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Zhu et al.                                                                                                                                                  Function of Mcl-1 and its regulative relations with HCC

                                                              related to the ratio of Mcl-1/Mcl-1S. [23]  It is noteworthy
           BH3 only                                    Mcl-1  that Mcl-1 plays the leading role in the regulation of
           proteins                                           apoptosis induced by Mcl-1/Mcl-1S and is expressed
                    Direct                 Indirect
                    activation             activation         at higher levels than Mcl-1S. [13,24,25]  In cancer, Mcl-1S
                                                              is expressed at much lower levels than Mcl-1 that it
                         Bak/Bax                              was even hardly undetectable. [26]  Some cancer cells
                                   Cytochrome c release       such as human lung cancer cell lines A549, Chinese
                                                              hamster ovary cells and multiple  myeloma MOLP-
                                       Apoptosome                                            [13,15,27]
                                       formation              8 cells show high level of Mcl-1S.    Hence, this
                                                              review mainly discusses Mcl-1.
                                      Caspase
                                      activation              Paradoxically, it is possible that Mcl-1 also plays an
                                                              important role in delaying cell cycle progression for the
                                                              existence of Mcl-1 in nucleus have been reported as
                                                              well. [28]  The first 79 amino acids of Mcl-1 promotes its
                                Apoptosis                     association with mitochondria, the N terminus of Mcl-1
           Figure 2: Myeloid cell leukaemia-1 (Mcl-1) regulates initiation of   also plays a regulatory role in regulating nuclear (anti-
           apoptosis through interaction with other Bcl-1 family members.   proliferative) functions of Mcl-1 and has an antagonistic
           Under normal circumstances, Mcl-1 prevents the activation of Bax   effect  on  proliferation.  There  seems  to  be  a  balance
           and Bak to protect mitochondrial outer membrane integrity and
           cell survival. Under conditions of stress, the BH3 only proteins   between anti-apoptotic and anti-proliferative functions
           are activated and induce apoptosis either by releasing Bak/Bax   of Mcl-1 regulated by the N terminus of Mcl-1. [19]  In
           from Mcl-1 or by BH3 only proteins binding to Mcl-1 directly. Bak/
           Bax form pores on mitochondrial outer membrane and cytochrome   addition to antiapoptosis, Mcl-1 is capable of interacting
           C is relieved into the cytoplasm. In the cytoplasm, cytochrome C   with proliferating-cell nuclear antigen (PCNA) [29]
           activates a family of cysteine proteases named caspases which   and  cyclin  depndent  kinase  1  (CDK1), [4]  which may
           subsequently induce cell apoptosis
                                                              inhibit cell cycle progression. [29,30]  On the basis of
           result, promote cell survival. [19]  Furthermore, Mcl-1   co-immunoprecipitation experiments, Jamil  et al. [30]
           with an internal domain containing an EELD motif (at   showed that endogenous Mcl-1 interacted with CDK1.
           residue 124-127) interacts with the mitochondrial import   The interaction involved a truncated form of Mcl-1,
           receptor Tom70, which facilitates Mcl-1’s import onto   which was termed snMcl-1 as a result of proteolysis
           mitochondrial membrane. [20]  Moreover, the C-terminal   at the C-terminus that regulated cell-cycle progression
           transmembrane  domain  of approximately  20 amino   by an inhibitory effect on CDK1 activity. The snMcl-1
           acids is required for targeting Mcl-1 to mitochondria. [21]  was presented during S and G2 phases. The authors
                                                              proposed that the Mcl-1-CDK1 interaction associated
           Normally,  in order to  maintain the inhibition  of  the   with a protein containing a nuclear localization signal
           pro-apoptotic  proteins  Bcl-2 homologous  antagonist   that mediated rapid translocation to the nucleus. [30]  Mcl-
           killer  (Bak), Mcl-1 often prevents  Bak from forming   1 can also regulate the S-phase of the cell cycle through
           dimer with Bcl-2-associated  protein  X (Bax) via   interaction  with PCNA, and such interaction  may be
           combination  with it.  At  the same time, Mcl-1 binds   through Mcl-1’s binding  to PCNA. [29]  Nonetheless,
           to  Bax to  make sure sequestering Bak and Bax,    the binding between PCNA and the Mcl-1 can not be
           and then blocks  forming pores  in the  mitochondrial   detected in solution studied by NMR, which suggests
           membrane  caused by conformational  change  and    that the interaction occurs very weakly, or with other
           homologous  oligomerization,  and eventually  stops   unidentified factors in cells. [31]  Of note, the interaction
           the release of cytochrome c into the cytoplasm, which   with PCNA represses cell cycle progression, but it is
           means blocking the  subsequent caspase cascade     not related to Mcl-1’s anti-apoptotic activity. [29]  And it’s
           reaction of apoptosis. In addition, Mcl-1 also binds and   not clear that whether such two kinds of interaction are
           sequesters BH3 only proteins which act to induce the   mechanistically linked.
           polymerisation of Bak and Bax to play its antiapoptosis
           role effectively [Figure 2]. [22]  As for the function of Mcl-  Mcl-1 is highly expressed in a variety of human
           1’s different isoforms induced by alternative splicing,   hematopoietic,  lymphoid  cancers and solid tumors
           Mcl-1 and Mcl-1S are capable of forming heterodimers   including  leukemia, [32,33]  lymphoma, [8]  cervical
           and thus neutralize either the pro-apoptotic function of   carcinoma, [34]   HCC, [10,35]   breast carcinoma, [36]   lung
           Mcl-1S or the anti-apoptotic function of Mcl-1. Owing   cancer [37]  and multiple myeloma. [7,38,39]  In addition, its
           to alternative splicing  mechanisms  and interactions   expression is often implicated in the chemotherapeutic
           of the resulting  Mcl-1 and Mcl-1S proteins, the fate   resistance and relapse of  certain malignancies.
           of cells expressing  the Mcl-1 gene may be closely   For instance, it is crucial for Mcl-1 to survive human
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