Phosphatase and tension homolog located on chromosome ten (PTEN) is a tumor suppressor as it negatively regulates activation
of Akt. Mutation or deletion of PTEN has been found in as high as 80% of glioblastomas, which harbor aberrant cell signaling
passing through the phosphatidylinositol-3-kinase (PI3K) and Akt (PI3K/Akt) survival pathway. Glioblastoma cells without functional
PTEN are not easily amenable to apoptosis. We investigated the possibility of modulation of signal transduction pathways for
induction of apoptosis in human glioblastoma T98G (PTEN-harboring) and U87MG (PTEN-deficient) cell lines after treatment with
the combination of all-
trans retinoic acid (ATRA) and interferon-gamma (IFN-γ). Treatment with ATRA plus IFN-γ stimulated PTEN expression and suppressed
Akt activation in T98G cells, whereas no PTEN expression but Akt activation in U87MG cells under the same conditions. Pretreatment
of U87MG cells with the PI3K inhibitor LY294002 could prevent Akt activation. Interestingly, ATRA plus IFN-γ could significantly
decrease cell viability and increase morphological features of apoptosis in both cell lines. Combination of ATRA and IFN-γ
showed more efficacy than IFN-γ alone in causing apoptosis that occurred due to increases in Bax:Bcl-2 ratio, mitochondrial
release of cytochrome
c, and caspase-3 activity. Luciferase reporter gene assay showed that combination of ATRA and IFN-γ significantly down regulated
transcriptional activity of the nuclear factor kappa B (NF-κB), a survival signaling factor, in U87MG cells. Thus, combination
of ATRA and IFN-γ caused significant amounts of apoptosis in T98G cells due to suppression of the PI3K/Akt survival pathway
while the same treatment caused apoptosis in U87MG cells due to down regulation of the NF-κB activity. Therefore, the combination
of ATRA and IFN-γ could modulate different survival signal transduction pathways for induction of apoptosis and should be
considered as an effective therapeutic strategy for controlling the growth of both PTEN-harboring and PTEN-deficient glioblastomas.
Keywords Apoptosis - ATRA - Glioblastoma - IFN-γ - Luciferase reporter gene assay - NF-κB activity - PI3K/Akt survival pathway
Special issue in honor of Naren Banik.