Article
作者: Lessene, Guillaume ; Kile, Benjamin T. ; Wei, Andrew H. ; Czabotar, Peter E. ; Yap, Yu Q. ; Sumardy, Fransisca ; Jahja, Michelle ; De Silva, Melanie ; Huang, David C. S. ; Lew, Thomas E. ; van Delft, Mark F. ; Dewson, Grant ; Li, Kaiming ; Khakham, Yelena ; Lowes, Kym ; Moujalled, Donia M. ; Gong, Jia-nan ; Luo, Meng-Xiao ; Yuan, Zheng ; Birkinshaw, Richard W. ; Georgiou, Angela
Defective apoptosis mediated by B cell lymphoma 2 antagonist/killer (BAK) or B cell lymphoma 2–associated X protein (BAX) underlies various pathologies including autoimmune and degenerative conditions. On mitochondria, voltage-dependent anion channel 2 (VDAC2) interacts with BAK and BAX through a common interface to inhibit BAK or to facilitate BAX apoptotic activity. We identified a small molecule (WEHI-3773) that inhibits interaction between VDAC2 and BAK or BAX revealing contrasting effects on their apoptotic activity. WEHI-3773 inhibits apoptosis mediated by BAX by blocking VDAC2-mediated BAX recruitment to mitochondria. Conversely, WEHI-3773 promotes BAK-mediated apoptosis by limiting inhibitory sequestration by VDAC2. In cells expressing both pro-apoptotic proteins, apoptosis promotion by WEHI-3773 dominates, because activated BAK activates BAX through a feed-forward mechanism. Loss of BAX drives resistance to the BCL-2 inhibitor venetoclax in some leukemias. WEHI-3773 overcomes this resistance by promoting BAK-mediated killing. This work highlights the coordination of BAX and BAK apoptotic activity through interaction with VDAC2 that may be targeted therapeutically.