Potentiation of TRAIL‑induced cell death by nonsteroidal anti‑inflammatory drug in human hepatocellular carcinoma cells through the ER stress‑dependent autophagy pathway. (PubMed, Oncol Rep)
We revealed by MTT and western blotting, respectively, that celecoxib (CCB), an NSAID, and 2,5‑dimethyl celecoxib (DMC), a non‑cyclooxygenase (COX)‑2 inhibitor analog of CCB, were able to sensitize TRAIL‑resistant HCC cells to TRAIL, implicating a COX‑independent mechanism...In addition, we also revealed by flow cytometry and western blotting, respectively, that accelerated downregulation of TRAIL‑mediated c‑FLIP expression, DR5 activation and CD44 degradation/downregulation by NSAID resulted in activation of caspases and poly(ADP‑ribose) polymerase (PARP), leading to the sensitization of TRAIL‑resistant HCC cells to TRAIL and thereby reversal of TRAIL resistance. From these results, we propose that NSAID in combination with TRAIL may improve the antitumor activity of TRAIL in TRAIL‑resistant HCC, and this approach may serve as a novel strategy that maximizes the therapeutic efficacy of TRAIL for clinical application.