Protein kinase A activation by the anti-cancer drugs ABT-737 and thymoquinone is caspase-3-dependent and correlates with platelet inhibition and apoptosis

Cell Death Dis. 2017 Jun 29;8(6):e2898. doi: 10.1038/cddis.2017.290.

Abstract

Chemotherapy-induced thrombocytopenia is a common bleeding risk in cancer patients and limits chemotherapy dose and frequency. Recent data from mouse and human platelets revealed that activation of protein kinase A/G (PKA/PKG) not only inhibited thrombin/convulxin-induced platelet activation but also prevented the platelet pro-coagulant state. Here we investigated whether or not PKA/PKG activation could attenuate caspase-dependent apoptosis induced by the anti-cancer drugs ABT-737 (the precursor of navitoclax) and thymoquinone (TQ), thereby potentially limiting chemotherapy-induced thrombocytopenia. This is particularly relevant as activation of cyclic nucleotide signalling in combination chemotherapy is an emerging strategy in cancer treatment. However, PKA/PKG-activation, as monitored by phosphorylation of Vasodilator-stimulated phosphoprotein (VASP), did not block caspase-3-dependent platelet apoptosis induced by the compounds. In contrast, both substances induced PKA activation themselves and PKA activation correlated with platelet inhibition and apoptosis. Surprisingly, ABT-737- and TQ-induced VASP-phosphorylation was independent of cAMP levels and neither cyclases nor phosphatases were affected by the drugs. In contrast, however, ABT-737- and TQ-induced PKA activation was blocked by caspase-3 inhibitors. In conclusion, we show that ABT-737 and TQ activate PKA in a caspase-3-dependent manner, which correlates with platelet inhibition and apoptosis and therefore potentially contributes to the bleeding risk in chemotherapy patients.

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Benzoquinones / administration & dosage
  • Benzoquinones / adverse effects
  • Biphenyl Compounds / administration & dosage
  • Biphenyl Compounds / adverse effects
  • Blood Platelets / drug effects
  • Blood Platelets / metabolism*
  • Caspase 3 / genetics*
  • Cyclic AMP / antagonists & inhibitors
  • Cyclic AMP / genetics
  • Cyclic AMP-Dependent Protein Kinases / genetics*
  • Cyclic GMP-Dependent Protein Kinases / genetics
  • Humans
  • Mice
  • Neoplasms / drug therapy*
  • Neoplasms / genetics
  • Neoplasms / pathology
  • Nitrophenols / administration & dosage
  • Nitrophenols / adverse effects
  • Piperazines / administration & dosage
  • Piperazines / adverse effects
  • Platelet Activation / drug effects
  • Sulfonamides / administration & dosage
  • Sulfonamides / adverse effects
  • Thrombocytopenia / chemically induced
  • Thrombocytopenia / genetics*
  • Thrombocytopenia / pathology

Substances

  • ABT-737
  • Benzoquinones
  • Biphenyl Compounds
  • Nitrophenols
  • Piperazines
  • Sulfonamides
  • Cyclic AMP
  • Cyclic AMP-Dependent Protein Kinases
  • Cyclic GMP-Dependent Protein Kinases
  • Caspase 3
  • thymoquinone