Here we report the identification and characterization of a nine amino acid, Nur77 Bcl-2 converting peptide (NuBCP-9), which potently induces apoptosis through a pathway that is potentiated by Bcl-2 expression
in vitro and in animals (, ,
Figure S3, and S4). Bcl-2 is an attractive drug target, because its levels are elevated in a majority of human cancers and correlate with the resistance of cancer cells to many chemotherapeutic drugs and γ-irradiation. From a therapeutic viewpoint, Bcl-2 overexpression may be advantageous because it distinguishes many cancer cells from normal cells. In this regard, several strategies taking advantage of this difference are currently being investigated, which may lead to improved cancer treatments. Currently, targeting Bcl-2 has mostly relied on antisense oligonucleotides that inhibit Bcl-2 expression or BH3 peptides and small molecule surrogates that bind the Bcl-2 BH3 binding pocket, antagonizing its anti-apoptotic (
Bouillet and Strasser, 2002;
Degterev et al., 2001;
Oltersdorf et al., 2005;
Reed, 2002;
Walensky et al., 2004). Although it has been known for some time that Bcl-2 can be converted to a pro-apoptotic form using caspase-3 (
Cheng et al., 1997;
Grandgirard et al., 1998) or activating proteins including Nur77 (
Lin et al., 2004), it has been unclear whether this conversion provides a basis for cancer drug development. NuBCP-9 acts by inducing a Bcl-2 conformational change raising prospects that NuBCP-9-based drugs and small molecule Bcl-2 converters might be developed for treating cancers with elevated levels of Bcl-2. The NuBCP-9 enantiomer is a D-peptide which are protease resistant (
Zhou et al., 2002), an important consideration for peptide-based drug development, while short peptides are sometimes forerunners for small molecule drug development. Our observation that NuBCP-9 and its enantiomer effectively induced tumor regression in animals establishes them as potential therapeutic leads for the treatment of Bcl-2-overexpressing cancers.
Our data demonstrates that NuBCP-9 induces a Bcl-2 conformational change by binding the Bcl-2 loop to dislodge its BH4 domain () which exposes the BH3 domain (, and
Figure S7). Our results provide further support for the Bcl-2 loop as a regulator of its activity. The Bcl-2 loop is predicted to be natively unstructured (
Figure S11). Recent studies have shown that a large unstructured loop can bind different proteins by structural adaptation through coupled folding (
Dyson and Wright, 2005). The majority of human cancer-associated and signaling proteins are predicted to have large, natively unstructured loops. that may account for their positions at the centers of many biological processes (
Dyson and Wright, 2005;
Li, 2005;
Iakoucheva et al., 2002). The observation that both NuBCP-9 and its enantiomer bind the Bcl-2 loop may be a manifestation of an unstructured, conformationally adaptable loop. The Bcl-2 family of proteins is central to apoptosis. Thus it is not surprising that the Bcl-2 loop shares many of the characteristics of structurally adaptable regulatory loops, including its large size (69 residues), high proline content (22%), several phosphorylation and caspase cleavage sites and at least five different protein binding partners (Bruey et al., 2007;
Deng et al., 2006;
Kang et al., 2005;
Lin et al., 2004;
Ueno et al., 2000). Consequently, it might be expected that Bcl-2 conversion is subjected to multiple levels of regulation, depending on cell type and cellular environment. Of particular interest is that the Bcl-2 loop is enriched by proline residues, which are widely distributed in disordered regulatory loops of proteins from prokaryotes to eukaryotes and display promiscuity and versatility in protein-protein interactions (
Li, 2005). Structural analysis of the Bcl-2/NuBCP complex will eventually resolve whether these proline-rich sequences are responsible for binding to NuBCP-9 and its enantiomer. As many human-cancer-associated and signaling proteins contain large, natively disordered regulatory loops (
Dyson and Wright, 2005;
Iakoucheva et al., 2002;
Li, 2005), proteolytic stable D-peptides may provide a rich source for new drug leads
Induction of apoptosis by NuBCP-9 required expression of either Bax or Bak () and was associated with their activation (). However, the addition of NuBCP-9 to Bcl-2, unlike tBid, did not induce Bax-dependent permeabilization of mitochondria-outer-membrane liposomes (), arguing against a direct activation mechanism. Consistent with an indirect activation mechanism, we found that NuBCP-9 inhibited Bcl-2 interaction with tBid (), suggesting that NuBCP-9 may indirectly induce Bax activation by inhibiting Bcl-2 interaction with activator BH3-only proteins. Investigating this further, our liposome data showed that inhibition of tBid-activated Bax by Bcl-2 or Bcl-X
L was reversed by NuBCP-9 (). Our results are reminiscent of previous studies showing that phosphorylation of the nonstructured loop prevented Bcl- 2 from binding to multidomain pro-apoptotic members (
Bassik et al., 2004) and Beclin 1, a BH3-containing autophagic protein (
Wei et al., 2008). Thus, NuBCP-9, similar to BH3 peptides or their small molecule surrogates, can prevent Bcl-2 from binding and sequestering pro-apoptotic Bcl-2 family members.
One unique property of NuBCP-9, which distinguished it from Bcl-2 inhibitors, is that NuBCP-9 not only antagonizes the survival function of Bcl-2 but also induces a Bcl-2 conformation that inhibits the survival function of its anti-apoptotic relatives, such as Bcl-X
L (). Such an effect is likely mediated by its ability to induce exposure of the BH3 domain of Bcl-2 (, and
Figure S7). Mutagenesis of the Bcl-2 BH3 domain showed that it is required for NuBCP-9-induced Bcl-2- dependent apoptosis. Thus Bcl-2 BH3 mutants acted dominant-negatively to inhibit NuBCP-9-induced Bcl-2- dependent apoptosis ( and ) and Bax activation (). Consistently, a peptide corresponding to the BH3 domain of Bcl-2 effectively neutralized the anti-Bax effect of Bcl-X
L in liposome assays (). Similar to the Bcl-2 BH3 peptide, NuBCP-9 induced exposure of the Bcl-2 BH3 domain also neutralized the inhibitory effect of Bcl-X
L on Bax activation (). Thus, NuBCP-9 is distinguished from Bcl-2 BH3 domain inhibitors in that it also converts Bcl-2 into a “BH3-like” molecule that in turn inhibits its anti-apoptotic relative Bcl-X
L.