Apoptosis related protein-1 triggers melanoma cell death via interaction with the juxtamembrane region of p75 neurotrophin receptor

Abstract Although chemotherapeutic drugs could theoretically target all metastatic sites, current treatments do not provide complementary therapeutics. Therefore, the development of an alternative approach replacing the traditional therapy is urgently needed. To assess the killing efficiency of the functionally identified apoptosis-related protein (APR)-1 in melanoma cells, we established a system for the regulated expression of APR-1. The induction of APR-1 expression caused apoptosis of melanoma cells via the interaction with the juxtamembrane region of p75 neurotrophin receptor (p75NTR), and possible also via the competition with tumour necrosis factor receptor-associated factor-6 (TRAF6) and the catalytic receptor of neurotrophin (Trk) for the same p75NTR interacting site. The accumulation of APR-1 in melanoma cells may block the physical association of p75NRT with TRAF6 and/or Trk, leading to the disruption of both NF-κB and extracellular signal-regulated kinase (ERK) pathways. Also, accumulation of APR-1 protein enhanced the activity of both c-Jun-N-terminal kinase (JNK) and p38 pathways. However, the analysis of APR-1-modulated pathways demonstrated the involvement of apoptosis-regulating kinase 1-JNK/p38 pathway in the induction of Bax expression leading to both mitochondrial dysregulation [as demonstrated by the loss of mitochondrial membrane potential, the release of both cytochrome c and apoptosis-inducing factor into cytoplasm, and cleavage of caspase-9, caspase-3 and poly (ADP-ribose) polymerase (PARP)] and endoplasmic reticulum stress as demonstrated by the increase of intracellular Ca2+ release. Thus, besides the analysis of its pro-apoptotic function, our data provide insight into the molecular mechanism of APR-1-induced apoptosis of melanoma cells.


Introduction
Presently no effective therapy is available for metastatic melanoma [1]. Although chemotherapeutic drugs could theoretically target all metastatic sites, current treatments do not provide significant therapeutic effects [2]. Treatment failure in metastatic melanoma is not only caused by an impressive array of cell survival path-ways, but is also due to resistance to apoptotic stimuli including radio-and chemotherapy [2].
Metastatic cancers including melanoma are frequently associated with increased resistance to apoptosis induced by various therapeutic modalities [3,4]. Therefore, the success of systemic therapy for the treatment of metastatic melanoma is minimal [5][6][7]. Cancer chemotherapeutic efficacy is frequently impaired by either intrinsic or acquired tumour resistance to multiple, structurally unrelated therapeutic drugs with different mechanisms of action [8]. Thus, the development of an alternative approach to overcome chemo-resistance of melanoma metastasis, complementary to current therapies, is urgently needed. Apoptosisrelated protein-1 (APR-1) also known as melanoma antigen gene H1 (MAGE H1) is identified by functional screening during CD95mediated pathways to apoptosis [9].
The p75 neurotrophin receptor (p75NTR) is a tumour necrosis factor receptor (TNFR) superfamily member that is expressed at high levels during embryogenesis and functions as a pro-apoptotic receptor during development of neuronal and non-neuronal tissues [10][11][12]. However, the expression of p75NTR in melanoma is widely documented [13]. The ligand requirements and downstream signalling cascades activated by p75NTR reveal the ability of p75NTR to induce cell death via mechanisms that are distinct from those activated by other pro-apoptotic TNFR super family members. P75NTR-dependent apoptosis does not involve caspase-8 activation or phosphorylation of Bcl-2 homology (BH)domain-only family members, release of mitochondrial contents or activation of caspase-9 [14][15][16].
In addition, the interaction of several members of MAGE protein family with the intracellular region of p75NTR has been reported [17][18][19]. Neurotrophin receptor-interacting MAGE homolog (NRAGE), a member of MAGE family has been shown to function as an adaptor protein that links p75NTR to c-Jun-N-terminal kinase (JNK) activation and subsequently mediates apoptosis [18,20]. Thus, based on its similarity to NRAGE, we performed serial deletion mapping of APR-1 protein to investigate its interacting affinity for the intracellular region of p75NRT. In this study, we demonstrated the interaction of APR-1 protein with p75NTR via the juxtamembrane domain (JMD). This interaction was found to play an essential non-redundant role in the modulation of APR-1-induced apoptosis by a mechanism including the activation of apoptosisregulating kinase 1 (ASK1)-JNK/p38, and disruption of both NF-B and ERK pathways.

Cell lines
The melanoma cell lines A375 and BLM were obtained from American Type Culture Collection (ATCC, Manassas, VA, USA). The cells were cultured in DMEM medium containing 10% foetal bovine serum, and 100 U/ml penicillin and 100 g/ml streptomycin.

Establishment of melanoma cell lines for tightly regulated expression of APR-1
The melanoma (A375-TetOn and BLM-TetOn) cells were generated using the Tet-On expression system (Clontech, Inc., Heidelberg, Germany) as described previously [21,22]. Briefly, the melanoma cell lines (A375 and BLM) were transfected with pTet-On plasmid. Twenty-four hours later, the transfected cells were challenged with G418 (600 g/ml) for selection. After 6 weeks, single clones were picked up and expanded. The induction level was examined by the transfection of pTRE2hyg-Luciferase vector and subsequent induction of luciferase expression by the addition of Dox (10 ng/ml) for 24 hrs. The induction levels of each clone were determined using luciferase assay as described [23]. Clones with high induction level and low background were chosen for the transfection with pTRE2 hyg-APR-1. Cells were cultured in the presence of both G418 (600 g/ml) and Hygromycine (300 g/ml). Single clones were picked up and expanded for further examination using qRT-PCR and luciferase assay. Clones with high induction levels were chosen for functional analysis of APR-1 protein.

Flow cytometric analysis of apoptosis by annexin V/PI staining
The detection of apoptosis was performed as described [24,25]. Briefly, the cell lines A375-APR-1 and BLM-APR-1 were allowed to grow for 24 hrs under the recommended conditions prior the induction of APR-1 expression by the addition of Dox (10 ng/ml) for the indicated time periods. The cells were stained with 5 l of annexin V (Vybrant; Invitrogen, Karlsruhe, Germany) and 1 l propidium iodide (100 g/ml) for 15

Measurement of mitochondrial membrane potential (⌬⌿m) using JC-1
The loss of ⌬⌿m was assessed by flow cytometric analysis using JC-1 staining as described [21,24]. Briefly, A375-APR-1 and BLM-APR-1 cells were allowed to grow for 24

Staining of intracellular calcium
The intracellular calcium staining was performed as described previously [25].
Determination of cell viability by counting using trypan blue.

Cell lysis and subcellular fractionation
Total and nuclear cell extracts were prepared from both melanoma clones A375-APR-1 and BLM-APR-1 clones as described [21,24,27]. The preparations of mitochondrial and endoplasmic reticulum (ER) fractions were performed as described previously [25]. Briefly, APR-1-melanoma transfectants cultured in the presence or in the absence of Dox (10 ng/ml) were scraped off with 5 ml of PBS. Collected cells were precipitated by centrifugation at 600 ϫ g for 5 min., washed, resuspended and homogenized in PBS by ultrathorax and then centrifuged at 600 ϫ g for 5 min. The postnuclear supernatant was layered over a discontinuous gradient of 40 and 60% sucrose. After centrifugation at 100,000 ϫ g for 3 hrs, aliquots were precipitated with 10% trichloroacetic acid and subjected to SDS-PAGE and immunoblotting using antibodies for mitochondria and ER, respectively.

Electrophoretic mobility shift assay
The details of electrophoretic mobility shift assay (EMSA) have been described [26,27]

Construction, cloning and production of recombinant proteins
The cDNAs constructs encoding for the full-length (amino acids  and truncated recombinant proteins (amino acids:

Application of siRNAs
The knockdown of p75NTR was performed by its specific siRNA (D-009340-03; Dharmacon RNA Technology, Lafayette, CO, USA) as recommended by manufacturer's protocol.

Tightly regulated expression of APR-1 triggers apoptosis of melanoma cells
To examine the function of APR-1 protein as apoptotic mediator in melanoma cells and to elucidate the underlying mechanisms, whereby APR-1 triggers cell death, we established A375 and BLM cell lines for the inducible expression of APR-1 protein using tetracycline system [21,27]. Both A375/TetOn-APR-1 and BLM/TetOn-APR-1 cells were, tested for their high induction efficiency and low background in a time course experiments (data not shown). Figure 1A demonstrates tightly regulated expression of APR-1 protein by the addition of Dox (10 ng/ml) to the culture media for regulated time intervals. The induction of APR-1 protein was noted at 12 hrs after the addition of Dox (10 ng/ml) and increased thereafter up to 48 hrs (Fig. 1A). In addition, we performed a time course experiment by the addition of Dox (10 ng/ml) to the culture media of both A375-APR-1 and BLM-APR-1 at different time periods (0, 12, 24 and 48 hrs). Next, we determined the cell viability by either MTT assay (Fig. 1B) or by direct counting using trypan blue staining (Fig. 1C). Although the addition of Dox to culture media does not influence the viability of the parental cells (A375 and BLM), the induction of APR-1 expression, in both A375-APR-1 and BLM-APR-1 was found to reduce markedly the cell viability in a time-dependent manner. Accordingly, the reduction of cell viability was noted at 12 hrs past treatment and increased thereafter to reach a maximum at 48 hrs in both cells (Fig. 1B,  C).To check whether APR-1-induced melanoma cell death is mediated by an apoptotic mechanism, we confirmed APR-1induced cell death by flow cytometry using annexin V/PI staining. Twenty four hours following the induction of APR-1 protein, both melanoma cells were stained with annexin V-FITC/PI and subjected for flow cytometric analysis. The induction of APR-1 protein was found to kill melanoma cells by an apoptotic mechanism as demonstrated by annexin V/PI staining (Fig. 1B). Also, the role of mitochondria in APR-1-induced apoptosis was analysed. Flow cytometric analysis using JC-1 staining (Fig. 1C) demonstrated the loss of ⌬⌿m by the induction of APR-1 protein in both melanoma cells, suggesting a central role for mitochondrial pathway(s) in the modulation of APR-1-induced apoptosis. Next, we confirmed APR-1-induced apoptosis of melanoma cells at molecular levels. Data obtained from Western blot analysis (Fig. 1D) demonstrated the induction of both mitochondrial AIF and cytochrome c release into the cytoplasm, when analysed in both cytosolic and mitochondrial fractions. The purity of both fractions was assessed using anti-Tom 20 antibody as marker for mitochondrial fraction. Also, the induction of APR-1 expression was found to enhance the cleavage of caspase-9, caspase-3 and PARP (Fig. 1E) providing evidence for the involvement of the mitochondrial apoptotic pathway(s) in the modulation of APR-1-induced apoptosis.

Interaction of APR-1 protein with juxtamembrane domain of p75NTR
Based on the fact that the identification of APR-1 was made during Fas-induced pathway to apoptosis, we suggested that APR-1 protein may achieve its pro-apoptotic function via direct interaction with the intracellular domains of TNFR superfamily members. Next, we screened a set of candidate receptors including TNFR1, TNFR2, Fas, human p75NTR, mouse p75NTR, rate p75NTR, TrkA, TrkB, TrkC, FADD and DAP kinase ( Fig. 2A). Data obtained from dot blot analysis of in vitro transcribed and translated [ 35 S] APR-1 protein with the candidate proteins revealed the interaction of APR-1 protein with p75NTR proteins derived from human beings, mice or rats. However, a weak interaction was noted with TNFR1, when compared with the other candidates. Next, we performed co-immune precipitation to confirm the interaction of APR-1 with p75NTR. The detection of APR-1 in immune-precipitated p75NTR protein as well as the detection of p75NTR in immune-precipitated APR-1 derived from APR-1-expressing cells (Fig. 2B)  were also performed (Fig. 2C). Data obtained from Far Western blot using the fusion proteins of the different domains of p75NTR and in vitro transcribed and translated APR-1 protein (Fig. 2D) revealed the interaction of APR-1 with the intracellular domains of the p75NTR. Furthermore, the hybridization of APR-1 to both death domain and JMD identified JMD as APR-1 interaction domain (Fig. 3E), suggesting that APR-1-induced apoptosis may be mediated by direct interaction of APR-1 with the JMD of p75NTR.

Suppression of APR-1-induced apoptosis of melanoma cells by the knockdown of p75NTR
To confirm the functional role of p75NTR in the modulation of APR-1-induced apoptosis of melanoma cells, the BLM-APR-1 cells were pre-treated with either scramble or with p75NRT siRNA before the addition of Dox (10 ng/ml). The cells were harvested at 24 and 48 hrs following the addition of Dox to the culture medium. The harvested cells were either subjected to trypan blue staining or Western blot analysis. Western blot analysis (Fig. 2F) demonstrated the efficiency of siRNA to knockdown the basal expression level of p75NR, although data obtained from cell counting using trypan blue staining (Fig. 2G) demonstrated the rescue of APR-1-induced reduction of cell viability by the knockdown of p75NTR, when compared with control cells. Also, the inhibition of APR-1-induced PARP cleavage in response to the treatment with p75NTR siRNA (Fig. 2F) confirmed the involvement of p75NTR in the modulation of APR-1-induced apoptosis of melanoma cells

Activation of JNK and p38, and inhibition of ERK pathways by the induction of APR-1 protein in melanoma cells
To show whether APR-1-induced effects on the three mitogen activated protein (MAP) kinases JNK, p38 and ERK are correlated with the expression level of APR-1 protein in melanoma cells. Next, we allowed the BLM-APR1 cells to grow in the presence of Dox (10 ng/ml) for different time intervals (0, 12, 24 and 48 hrs), whereas the parental cells were allowed to grow in the absence or in the pres-ence of Dox (10 ng/ml) for 24 hrs, and used as control for Dox mediated effects. The analysis of total cell lysates by Western blot using specific antibodies for phospho-and total JNK, p38 and ERK proteins (Fig. 3A)

Fig. 1 (A) Time-dependent induction of APR-1 protein in both A375-APR-1 and BLM-APR-2 cells. Both A375-APR-1 and BLM-APR-1 cells were allowed to grow in the absence or in the presence of Dox (10 ng/ml) for regulated time intervals up to 48 hrs. The cells were harvested and subjected to Western blot analysis using anti-APR-1 antibody. Time course experiment demonstrates APR-1-induced reduction of cell viability in both A375-APR-1 and BLM-APR-1 cells as assessed by MTT assay (B) or by direct counting using trypan blue staining (C). Both parental cell lines were used as control to assess the toxicity of Dox on melanoma cells. (D) Flow cytometric analysis using annexin V/PI staining demonstrates the induction of apoptosis in melanoma cells by the expression of APR-1 protein. (E) Flow cytometry using JC-1 staining shows the loss of ⌬⌿m by the induction of APR-1 protein. Cells with intact mitochondria displayed high red and high green fluorescence and appear in the upper right quadrant of the scatterplots. In contrast, cells that had lost their ⌬⌿m displayed high green and low red fluorescence and appear in the lower right quadrant. (F) Western blot analysis demonstrates AIF and cytochrome c release in both cytosolic and mitochondrial fractions. Tom 20 (mitochondrial marker) was used as specific control for the purity of mitochondrial fractions. (G) Western blot analysis demonstrates cleavage of caspase 9, caspase-3 and PARP by the induction of APR-1 protein in melanoma cells. ␤-actin was used as internal control for loading and transfer. Data are representative of three independent experiments.
Although no alteration was noted at the expression levels of JNK, p38 or ERK (Fig. 3A), the induction of APR-1 protein was found to enhance the phosphorylation of both JNK and p38, and to inhibit the phosphorylation of ERK (Fig. 3A) 1-427aa (106.4  pmol), 1-341aa (135.1 pmol), 1-311aa (147 pmol), 1-274 aa (166 pmol), 275-340aa (694.3) and 341-427aa (526.2 1 and p53 (Fig. 3B), and ATF-2 (Fig. 3C), and the suppression of the transcription factor ELK-1 (Fig. 3D) confirming APR-1-induced effects on both JNK/p38 and ERK pathways.

Fig. 3 Activation of both JNK and p38, and inhibition of ERK pathways by the induction of APR-1 protein. (A) Western blot analysis of JNK, p38 and ERK pathways demonstrates the enhancement of JNK and p38, and inhibition of ERK phosphorylation by the induction of APR-1 protein, in BLM-APR-1 cells, is time dependent. Western blot (B): the analysis of the total cell lysates of A375-APR-1 and BLM-APR-1 cells using phospho-specific antibodies demonstrated the phosphorylation of both JNK and p38, and the inhibition of phospho-ERK by the induction of APR-1-expression. Whereas, rehybridization of the same blots with antibodies recognizing the total proteins of JNK, p38, and ERK showed no alteration at their expression levels by the induction of APR-1 protein. ␤-actin was used as internal control for loading and transfer. EMSA demonstrates the enhancement of the DNA-binding activities of the transcription factors AP-1 and p53 (C), and ATF-2 (D), and the inhibition of DNA-binding activity of the transcription factor ELK-1 (E) by the induction of APR-1 protein. Data are representative of three independent experiments performed separately.
following the induction of APR-1 for 24 and 48 hrs by the addition of Dox to the culture medium of A375-APR-1 (Fig. 4A) and BLM-APR-1 (Fig. 4B) cells. In addition, the inhibition of IB␣ phosphorylation by APR-1 in both A375-APR-1 (Fig. 4A) and BLM-APR-1 (Fig. 4B) cells was correlated with the increase of the stability of IB␣ protein, an evidence for the inhibition of NF-B pathway. Also, EMSA assay ( Fig. 4C and D) demonstrated that APR-1induced inhibition of NF-B activity is time dependent.

Next, we investigated the effect of APR-1 protein on both pro-and anti-apoptotic proteins, by the analysis of the expression levels of pro-apoptotic proteins (Bax and Bak), and the anti-apoptotic proteins (Mcl-1 and Bcl-xL), as well as the inhibitor of apoptosis (XIAP) and survivin proteins. Figure 5A demonstrates the induction of Bax, but not Bak expression, and the suppression of Mcl-1, XIAP and survivin in APR-1-expressing cells, suggesting the involvement of both pro-and anti-apoptotic proteins in the modulation of APR-1-induced apoptosis. In order to show the role of Bax protein in the context of APR-1-induced apoptosis, we analysed the subcellular localization of the pro-apoptotic protein Bax in both ER and mitochondrial fractions. Data obtained from
Western blot analysis (Fig. 5B) revealed the accumulation of Bax protein in both ER and mitochondrial fractions prepared from APR-1-expressing cells. This clearly indicates the localization of Bax protein at both ER and mitochondria, suggesting a functional role for Bax in the modulation of APR-1-induced apoptosis. In addition, we investigated whether the localization of APR-1induced Bax protein is associated with intracellular Ca 2ϩ release. Therefore, BLM-APR-1 cells were induced for the expression of APR-1 protein by addition of Dox (10 ng/ml) to the culture medium for 24 hrs, and then incubated with the Ca 2ϩϪ sensitive dye Fluo3 (Fig. 5C). As expected, the induction of APR-1 protein resulted in the increase of intracellular Ca 2ϩ release into the cytoplasm when compared to BLM-APR-1 control cells.

APR-1-induced apoptosis of melanoma cells is mediated by Bax via ASK1-JNK/p38 pathway
To investigate the molecular mechanism of APR-1-induced Bax expression and to address the role of Bax in the context of APR-1induced apoptosis of melanoma cells, both A375-APR-1 and BLM-APR-1 cells, were pre-treated with the inhibitors of ASK1 (thioredoxin) and JNK (SP600125) before induction of APR-1 expression for 24 hrs, and the total cell lysates and nuclear extracts were prepared. Data obtained from EMSA (Fig. 6) demonstrated the inhibition of APR-1-induced AP-1 (Fig. 6A and B), p53 (Fig. 6C and D) and ATF-2 ( Fig. 6E and F) by the corresponding inhibitors of ASK1, JNK and p38 pathways. Next, we examined the effect of both ASK1 and JNK inhibitors, on APR-1-induced Bax expression. Interestingly, the inhibition of either ASK1 or JNK by their specific inhibitors was found to block APR-1-induced Bax as demonstrated by Western blot analysis ( Fig. 7A and B), suggesting that APR-1-induced Bax expression is mediated by ASK1-JNK-p53/AP-1 pathway in both melanoma cells. In addition, we analysed the effect of ASK1 and JNK inhibitors on the extent of APR-1-induced apoptosis in both melanoma cells. Next, we evaluated the effect of both Dox and inhibitors (thioredoxin and Sp600125) on the extent of the viability of the parental cells; both A375 and BLM cells were treated with the recommended concentration of both Dox and inhibitors for the indicated time (24 hrs) before the measurement of their viability using MTT assay. Data obtained from cell viability assay (Fig. 7C and D) demonstrated no marked effect on the viability of the parental cells in response to the treatment with either Dox or the inhibitors. In contrast, the abrogation of APR-1-induced cell death by the inhibitors of ASK1 (thioredoxin) or JNK (SP600125) as shown ( Fig. 7C and D), provides evidence for the involvement of the ASK1-JNK-AP-1/p53-Bax pathway in the modulation of APR-1-induced apoptosis of melanoma cells. [9]. The overexpression of APR-1 of this protein in melanoma cells was found to overcome melanoma resistance to current therapies via the interaction with the JMD of p75NTR.

APR-1 (also known as Restin or MAGE H1) is a recently identified protein that belongs to the MAGE proteins family
Although the activation and expression of MAGEs were reported in various human cancers with highest frequency in melanoma, the physiological function of MAGEs remains largely unknown [28]. However, the involvement of MAGEs in the regulation of cell cycle progression [29] and apoptosis [18] has been suggested. Thus, the determination of the mechanisms, which are responsible for the regulation of MAGEs functions, may help for the development of a therapeutic approach for the treatment of melanoma metastasis.
Based on our data, the interaction of APR-1 with p75NTR seems to be responsible for the disruption of both NF-B and ERK pathways, as well as the activation of both JNK and p38 pathways. APR-1 may function as an adaptor protein that links p75NTR to JNK and p38 activation, and subsequently mediates apoptosis. This phenomenon relies, at least in part, on the competition of TNFR-associated factor-6 (TRAF6), and APR-1 for the same p75NTR interacting domain. Thus, the overexpression of APR-1 may block the physical association of p75NTR with TRAF6, and thereby cause disruption of the TRAF6/NF-B pathway that subsequently, in turn, results in the enhancement of APR-1-induced apoptosis. However, the mechanism of APR-1-mediated inhibition of ERK pathway still remains to be determined in detail.
Two parallel signalling pathways are coupled to p75NTR: one pathway leads to apoptosis [30] and the other pathway leads to survival [31]. The activation of p75NTR results in the activation of JNK and, in turn, to apoptotic cell death. However, this event 357 depends on the cell type and its differentiation state [29]. The outcome of p75NTR signalling is modified by the orchestration of several downstream adaptor proteins [10,32]. Some adaptor proteins are associated with cell death such as neurotrophin receptor interaction factor and p75NTR-associated cell death executor, whereas others appear to promote cellular survival (Fas-associated phosphatase-1, receptor-interacting protein-2 and TNFR-associated factor 6) [32,33].
In the present study, we found that APR-1 triggers apoptosis of melanoma cells via a mechanism mediated by mitochondrialdependent pathway(s). Using pharmalogical inhibitors, we could demonstrate that APR-1-induced apoptosis of melanoma cells is mediated by the activation of the ASK1-JNK/p38 pathway leading to the overexpression of Bax that subsequently localizes to both mitochondria and ER resulting in mitochondrial dysregulation and ER stress. Mitochondrial dysregulation was characterized by the release of both AIF and cytochrome c into the cytoplasm, and cleavage of casapase-9, caspase-3 and PARP, whereas ER stress was characterized by the increase of intracellular Ca 2ϩ release into the cytoplasm.

Also, the inhibition of the survival pathways NF-B and ERK by the expression of APR-1 in melanoma cells suggests an important role for these pathways in the modulation of APR-1-induced apoptosis.
A variety of signalling pathways have been detected for p75NTR. These include the activation of JNK that has been observed in cells undergoing cell death [34]. The activity of JNK can be up-regulated by neurotrophins under apoptotic conditions through p75NTR. Another signalling response is the activation of the nuclear transcription factor NF-B. However, increasing evidence has demonstrated that many TNFR family members interact with TRAFs to modulate JNK and NF-B activity as well as apoptosis [35,36]. Thus, based on our data and in agreement with the abovementioned reports, the involvement of both JNK and NF-B pathways in the modulation of APR-1-induced apoptosis is considered.
In addition to the investigation of the molecular mechanisms, which are implicated in the regulation of APR-1-induced apoptosis, we demonstrated that APR-1-induced apoptosis is mediated via the interaction of APR-1 protein with the intracellular region of p75NTR. The intracellular domains of p75NTR are 154 amino acids in length and contain a highly conserved juxtamembrane region and a death domain sequence in the C terminus [37]. Data obtained from Far Western blot revealed the interaction of APR-1 protein with the highly conserved region of p75NTR cytoplasmic region, JMD. This JMD is completely conserved between human, rat and chicken p75NTR genes [38].
The identification of juxtamembrane region of p75NTR as an interacting domain for APR-1 was initially unexpected, because p75NTR contains a C-terminal death domain that has been shown to be relevant for apoptosis [39].   apoptosis induced by the canonical death receptors such as TNFR-1 and Fas [40,41]. Therefore, it may be more appropriate to think of the death domain of p75NTR as an APR-1 interaction domain.
Thus, the overexpression of APR-1 may initiate a strong apoptotic signalling cascade via the interaction with the JMD of p75NTR that leads to activation of both JNK and p38, and disruption of pro-survival signalling NF-B and ERK pathways, together with the induction of pro-apoptotic protein Bax and degradation of anti-apoptotic proteins Mcl-1, XIAP and survivin.
In the present study, APR-1 was found to interact with P75NTR to induce the activation of JNK and p38, and disruption of both NF-B and ERK pathways, and subsequently leads to the release of apoptosis. However, it is not known whether these two mechanisms operate independently, perhaps in different cell types, or whether APR-1 can induce multiple signals to ensure cell death. Thus, based on our finding we suggested a model for APR-1-induced apoptosis of melanoma cells (Fig. 8).
In conclusion, we confirmed the pro-apoptotic function of APR-1 in melanoma-derived cells lines. APR-1 triggers apoptosis of melanoma cells through the interaction with the JMD of p75NTR via a molecular mechanism including the activation of both JNK and p38, and disruption of both NF-B and ERK pathways.