Prostate cancer is the second most prevalent malignancy in the EU after lung cancer with about 200

000 new cases diagnosed and over 35

000 deaths each year. In England and Wales, 15

000 new cases and 8000 deaths are registered each year (
Parkin et al, 2001). Although the prognosis is good for individuals with localised tumours, 10–20% of patients are diagnosed with metastatic prostate cancer (
Crawford et al, 1999). These patients are usually treated with hormone ablation therapy which results in immediate tumour regression and temporary relief for the patient. However, hormone refractory prostate cancer invariably develops within 2–3 years of hormone ablation (
Petrylak, 1999). This slowly proliferating cancer is extremely difficult to treat and the prognosis for the patient is generally poor. Over the past 5 years, chemotherapy has been used to improve the quality of life in patients with metastatic, hormone-refractory prostate cancer. No treatment has yet been found that cures the disease or even significantly prolongs survival (
Petrylak, 1999).
Apoptosis, or programmed cell death (PCD), is characterised by morphological features including chromatin condensation, nuclear fragmentation, cell shrinkage, membrane blebbing and apoptotic body formation (
Kerr et al, 1972). Although a variety of different environmental insults and signalling pathways can stimulate apoptosis in cells, most of these signals converge at a family of cysteine proteases called the caspases. Like many proteases, they are synthesised in an inactive form and cleavage into active caspases is essential for the proliferation of the apoptotic signal. Caspases can be divided into two main subfamilies, initiator caspases and effector caspases (
Wolf and Green, 1999). The Fas receptor is a member of the Tumour Necrosis Factor receptor superfamily and is expressed at the plasma membrane in a variety of tissues. Ligation of Fas ligand or a cross-linking antibody to the Fas receptor induces apoptosis in susceptible cells. Fas receptor clustering results in the recruitment and auto-cleavage of the initiator caspase, Procaspase 8, at the plasma membrane. Active Caspase 8 proceeds to cleave downstream cellular targets including the effector Caspases 3 and 7, and the Bcl-2 family member Bid (
Peter and Krammer, 1998). Often an amplification step is required for Caspase 3 cleavage and morphological apoptosis. Caspase 8 cleaves Bid into tBid, a pro-apoptotic Bcl-2 family member that induces cytochrome
c release and apoptosome formation. This amplification loop through the mitochondrion drives the apoptotic programme in type II cells (
Scaffidi et al, 1999b).
DU 145 cells, a hormone refractory prostate adenocarcinoma, are highly resistant to Fas mediated apoptosis
in vitro. In a study performed using cell lines derived from prostate tumours with different pathological stages including DU 145, it was observed that ALVA-31 and PPC-1 were sensitive to Fas mediated apoptosis. These were reported to be isolated from primary prostatic tumours. In contrast, the cell lines LNCaP, DU 145 and PC-3 were resistant. These cell lines were reported to be derived from distant metastases. The authors correlated prostate cancer disease progression with resistance to Fas. Furthermore they suggest that this phenomenon may explain, at least in part, the inability to treat hormone refractory prostate cancer (
Hedlund et al, 1998). The two other cell lines used in this study, JCA-1 and TSU-Pr1 have since been reclassified as bladder cancer cell lines (
van Bokhoven et al, 2001).
In order to study the resistance of hormone refractory prostate cancer to chemotherapy, the effects of chemotherapeutic drugs on DU 145 cells was explored (
Uslu et al, 1997;
Costa-Pereira and Cotter, 1999). Our group discovered that sublethal concentrations of camptothecin, a novel topoisomerase I inhibitor, sensitised DU 145 cells to Fas mediated apoptosis by 20-fold (
Costa-Pereira and Cotter, 1999). Activation of the stress kinase JNK was found to be essential in potentiating Fas mediated apoptosis (
Costa-Pereira et al, 2000). In this study, we use anisomycin, a potent activator of JNK, to underscore the role played by JNK in Fas mediated apoptosis in DU 145 cells.