A Key Role for Caspase-2 and Caspase-3 in the Apoptosis
Induced by 2-Chloro-2'-deoxy-adenosine (Cladribine) and 2-
Chloro-adenosine in Human Astrocytoma Cells
STEFANIA CERUTI, ELENA BELTRAMI, PAOLA MATARRESE, ALESSIA MAZZOLA, FLAMINIO CATTABENI,
WALTER MALORNI, and MARIA P. ABBRACCHIO
Department of Pharmacological Sciences, School of Pharmacy (S.C., E.B., A.M., F.C., M.P.A.) and Center of Excellence for Neurodegenerative
Diseases (S.C., F.C., M.P.A.), University of Milan, Milan, Italy; and Department of Ultrastructures, Istituto Superiore di Sanita ` , Rome, Italy (P.M.,
W.M.)
Received November 25, 2002; accepted March 14, 2003 This article is available online at http://molpharm.aspetjournals.org
ABSTRACT
Both the anticancer agent 2-chloro-2'-deoxy-adenosine
(Cladribine) and its derivative 2-chloro-adenosine induce apo-
ptosis of human astrocytoma cells (J Neurosci Res 60:388 –
400, 2000). In this study, we have analyzed the involvement of
caspases in these effects. Both compounds produced a grad-
ual and time-dependent activation of “effector” caspase-3,
which preceded the appearance of the nuclear signs of apo-
ptosis, suggesting a temporal correlation between these two
events. Moreover, the caspase inhibitor N-benzyloxycarbonyl-
Val-Ala-DL-Asp-fluoromethylketone (fmk) suppressed both
caspase-3 activation and apoptosis induction. “Initiator”
caspase-9 and caspase-8 were only marginally activated at
later times in the apoptotic process. Accordingly, at concen-
trations that selectively inhibit these caspases, neither N-ben-
zyloxycarbonyl-Leu-Glu-His-Asp-fmk nor N-benzyloxycar-
bonyl-Ile-Glu-Thr-Asp-fmk could prevent adenosine analog-
induced cell death. To definitively rule out a role for the
caspase-9/cytochrome c-dependent mitochondrial pathway of
cell death, neither adenosine analog had any effect on mito-
chondrial membrane potential, which was instead markedly
reduced by other apoptotic stimuli (e.g., deoxyribose, NaCN,
and betulinic acid). Consistently, although the latter triggered
translocation of mitochondrial cytochrome c to the cytoplasm,
no cytosolic accumulation of cytochrome c was detected with
adenosine analogs. Conversely, 1 to 7 h after addition of either
adenosine analog (i.e., before the appearance of caspase-3
activation), caspase-2 activity was surprisingly and markedly
increased. The selective caspase-2 inhibitor N-benzyloxy car-
bonyl-Val-Asp-Val-Ala-Asp-fmk significantly reduced both
adenosine analogs-induced caspase-2 activation and the as-
sociated cell death. We conclude that adenosine analogs in-
duce the apoptosis of human astrocytoma cells by activating
an atypical apoptotic cascade involving caspase-2 as an initi-
ator caspase, and effector caspase-3. Therefore, these com-
pounds could be effectively used in the pharmacological ma-
nipulation of tumors characterized by resistance to cell death
via either the mitochondrial or caspase-8/death receptor path-
ways.
Apoptosis is a cell death process characterized by cell
shrinkage, chromatin condensation, membrane blebbing,
and fragmentation of the cell into “apoptotic bodies”, which
are recognized and eliminated by phagocytes (Allen et al.,
1997).
Multicellular organisms eliminate abnormal, damaged or
unwanted cells through apoptosis. Besides genetic mutations
promoting unrestrained cellular proliferation, the transfor-
mation of a normal to a neoplastic cell (and then to more
malignant phenotypes) is linked to the acquisition of genetic
This work was supported by the Ministero dell’Universita ` e della Ricerca
Scientifica e Tecnologica (MURST), Cofinanziamento di Ricerche di Interesse
Nazionale 1999 and 2001 on “Recettori purinergici e neuroprotezione” (to F.C.),
by the University of Milan, grant F.I.R.S.T., by the Italian National Research
Council (CNR) Contributo di Ricerca 99.02360.CT04 (to M.P.A.), and by a
grant of the Ministero della Sanita ` , Italy (to W.M.).
Part of the present data has been presented at the following meetings:
International Symposium “Purine 2000” (Madrid, Spain; published as an ab-
stract in Drug Dev Res 50:90, 2000); “XXX Congress of the Italian Pharmaco-
logical Society” (Genova, Italy; published as an abstract in Pharmacol Res
43:129, 2001); “3rd Meeting of the Federation of the European Pharmacolog-
ical Societies (EPHAR)” (Lyon, France; published as an abstract in Fundam
Clin Pharmacol 15:147, 2001).
S.C. and E.B. contributed equally to this work.
ABBREVIATIONS: 2-CdA, 2-chloro-2'-deoxy-adenosine; m, mitochondrial transmembrane potential; 2-CA, 2-chloro-adenosine; ANOVA, analysis of
variance; BetA, betulinic acid; DEVD-pNA, N-acetyl-Asp-Glu-Val-Asp-paranitroaniline; dRib, 2-deoxyribose; Eto, etoposide; FBS, fetal bovine serum;
IETD-pNA, N-acetyl-Ile-Glu-Thr-Asp-paranitroaniline; JC-1, 5,5',6,6'-tetrachloro-1,1',3,3'-tetraethyl-benzimidazol-carbocyanine iodide; LEHD-pNA, N-
acetyl-Leu-Glu-His-Asp-paranitroaniline; NaCN, sodium cyanide; PI, propidium iodide; TBS, Tris-buffered saline; zDEVD-fmk, N-benzyloxycarbonyl-
Asp-Glu-Val-Asp-fluoromethylketone; zIETD-fmk, N-benzyloxycarbonyl-Ile-Glu-Thr-Asp-fluoromethylketone; zLEHD-fmk, N-benzyloxycarbonyl-Leu-
Glu-His-Asp-fluoromethylketone; zVAD-fmk, N-benzyloxycarbonyl-Val-Ala-DL-Asp-fluoromethylketone; zVDVAD-fmk, N-benzyloxy carbonyl-Val-Asp-
Val-Ala-Asp-fluoromethylketone; zVDVAD-pNA, N-benzyloxycarbonyl-Val-Asp-Val-Ala-Asp-paranitroaniline.
0026-895X/03/6306-1437–1447$7.00
MOLECULAR PHARMACOLOGY Vol. 63, No. 6
Copyright © 2003 The American Society for Pharmacology and Experimental Therapeutics 2303/1068999
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