2 and v-fes trans-
formed NIH 3T3 cells were obtained from Dr. S-F. Yang of the Institute of Molecular Biology, Academia Sinica, Tai- pei, Taiwan. The v-Ha-ras transformed cells were grown in Dulbecco's modified Eagle's medium supplemented with 10% calf serum, 2 mM L-glutamine, G418 (100 txg/mL), and antibiotics. Other oncogene-transformed and parental NIH 3T3 cells were cultured in the same medium without G418.
Drug Treatment and Cell Viability
Cells were incubated with 1 mM MMS (Aldrich Co., Mil- waukee, WI, U.S.A.) for varying time periods, as indicated in Fig. 1. After incubation, the cells were washed twice in ice-cold PBS, and cell viability was determined using the trypan blue exclusion assay.
DNA Extraction and Electrophoresis
After different treatments, both attached and floating cells were harvested, washed in ice-cold PBS, resuspended in 500 ~L of TE (10 mM Tris-HCl pH 7.6, 1 mM EDTA, pH 8.0), and lysed in 500 ~L of lysis buffer (3% SDS, 50 mM Tris, pH 12.6) at room temperature for 10 rain. DNA was ex- tracted with phenol and chloroform before ethanol precipi- tation. DNA pellets were finally solubilized in TE buffer, and treated with RNase A for 40 min prior to 1.2% agarose gel electrophoresis.
Flow Cytometry Analysis
At specific time points, treated or untreated cells were tryp- sinized and fixed in 75% ethanol at - 2 0 ° for at least 1 hr. After centrifugation at 2000 g for 5 min at 4 °, cell pellets were resuspended in 0.5 mL of a hypotonic buffer (0.5%
Determination of Total Intracellular GSH Level
About 107 cells were harvested by scraping off the bottom of the dish with a rubber policeman. Cell pellets were washed with ice-cold PBS, resuspended in 300 txL of A buffer (125 mM KH2PO 4, 6.3 mM EDTA; pH 7.5), sub- jected to rapid freeze-thaw lysis four times, and reacted in a sonicator (Branson, 2200) for 5 min. The supematant that was obtained by centrifugation at 2000 g for 5 min was divided into two parts: 50 b~L and 250 txL. The cellular protein content in the 50 ~L of supernatant was deter- mined using the Bio-Rad protein assay. The GSH level was measured in the remaining 250 IxL to which 100 txL of 12% 5-sulfosalicylic acid (Sigma, St. Louis, MO, U.S.A.) was added and then allowed to stand on ice for 2-3 hr to allow protein precipitation. Cellular protein was removed by cen- trifugation at 14,000 g for 15 rain, after which 200 ~L of supernatant was obtained. The N A D P H reagent (0.525 mM) and 5,5'-dithiobis-2-nitrobenzoic acid (1.5 mM) were purchased from Sigma and prepared in B buffer (187.5 mM KHzPO 4, 6.3 mM EDTA; pH 7.5). GSH was measured by the method of Nakagawa et al. [16], utilizing an enzymatic
recycling assay based on GSH reductase. To measure the GSH, 400 tzL of 5,5'-dithiobis-2-nitrobenzoic acid, 400 ~L of NADPH, 200 IzL of supernatant, and 3 txL of GSH reductase were added serially in a 10 x 45 x 4 mm plastic cuvette. The absorbance of the mixture at 412 nm was monitored on a Hitachi (U-3210) recording spectropho- tometer and recorded at 20-sec intervals for 3 min. Results represent the means + SEM of values from three separate experiments.
Western Blotting
Cellular lysates were prepared as described by Kuo and Yang [17]. A 50-~g sample of each lysate was subjected to elec- trophoresis on 15% SDS-polyacrylamide gels for detection of Bcl-2 p26. The samples were then electroblotted on ni- trocellulose paper. After blocking, blots were incubated
Induction of Apoptosis in Oncagene-Transformed Cells by MMS 483 120 100 80 "~ 60 ~. 40 20 • NIH3T3 • Ras • Src • ErbB-2 " , . • Mos I I I I I I I 0 5 10 15 20 25 30
Time of treatment Oar)
FIG. 1. Sensitivity of onco|gene.transformed and parental NIH 3T3 cells to MMS killing. Cells were plated in a density
of 1 × 1 0 6 cells/100 m m dish in the presence of 1 mM MMS
for different llme periods. Viable cells were measured by a trypan blue exclusion assay. Each point represents the mean
value of duplicate experiments.
with anti-Bcl-2 (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, U.S.A.) antibody in PBST (PBS-0.1% Tween 20) for 1 hr followed by two washes (15 min each) in PBST, and then incubated with horseradish peroxidase-conjugated goat anti-mouse IgG (Amersham, Arlington Heights, IL, U.S.A.) for 30 min. After washing, the blots were incu-
bated for 1 min with western blotting reagent ECL (Am- ersham), and chemiluminescence was detected by exposure of the filters to Kodak X-Omat films for 10 sec to 10 min.
R E S U L T S
The resistance of transformed cell lines and normal NIH 3T3 cells to MMS-mediated cytotoxicity was determined by trypan blue exclusion. These cell survival curves (Fig. 1) revealed a survival advantage for v-H-ras and v.raf trans- formed cells relative to other transformed cells and normal NIH 3T3 cells when exposed to 1 mM MMS for various time periods. Furthermore, the ras transformed cells were more resistant than the raf transformants to MMS killing. The mode of cell death induced by MMS in these cells was determined via assaying DNA fragmentation, apoptotic peak, and nuclear chromatin condensation, respectively. As shown in Fig. 2A, NIH 3T3 cells treated with 1 mM MMS showed typical patterns of internucleosomal DNA laddering within 8-16 hr, but smearing at 24 hr. The same pattern of intemucleosomal DNA ladder was also evident in the oncogene-transformed cells v.src, v-raf, v-erbB.2, v.mos and v-fes by 10 hr of treatment with MMS (Fig. 2B). In contrast, v-Ha-ras transformed cells retained an intact genomic DNA pattern after treatment with 1 mM MMS for 10 hr (Fig. 2C, lane 3). Even when 80% of the ras trans- formants were killed by exposure to MMS for 24 hr, the pattern of genomic DNA appeared as a slight smearing rather than laddering (Fig. 2C, lane 6).
Another method of assessment of apoptosis was based on the assay of DNA strand breaks in individual cells by flow cytometry. Generally, the results obtained by this method
A B .~ ~, C
M 0 2 6 8 12 16 24(h) M 1 2 3 4 5 6 7
M 0 10 16 20 2 4 ( h )
FIG. 2. Internucleosomal DNA fragmentation in various oncogene-transformed and parental NIH 3T3 cells treated
with MMS. (A) NIH 3T3 cells were exposed to 1 mM MMS for different periods of time as indicated in the figure;
(B) different oncogene-transformed cells were treated with 1 mM MMS for 10 hr; (C) ras transformed NIH 3T3 cells
were exposed to 1 mM for 0-24 hr. DNA from different treatment protocols was extracted and electrophoresed through 1.2% agarose gel. DNA bands were visualized by staining with ethidium bromide.
484 M-L. Kuo et al.
2:
I G l [ A . Control G 2 G G 4 o m G e e g o b C.v-Ras a l O e ,~am I ; I s o e o o l e m e E. v-Raf . . . . I'' ' I ' ' ' ' I ' ' ' ' I I , . , A p ~ O O ' C Q ~ G Q B a Q ~ I Q ~ B. NIH3T3 A p . . . . I .... l ' ' ~ ' i ' ~ ' ~ . . . . D. v-Fes i i [ i i i i i i J ~ 1 I 0 2 0 0 4 0 0 G O 0 g m B I m B Q F. v-Src ' ; ' ' l ' ' ' ' l - . . . . [ ' ' ' ' i . . . . ; ~ Q O 4 Q B I ; m ~ ~ a O I O B Q H. v-Erb2 . . . . [ . . . . f . . . . I ' ' ' i ' ' " I O B QPI-DNA fluorescence
FIG. 3. Cell cycle analysis of oncogene-transformed and normal N I H 3T3 cells following treatment with MMS. Various oncogene-transformed and their parental N I H 3T3 cells were cultured in the presence or absence of I mM MMS for 12 hr. After removal of MMS, cells were fixed and stained with propidium iodide (PI) as described in Materials and Methods, and the DNA content was analyzed by flow cytometry. Ap represents the peak of apoptotic bodies.
Induction of Apoptosis in Oncogene-Transformed Cells by MMS 485
FIG. 4. Morphology of apoptosis occurring in various oncogene-transformed and normal NIH 3T3 cells following treatment with MMS. (A) Control untreated NIH 3T3 cells, (B) NIH 3T3 cells, (C) ras transfor. mants, (D) fes transformants, (E) mos transformants, (F) raf transformants, (G) src transformants, and (H) erbB-2 transformant, were exposed to MMS for 10 hr. After removal of MMS, cells were fixed and examined as described in Materials and Methods. Original magnification: x600.
were in agreement with the data based on the DNA lad- dering, analyzed on agarose gel electrophoresis. Trans- formed cells such as v-fes, v-raf, v.src, v-mos, v.erbB-2 (Fig. 3, D-H) and normal NIH 371"3 ceils (Fig. 3B) were found to show a typical sub-G1 peak (apoptotic peak, Ap) at 12 hr of MMS treatment. However, the sub-G 1 peak was not ob- served in MMS-treated v-H-ras transformed cells (Fig. 3C). Consistent with the results obtained from DNA fragmen- tation and flow cytometry, cell morphology examined by electron microscopy demonstrated that MMS-treated v-H- ras transformed cells did not show any morphological changes (Fig. 4C) when compared with untreated cells (Fig. 4A). Under the same treatment, the morphological features
4O .- 35 0 ~, 30 25 E = 2O 5 0
NI/-t3T3 Ras Fes Src Raf Mos ErbB-2
FIG. 5. Determination o f GSH content within oncogene- transformed and normal NII-! 3T3 cells. Cells ( 1 x 107) were
harvested and washed with ice.cold PBS, and then were
lysed by rapid freeze-thaw. The supernatant was obtained
by centrffugation, and further means were used to measure
the content o f GSH. The detailed procedure is described in Materials and Methods. Values are the means + SEM ob- tained from at least three separate experiments for each cell
l i n e .
of apoptosis, including compaction and segregation of nuclear chromatin, discreteness of nucleus and cytoplasm as well as blebbing of cell membrane, were evident in other transformed (Fig. 4, D-H) and normal NIH 3T3 cells (Fig. 4B).
Based on these observations, we suggest that activated ras gene but not other oncogenes abrogates the apoptotic cell death induced by the DNA-damaging agent MMS. Al- though other oncogenes have been found to associate di- rectly or indirectly with the RAS-RAF-MEK-MAPK sig- naling transduction pathway, they still undergo apoptosis upon MMS treatment. To determine the possible mecha- nism by which ras transformed cells can increase resistance to MMS-induced apoptosis, we first examined the levels of GSH within each transformant and normal NIH 3T3 cells. The results demonstrated that the amount of GSH in the v-Ha-ras transformant was 2- to 7-fold higher than that of other oncogene-transformed cells and NIH 3T3 cells (Fig. 5). BSO an irreversible inhibitor of ~,-glutamylcysteine syn- thetase, was used to reduce the GSH levels in ras trans- formed cells. After a 16-hr incubation with 50 IxM BSO, GSH in ras transformed cells could be reduced to a level similar to that of the parental NIH 3T3 cells. However, the depletion of GSH by BSO did not produce any cytotoxic effect in the ras transformants (data not shown). Further- more, we found that GSH-depleted ras transformed cells became more susceptible to MMS treatment (Fig. 6A), but the cells were induced to go through necrosis rather than apoptosis, as determined by agarose gel electrophoresis (Fig. 6B).
T h e bcl-2 gene, first identified by its deregulation in hu- man follicular lymphoma [18], is known to prevent apop- tosis induced by many, but not all, experimental conditions [19, 20]. Thus, we examined whether bcl.2 is expressed in v-H-ras transformed cells. Western blot analysis shows that bcl-2 protein was moderately expressed in ras transformed cells but not in NIH 3T3 cells (Fig. 7) or other transformed cells (data not shown). In addition, the level of Bcl-2 pro-
486 M-L. Kuo et al.
A
.,.G100 ~
4ff
.B
"-{3--( IPrz~rested S0~M B,.qO for 16Is )
Time of treatment Oar)
4
M 0 8 12 8 12 8 12 ( h )
FIG. 6. Effects of GSH depletion on the resistant phenotype
of ras transformants. (A) Increment of susceptibility of ras transformants to MMS-induced cell death by depletion of GSH. v-H-ras N I H 3T3 cells were pretreated with BSO for
16 hr, and then exposed to 1 mM MMS for various time periods. Viable cells were counted by means of the trypan blue exclusion assay. Values are the means + SEM obtained from three independent experiments. (B) Analysis of DNA
fragmentation in GSH-depleted ras transformants following MMS treatment, v.H-ras transformed and its parental N I H 3T3 cells were exposed to 1 mM MMS for various time
periods as indicated. Ras.3T3* represents ras-transformed
cells preincubated with BSO for 16 hr. T h e methods of DNA extraction and examination are described in detail in
Materials and Methods.
teins in ras transformants remained unchanged during 10 hr of MMS treatment, correlating with the resistant pheno- type of r a s transformants. T h e results presented here strongly indicate that b c l - 2 may play an important role in
determining the resistance and mode of cell death of ras
transformants in response to MMS.
D I S C U S S I O N
The results presented here clearly demonstrate that of the oncogene-transformed cells tested only the ras transformant exhibited a remarkable resistance to MMS-induced cell death. Constitutive activation of the MEK-MAPK signal- ing pathway has been reported to occur in all of the onco- gene-transformed cells used here. It seems likely that the resistant characteristics acquired by the ras transformant may not relate to the core MEK-MAPK signal transduction pathway. Recently, Rodriguez-Viciana e t al. [21] demon-
strated that an important enzyme, phosphatidylinositol-3- O H kinase (PI(3)K), is a downstream target for p21 ra~. The cellular targets of the products of PI(3)K are not defined clearly, although protein kinase C family members may be included [22]. Moreover, the two-hybrid system in yeast was used to screen a complementary D N A library for genes encoding Ras-binding proteins; four different genes, in ad- dition to Raf, were detected [23]. Based on these observa- tions, we suggest that some other signal transduction path- way(s) that uniquely exists in the ras transformant may be
involved in such drug resistance.
G S H has been shown to play a critical role in cellular defense against a variety of injurious agents [24]. Also, sev- eral types of cancer cells have been found to increase their resistance to antineoplastic agents via elevating the G S H levels [25]. We demonstrated here that ras transformant
displayed a 2- to 7-fold increase of G S H level as compared with other oncogene-transformed and normal cells; how- ever, depletion of G S H made the ras transformant more
susceptible to MMS killing. This led us to suggest that the resistant features of ras transformant to MMS should be
determined mainly by the G S H content. These observa- tions are consistent with those of earlier studies that showed an increase of G S H in various ras transformed cell
lines [26]. G S H is synthesized by the consecutive actions of
NIH3T3
0
2
4
6
Ras/3T3
0
4
10 (h)
Bcl-2
FIG. 7. I m m u n o b l o t analysis of Bcl-2 in ras-transformed and
normal N I H 3T3 cells, v.H.ras.transformed and its parental
N I H 3T3 cells were exposed to 1 mM MMS for various time
periods as indicated in the figure. Cell lysates (50 pg) were subjected to electrophoresis by SDS-PAGE and western blotted to nitrocellulose paper. T h e Bcl-2 was labeled by sequential incubation with monoclonal antibody to m o u s e
Bcl-2 horseradish-conjugated goat anti-mouse IgG. B o u n d antibodies were detected by e n h a n c e d chemiluminescence.
Induction of Apoptosis in Oncogene-Transformed Cells by MMS 48"/
y-glutamylcysteine synthetase as well as G S H synthetase, and is utilized by several enzymes including the G S H trans- hydrogenase and G S H peroxidase. Which signal pathway in the ras transformant may participate in the alteration of the G S H pool remains elusive.
As demonstrated in the present study, MMS induced apoptosis in parental N I H 3T3 and oncogene-transformed cells, including v-src, v-erbB-2, v-mos, v-fes and v.raf, but not in v-H-ras-transformed cells. The depletion of G S H made ras transformants become more sensitive to MMS- mediated necrotic cell death but not to apoptosis. This implies that some other cellular targets but not G S H regu- late the mode of cell death of ras-transformed cells in re- sponse to MMS. It has been demonstrated that the over- expression of bcl-2 can prevent cell apoptosis induced by various injuries, including those caused by D N A damaging agents [27], growth factor withdrawal [19, 28], y-irradia- tion, and a wide variety of chemotherapeutic drugs [27, 29]. The results presented here show that Bcl-2 proteins were indeed expressed in the ras transformant but not in other transformants. Thus, we strongly suggest that the defect of apoptosis in the ras transformant is due, at least in part, to the expression of bcl-2. Corl-oborating our findings, it has been demonstrated that activation of the ras pathway re- suits in up-regulation of bcl-2 expression in 32D cells [30]. In addition, Fairbairn et al. [31] have shown recently that the overexpressed bcl-2 oncogene in murine hematopoietic cells results in the delay of MMS-mediated apoptotic cell death. We suggest that other possible mechanisms or mol- ecules may also be included in regulating the apoptosis. For example, it is well documented that cells that harbor a wild-type p53 will experience a Gl arrest and subsequently undergo apoptosis upon treatment with a DNA-damaging agent. In contrast, mutant I:,53 enables cells to escape ap- optosis [32, 33]. Whether or not alteration of p53 occurs in the ras transformant is now under investigation.
This study was supported by the National Science Council, NSC 84- 2331-B002-035, Taipei, Taiwan.
References
1. Wyllie AH, The biology of cell death in tumors. Anticancer Res 5: 131-142, 1985.
2. Martin SJ, Lennon SV, Bonham AM and Cotter TG, Induc- tion of apoptosis in humar~ leukemia HL-60 cells by inhibi- tion of RNA and protein synthesis. J Immunol 145: 1859- 1863, 1990.
3. Barry MA, Reynolds JE aF~d Eastman A, Etoposide-induced apoptosis in human HL-60 cells is associated with intracellu- lar acidification. Cancer Res 53: 2349-2357, 1993.
4. Evans DL and Dive C, Effects of cisplatin on the induction of apoptosis in proliferating hepatoma cells and nonproliferating immature thymocytes. Cancer Res 53: 2133-2139, 1993. 5. Barry MA, Behnke CA and Eastman A, Activation of pro-
grammed cell death (apoptosis) by cisplatin, other anticancer drugs, toxins and hyperthermia. Biochem Pharmaco140: 2353- 2362, 1990.
6. Eastman A, Activation of programmed cell death by antican- cer agents: Cisplatin as a model system. Cancer Cells (Cold Spring Harbor) 2:275-280 1990.
7. Niimi S, Nakagawa K, Yokota J, Tsunokawa Y, Nishio K, Terashima Y, Shibuya M, Terada M and Saijo N, Resistance to anticancer drugs in NIH-3T3 cells transfected with c-myc and/or c-H-ras genes. Br J Cancer 63: 237-241, 1991. 8. Butt RK, Garfield S, Johnson K and Thorgeirsson SS, Trans-
formation of rat liver epithelial cells with v-H-ras or v.raf causes expression of MDR-1, glutathione-S-transferase-P and increased resistance to cytotoxic chemicals. Carcinogenesis 9: 2329-2332, 1988.
9. Sakai N, Ogiso Y, Fujita H, Watari H, Koike T and Kuzumaki N, Induction of apoptosis by a dominant negative H-RAS mutant (l16Y) in K562 cells. Exp Cell Res 215: 131-136, 1994.
10. Blenis J, Signal transduction via the MAP kinases: Proceed at your own RSK. Proc Natl Acad Sci USA 90: 5889-5892, 1993. 11. Marshall MS, The effector interactions of p21 ras. Trends Bio-
chem Sci 18: 250-254, 1993.
12. Mar J, Forging a path to the nucleus. Science 260: 1588-1590, 1993.
13. Avruch J, Zhang X-F, and Kyriakis JM, Raf meets Ras: Com- pleting the framework of a signal transduction pathway. Trends Biochem Sci 19: 279-283, 1994.
14. Mordret G, MAP kinase kinase: A node connecting multiple pathways. Biol Cell 79: 193-207, 1993.
15. Mansour SJ, Matten WT, Hermann AS, Candia JM, Rong S, Fukasawa K, Vande Woude GF, and Ahn NG, Transforma- tion of mammalian cells by constitutively active MAP kinase kinase. Science 265: 966-970, 1994.
16. Nakagawa K, Saijo N, Tsuchida S, Sakai M, Tsunokawa Y, Yokota J, Muramatsu M, Sato K, Terada M and Tew KD, Glutathione-S-transferase ¢r as a determinant of drug resis- tance in transfectant cell lines. J Biol Chem 265: 4296-4301, 1990.
17. Kuo M-L, and Yang N-C, Reversion of v-H-ras-transformed NIH 3T3 cells by apigenin through inhibiting mitogen acti- vated protein kinase and its downstream oncogenes. Biochem Biophys Res Commun 212- 767-775, 1995.
18. Tsujimoto Y, Finger LR, Yunis J, Nowell PC and Croce CM, Cloning of the chromosome breakpoint of neoplastic B cells with the t(14;18) chromosome translocation. Science 226: 1097-1099, 1984.
19. Caron-Leslie L-AM, Evans RB and Cidlowski JA, Bcl-2 in- hibits glucocorticoid-induced apoptosis but only partially blocks calcium ionophore or cycloheximide-regulated apop- tosis in $49 cells. FASEB J 8: 639-645, 1994.
20. Jacobson MD, Bume JF, King MP, Miyashita T, Reed JC and Raft MC, Bcl-2 blocks apoptosis in cells lacking mitochon- drial DNA. Nature 361" 365-369, 1993.
21. Rodriguez-Viciana P, Warne PH, Dhand R, Vanhaesebroeck B, Gout I, Fry MJ, Waterfield MD and Downward J, Phos- phatidylinositol-3-OH kinase as a direct target of RAS. Na- ture 370" 527-532, 1994.
22. Liscovitch M and Cantley LC, Lipid second messengers. Cell 77: 329-334, 1994.
23. Vojtek AB, Hollenberg SM and Copper JA, Mammalian Ras interacts directly with the serine/threonine kinase Raf. Cell 74" 205-214, 1993.
24. Arrick BA and Nathan CF, Glutathione metabolism as a determinant of therapeutic efficacy: A review. Cancer Res 44: 4224-4232, 1984.
25. Armstrong DK, Gordon GB, Hilton J, Streeper RT, Colvin OM and Davidson NE, Programmed cell death in an estro- gen-independent human breast cancer cell line, MDA-MB- 468. Cancer Res 52: 1416-1421, 1992.
26. Sklar MD, The ras oncogenes increase the intrinsic resistance of NIH 3T3 cells to ionizing radiation. Science 239: 645~547,
1988.
488 M-L. Kuo et al.
and Korsmeyer SJ, bcl-2 Inhibits multiple forms of apoptosis but not negative selection in thymocytes. Cell 67: 879-898, 1991.
28. Allsopp TE, Wyatt S, Paterson HF and Davies AM, The proto-oncogene bcl-2 can selectively rescue neurotrophic fac- tor-dependent neurons from apoptosis. Cell 73: 295-307, 1993.
29. Fisher TC, Milner AE, Gregory CD, Jackman AL, Wynne Aherne G, Hartley JA, Dive C and Hickman JA, bcl-2 Modu- lation of apoptosis induced by anticancer drugs: Resistance to thymidylate stress is independent of classical resistance path- ways. Cancer Res 53: 3321-3326, 1993.
30. Kinoshita T, Yokota T, Arai K1 and Miyajima A, Regulation
of Bcl-2 expression by oncogenic Ras protein in hematopoi- etic cells. Oncogene 10: 2207-2212, 1995.
31. Fairbaim LJ, Cowling GJ, Dexter TM, Rafferty JA and Mar- gison GP, Bcl-2 delay of alkylating agent-induced apoptosis death in murine hemopoietic stem cell line. Mol Carcinogen- esis 11: 49-55, 1994.
32. Lowe SW, Schmitt EM, Smith SW, Osborne BA and Jacks T, p53 is required for radiation-induced apoptosis in mouse thy- mocytes. Nature 362: 847-849, 1993.
33. Clarke AR, Purdie CA, Harrison DJ, Morris RG, Bird CC, Hooper ML and Wyllie AH, Thymocyte apoptosis induced by p53-dependent and independent pathways. Nature 362" 849- 852, 1993.