Home LiteratureArticle Details
PMID: 21415859 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

The role of Bcl-2 and its pro-survival relatives in tumourigenesis and cancer therapy.

Cell death and differentiation ·Vol. 18 ·No. 9 ·2011-09-00 ·Pages 1414-24

Kelly PN, Strasser A

Abstract

Tumour development requires a combination of defects that allow nascent neoplastic cells to become self-sufficient for cell proliferation and insensitive to signals that normally restrain cell growth. Among the latter, evasion of programmed cell death (apoptosis) has proven to be critical for the development and sustained growth of many, perhaps all, cancers. Apoptotic cell death is regulated by complex interactions between pro-survival members and two subgroups of pro-apoptotic members of the B-cell lymphoma-2 (Bcl-2) protein family. In this invited review article, we reminisce on the discovery of Bcl-2, the first regulator of cell death identified, we discuss the mechanisms that control apoptotic cell death, focussing on how defects in this process promote the development and sustained growth of tumours and also affect their responses to anticancer therapeutics and, finally, we describe how current knowledge of the regulatory networks of apoptosis is exploited to develop novel approaches for cancer therapy.

MeSH Terms
Animals Antineoplastic Agents/pharmacology,therapeutic use Apoptosis/drug effects,physiology Cell Proliferation Cell Transformation, Neoplastic Humans Mice Minor Histocompatibility Antigens Molecular Targeted Therapy Myeloid Cell Leukemia Sequence 1 Protein Neoplasms/drug therapy,genetics,pathology Proto-Oncogene Proteins c-bcl-2/physiology
Chemicals
Antineoplastic Agents BCL2-related protein A1 Minor Histocompatibility Antigens Myeloid Cell Leukemia Sequence 1 Protein Proto-Oncogene Proteins c-bcl-2
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Kelly P N
Molecular Genetics of Cancer Division, Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC 3050, Australia.
Strasser A
References (102)
102 references, click to expand
  1. Expression of apoptosis-regulating proteins in chronic lymphocytic leukemia: correlations with In vitro and In vivo chemoresponses.
    Blood. 1998 May 1;91(9):3379-89 PMID: 9558396
  2. BH3-only proteins that bind pro-survival Bcl-2 family members fail to induce apoptosis in the absence of Bax and Bak.
    Genes Dev. 2001 Jun 15;15(12):1481-6 PMID: 11410528
  3. ER stress triggers apoptosis by activating BH3-only protein Bim.
    Cell. 2007 Jun 29;129(7):1337-49 PMID: 17604722
  4. Differential targeting of prosurvival Bcl-2 proteins by their BH3-only ligands allows complementary apoptotic function.
    Mol Cell. 2005 Feb 4;17(3):393-403 PMID: 15694340
  5. Mechanism of apoptosis induction by inhibition of the anti-apoptotic BCL-2 proteins.
    Proc Natl Acad Sci U S A. 2008 Dec 23;105(51):20327-32 PMID: 19074266
  6. miR-15 and miR-16 induce apoptosis by targeting BCL2.
    Proc Natl Acad Sci U S A. 2005 Sep 27;102(39):13944-9 PMID: 16166262
  7. BID, BIM, and PUMA are essential for activation of the BAX- and BAK-dependent cell death program.
    Science. 2010 Dec 3;330(6009):1390-3 PMID: 21127253
  8. An inhibitor of Bcl-2 family proteins induces regression of solid tumours.
    Nature. 2005 Jun 2;435(7042):677-81 PMID: 15902208
  9. Selection against PUMA gene expression in Myc-driven B-cell lymphomagenesis.
    Mol Cell Biol. 2008 Sep;28(17):5391-402 PMID: 18573879
  10. The structure of a Bcl-xL/Bim fragment complex: implications for Bim function.
    Immunity. 2003 Sep;19(3):341-52 PMID: 14499110
  11. Treatment of B-RAF mutant human tumor cells with a MEK inhibitor requires Bim and is enhanced by a BH3 mimetic.
    J Clin Invest. 2008 Nov;118(11):3651-9 PMID: 18949058
  12. Degenerative disorders caused by Bcl-2 deficiency prevented by loss of its BH3-only antagonist Bim.
    Dev Cell. 2001 Nov;1(5):645-53 PMID: 11709185
  13. MCL-1-dependent leukemia cells are more sensitive to chemotherapy than BCL-2-dependent counterparts.
    J Cell Biol. 2009 Nov 2;187(3):429-42 PMID: 19948485
  14. Bim and Bad mediate imatinib-induced killing of Bcr/Abl+ leukemic cells, and resistance due to their loss is overcome by a BH3 mimetic.
    Proc Natl Acad Sci U S A. 2006 Oct 3;103(40):14907-12 PMID: 16997913
  15. Proapoptotic BAX and BAK: a requisite gateway to mitochondrial dysfunction and death.
    Science. 2001 Apr 27;292(5517):727-30 PMID: 11326099
  16. Distinct BH3 domains either sensitize or activate mitochondrial apoptosis, serving as prototype cancer therapeutics.
    Cancer Cell. 2002 Sep;2(3):183-92 PMID: 12242151
  17. The BH3 mimetic ABT-737 targets selective Bcl-2 proteins and efficiently induces apoptosis via Bak/Bax if Mcl-1 is neutralized.
    Cancer Cell. 2006 Nov;10(5):389-99 PMID: 17097561
  18. bcl-x, a bcl-2-related gene that functions as a dominant regulator of apoptotic cell death.
    Cell. 1993 Aug 27;74(4):597-608 PMID: 8358789
  19. BH3-Only proteins-essential initiators of apoptotic cell death.
    Cell. 2000 Dec 8;103(6):839-42 PMID: 11136969
  20. Apoptosis signaling.
    Annu Rev Biochem. 2000;69:217-45 PMID: 10966458
  21. Proapoptotic Bcl-2 relative Bim required for certain apoptotic responses, leukocyte homeostasis, and to preclude autoimmunity.
    Science. 1999 Nov 26;286(5445):1735-8 PMID: 10576740
  22. bcl-x exhibits regulated expression during B cell development and activation and modulates lymphocyte survival in transgenic mice.
    J Exp Med. 1996 Feb 1;183(2):381-91 PMID: 8627151
  23. Structure of Bcl-xL-Bak peptide complex: recognition between regulators of apoptosis.
    Science. 1997 Feb 14;275(5302):983-6 PMID: 9020082
  24. MCL1 transgenic mice exhibit a high incidence of B-cell lymphoma manifested as a spectrum of histologic subtypes.
    Blood. 2001 Jun 15;97(12):3902-9 PMID: 11389033
  25. Targeted overexpression of Bcl-XL in B-lymphoid cells results in lymphoproliferative disease and plasma cell malignancies.
    Blood. 2004 Apr 1;103(7):2779-86 PMID: 14656874
  26. Maximal killing of lymphoma cells by DNA damage-inducing therapy requires not only the p53 targets Puma and Noxa, but also Bim.
    Blood. 2010 Dec 9;116(24):5256-67 PMID: 20829369
  27. bcl-2-immunoglobulin transgenic mice demonstrate extended B cell survival and follicular lymphoproliferation.
    Cell. 1989 Apr 7;57(1):79-88 PMID: 2649247
  28. MCL1, a gene expressed in programmed myeloid cell differentiation, has sequence similarity to BCL2.
    Proc Natl Acad Sci U S A. 1993 Apr 15;90(8):3516-20 PMID: 7682708
  29. Developmental regulation of the Bcl-2 protein and susceptibility to cell death in B lymphocytes.
    EMBO J. 1994 Feb 1;13(3):683-91 PMID: 8313913
  30. Bcl-2-deficient mice demonstrate fulminant lymphoid apoptosis, polycystic kidneys, and hypopigmented hair.
    Cell. 1993 Oct 22;75(2):229-40 PMID: 8402909
  31. The Bcl-2 apoptotic switch in cancer development and therapy.
    Oncogene. 2007 Feb 26;26(9):1324-37 PMID: 17322918
  32. bcl-2 gene hypomethylation and high-level expression in B-cell chronic lymphocytic leukemia.
    Blood. 1993 Sep 15;82(6):1820-8 PMID: 8104532
  33. Involvement of the bcl-2 gene in human follicular lymphoma.
    Science. 1985 Jun 21;228(4706):1440-3 PMID: 3874430
  34. Progression from lymphoid hyperplasia to high-grade malignant lymphoma in mice transgenic for the t(14; 18).
    Nature. 1991 Jan 17;349(6306):254-6 PMID: 1987477
  35. Bcl-2 gene promotes haemopoietic cell survival and cooperates with c-myc to immortalize pre-B cells.
    Nature. 1988 Sep 29;335(6189):440-2 PMID: 3262202
  36. Endogenous bcl-2 is not required for the development of Emu-myc-induced B-cell lymphoma.
    Blood. 2007 Jun 1;109(11):4907-13 PMID: 17317859
  37. Massive cell death of immature hematopoietic cells and neurons in Bcl-x-deficient mice.
    Science. 1995 Mar 10;267(5203):1506-10 PMID: 7878471
  38. Complementary functions of the antiapoptotic protein A1 and serine/threonine kinase pim-1 in the BCR/ABL-mediated leukemogenesis.
    Blood. 2002 Jun 15;99(12):4531-9 PMID: 12036885
  39. Myeloid cell factor-1 is a critical survival factor for multiple myeloma.
    Blood. 2002 Mar 15;99(6):1885-93 PMID: 11877256
  40. BH3-only proteins Puma and Bim are rate-limiting for gamma-radiation- and glucocorticoid-induced apoptosis of lymphoid cells in vivo.
    Blood. 2005 Dec 15;106(13):4131-8 PMID: 16118324
  41. Bcl-2 expression in chronic lymphocytic leukemia and its correlation with the induction of apoptosis and clinical outcome.
    Leukemia. 1996 Mar;10(3):456-9 PMID: 8642861
  42. Novel targeted deregulation of c-Myc cooperates with Bcl-X(L) to cause plasma cell neoplasms in mice.
    J Clin Invest. 2004 Jun;113(12):1763-73 PMID: 15199411
  43. Expression of bcl-2 in small cell lung carcinoma cells.
    Cancer Res. 1994 Jan 1;54(1):6-8 PMID: 8261463
  44. Apoptosis initiated when BH3 ligands engage multiple Bcl-2 homologs, not Bax or Bak.
    Science. 2007 Feb 9;315(5813):856-9 PMID: 17289999
  45. A MicroRNA signature associated with prognosis and progression in chronic lymphocytic leukemia.
    N Engl J Med. 2005 Oct 27;353(17):1793-801 PMID: 16251535
  46. BH3 profiling identifies three distinct classes of apoptotic blocks to predict response to ABT-737 and conventional chemotherapeutic agents.
    Cancer Cell. 2007 Aug;12(2):171-85 PMID: 17692808
  47. Antiapoptotic BCL-2 is required for maintenance of a model leukemia.
    Cancer Cell. 2004 Sep;6(3):241-9 PMID: 15380515
  48. Puma and to a lesser extent Noxa are suppressors of Myc-induced lymphomagenesis.
    Cell Death Differ. 2009 May;16(5):684-96 PMID: 19148184
  49. Genome-wide array-based CGH for mantle cell lymphoma: identification of homozygous deletions of the proapoptotic gene BIM.
    Oncogene. 2005 Feb 17;24(8):1348-58 PMID: 15608680
  50. Elevated Mcl-1 perturbs lymphopoiesis, promotes transformation of hematopoietic stem/progenitor cells, and enhances drug resistance.
    Blood. 2010 Oct 28;116(17):3197-207 PMID: 20631380
  51. The landscape of somatic copy-number alteration across human cancers.
    Nature. 2010 Feb 18;463(7283):899-905 PMID: 20164920
  52. Essential role of the prosurvival bcl-2 homologue A1 in mast cell survival after allergic activation.
    J Exp Med. 2001 Dec 3;194(11):1561-69 PMID: 11733571
  53. Bax-deficient mice with lymphoid hyperplasia and male germ cell death.
    Science. 1995 Oct 6;270(5233):96-9 PMID: 7569956
  54. The BCL-2 protein family: opposing activities that mediate cell death.
    Nat Rev Mol Cell Biol. 2008 Jan;9(1):47-59 PMID: 18097445
  55. Characterization of A1, a novel hemopoietic-specific early-response gene with sequence similarity to bcl-2.
    J Immunol. 1993 Aug 15;151(4):1979-88 PMID: 8345191
  56. The combined functions of proapoptotic Bcl-2 family members bak and bax are essential for normal development of multiple tissues.
    Mol Cell. 2000 Dec;6(6):1389-99 PMID: 11163212
  57. Cell death.
    N Engl J Med. 2009 Oct 15;361(16):1570-83 PMID: 19828534
  58. Puma cooperates with Bim, the rate-limiting BH3-only protein in cell death during lymphocyte development, in apoptosis induction.
    J Exp Med. 2006 Dec 25;203(13):2939-51 PMID: 17178918
  59. Downregulation of Bfl-1 protein expression sensitizes malignant B cells to apoptosis.
    Oncogene. 2007 Aug 23;26(39):5828-32 PMID: 17353899
  60. Diagnosing and exploiting cancer's addiction to blocks in apoptosis.
    Nat Rev Cancer. 2008 Feb;8(2):121-32 PMID: 18202696
  61. E mu-bcl-2 transgene facilitates spontaneous transformation of early pre-B and immunoglobulin-secreting cells but not T cells.
    Oncogene. 1993 Jan;8(1):1-9 PMID: 8423986
  62. Expression of the apoptosis-suppressing protein bcl-2, in neuroblastoma is associated with unfavorable histology and N-myc amplification.
    Am J Pathol. 1993 Dec;143(6):1543-50 PMID: 8256847
  63. Bcl-2 heterodimerizes in vivo with a conserved homolog, Bax, that accelerates programmed cell death.
    Cell. 1993 Aug 27;74(4):609-19 PMID: 8358790
  64. Bcl-w expression in colorectal adenocarcinoma.
    Br J Cancer. 2000 Jan;82(1):178-85 PMID: 10638987
  65. Interleukin-6 contributes to Mcl-1 up-regulation and TRAIL resistance via an Akt-signaling pathway in cholangiocarcinoma cells.
    Gastroenterology. 2005 Jun;128(7):2054-65 PMID: 15940637
  66. Molecular cloning of the chromosomal breakpoint of B-cell lymphomas and leukemias with the t(11;14) chromosome translocation.
    Science. 1984 Jun 29;224(4656):1403-6 PMID: 6610211
  67. How do BCL-2 proteins induce mitochondrial outer membrane permeabilization?
    Trends Cell Biol. 2008 Apr;18(4):157-64 PMID: 18314333
  68. VEGF induces Mcl-1 up-regulation and protects multiple myeloma cells against apoptosis.
    Blood. 2004 Nov 1;104(9):2886-92 PMID: 15217829
  69. Checkpoints of dueling dimers foil death wishes.
    Cell. 1994 Oct 21;79(2):189-92 PMID: 7954787
  70. Deficiency in Bak and Bax perturbs thymic selection and lymphoid homeostasis.
    Nat Immunol. 2002 Oct;3(10):932-9 PMID: 12244308
  71. Mechanisms of apoptosis sensitivity and resistance to the BH3 mimetic ABT-737 in acute myeloid leukemia.
    Cancer Cell. 2006 Nov;10(5):375-88 PMID: 17097560
  72. The ups and downs of Myc biology.
    Curr Opin Genet Dev. 2010 Feb;20(1):91-5 PMID: 19962879
  73. MCL-1 expression in B-cell non-Hodgkin's lymphomas.
    Hum Pathol. 2004 Sep;35(9):1095-100 PMID: 15343511
  74. Enforced BCL2 expression in B-lymphoid cells prolongs antibody responses and elicits autoimmune disease.
    Proc Natl Acad Sci U S A. 1991 Oct 1;88(19):8661-5 PMID: 1924327
  75. Cloning of the chromosome breakpoint of neoplastic B cells with the t(14;18) chromosome translocation.
    Science. 1984 Nov 30;226(4678):1097-9 PMID: 6093263
  76. The hallmarks of cancer.
    Cell. 2000 Jan 7;100(1):57-70 PMID: 10647931
  77. Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics.
    Br J Cancer. 1972 Aug;26(4):239-57 PMID: 4561027
  78. Apoptosis regulator bcl-w is essential for spermatogenesis but appears otherwise redundant.
    Proc Natl Acad Sci U S A. 1998 Oct 13;95(21):12424-31 PMID: 9770502
  79. p53- and drug-induced apoptotic responses mediated by BH3-only proteins puma and noxa.
    Science. 2003 Nov 7;302(5647):1036-8 PMID: 14500851
  80. In several cell types tumour suppressor p53 induces apoptosis largely via Puma but Noxa can contribute.
    Cell Death Differ. 2008 Jun;15(6):1019-29 PMID: 18259198
  81. Development and maintenance of B and T lymphocytes requires antiapoptotic MCL-1.
    Nature. 2003 Dec 11;426(6967):671-6 PMID: 14668867
  82. The role of BH3-only protein Bim extends beyond inhibiting Bcl-2-like prosurvival proteins.
    J Cell Biol. 2009 Aug 10;186(3):355-62 PMID: 19651893
  83. BH3 domains of BH3-only proteins differentially regulate Bax-mediated mitochondrial membrane permeabilization both directly and indirectly.
    Mol Cell. 2005 Feb 18;17(4):525-35 PMID: 15721256
  84. Cloning and structural analysis of cDNAs for bcl-2 and a hybrid bcl-2/immunoglobulin transcript resulting from the t(14;18) translocation.
    Cell. 1986 Oct 10;47(1):19-28 PMID: 2875799
  85. Nucleotide sequence of a t(14;18) chromosomal breakpoint in follicular lymphoma and demonstration of a breakpoint-cluster region near a transcriptionally active locus on chromosome 18.
    Proc Natl Acad Sci U S A. 1985 Nov;82(21):7439-43 PMID: 2865728
  86. Gefitinib-induced killing of NSCLC cell lines expressing mutant EGFR requires BIM and can be enhanced by BH3 mimetics.
    PLoS Med. 2007 Oct;4(10):1681-89; discussion 1690 PMID: 17973573
  87. Blockade of the Bcr-Abl kinase activity induces apoptosis of chronic myelogenous leukemia cells by suppressing signal transducer and activator of transcription 5-dependent expression of Bcl-xL.
    J Exp Med. 2000 Mar 20;191(6):977-84 PMID: 10727459
  88. Bcl-w promotes gastric cancer cell invasion by inducing matrix metalloproteinase-2 expression via phosphoinositide 3-kinase, Akt, and Sp1.
    Cancer Res. 2006 May 15;66(10):4991-5 PMID: 16707418
  89. BCL-2, BCL-X(L) sequester BH3 domain-only molecules preventing BAX- and BAK-mediated mitochondrial apoptosis.
    Mol Cell. 2001 Sep;8(3):705-11 PMID: 11583631
  90. Bcl-XL inhibits membrane permeabilization by competing with Bax.
    PLoS Biol. 2008 Jun 10;6(6):e147 PMID: 18547146
  91. Puma is an essential mediator of p53-dependent and -independent apoptotic pathways.
    Cancer Cell. 2003 Oct;4(4):321-8 PMID: 14585359
  92. Mcl-1 deficiency results in peri-implantation embryonic lethality.
    Genes Dev. 2000 Jan 1;14(1):23-7 PMID: 10640272
  93. A 14;18 and an 8;14 chromosome translocation in a cell line derived from an acute B-cell leukemia.
    Proc Natl Acad Sci U S A. 1984 Nov;81(22):7166-70 PMID: 6334305
  94. Bim is a suppressor of Myc-induced mouse B cell leukemia.
    Proc Natl Acad Sci U S A. 2004 Apr 20;101(16):6164-9 PMID: 15079075
  95. BIM mediates EGFR tyrosine kinase inhibitor-induced apoptosis in lung cancers with oncogenic EGFR mutations.
    PLoS Med. 2007 Oct;4(10):1669-79; discussion 1680 PMID: 17973572
  96. Bax loss impairs Myc-induced apoptosis and circumvents the selection of p53 mutations during Myc-mediated lymphomagenesis.
    Mol Cell Biol. 2001 Nov;21(22):7653-62 PMID: 11604501
  97. Immunohistochemical analysis of in vivo patterns of Bcl-X expression.
    Cancer Res. 1994 Nov 1;54(21):5501-7 PMID: 7923184
  98. Novel primitive lymphoid tumours induced in transgenic mice by cooperation between myc and bcl-2.
    Nature. 1990 Nov 22;348(6299):331-3 PMID: 2250704
  99. Induction of BIM is essential for apoptosis triggered by EGFR kinase inhibitors in mutant EGFR-dependent lung adenocarcinomas.
    PLoS Med. 2007 Oct 9;4(10):e294 PMID: 17927446
  100. NFkappaB activity, function, and target-gene signatures in primary mediastinal large B-cell lymphoma and diffuse large B-cell lymphoma subtypes.
    Blood. 2005 Aug 15;106(4):1392-9 PMID: 15870177
  101. Cloning the chromosomal breakpoint of t(14;18) human lymphomas: clustering around JH on chromosome 14 and near a transcriptional unit on 18.
    Cell. 1985 Jul;41(3):899-906 PMID: 3924412
  102. Mcl-1 is essential for germinal center formation and B cell memory.
    Science. 2010 Nov 19;330(6007):1095-9 PMID: 20929728
Article Info
Journal
Cell death and differentiation
Abbr.
Cell Death Differ
ISSN
1476-5403
Published
2011-09-00
Epub
2011-00-18
Pages
1414-24
Language
English
Region
England
NLM ID
9437445
PMCID
PMC3149740
Subset
IM
Grants
NCI NIH HHS · R01 CA043540 · United States
NCI NIH HHS · R01 CA043540-22 · United States
NCI NIH HHS · (CA 043540), · United States
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com