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Novel vitamin D analogs that modulate leukemic cell growth and
differentiation with little effect on either intestinal calcium absorption
or bone mobilization
JY Zhou, AW Norman, M Lubbert, ED Collins, MR Uskokovic and HP Koeffler
Department of Medicine, UCLA 90024.
Induction of terminal differentiation of leukemic and preleukemic cells is
a therapeutic approach to leukemia and preleukemia. The 1 alpha, 25-
dihydroxyvitamin D3 [1,25(OH)2D3], the hormonally active form of vitamin
D3, can induce differentiation and inhibit proliferation of leukemia cells,
but concentrations required to achieve these effects cause life-threatening
hypercalcemia. Seven new analogs of 1,25(OH)2D3 were discovered to be
either equivalent or more potent than 1,25(OH)2D3 as assessed by: (a)
inhibition of clonal proliferation of HL-60, EM-2, U937, and patients'
myeloid leukemic cells: and (b) induction of differentiation of HL-60
promyelocytes. Furthermore, these analogs stimulated clonal growth of
normal human myeloid stem cells. The most potent analog,
1,25-dihydroxy-16ene-23yne-vitamin D3, was about fourfold more potent than
1,25(OH)2D3. This analog decreased clonal growth and expression of c-myc
oncogene in HL-60 cells by 50% within ten hours of exposure. Effects on
calcium metabolism of these novel analogs in vivo was assessed by
intestinal calcium absorption (ICA) and bone calcium mobilization (BCM).
Each of the analogs mediated markedly less (10 to 200-fold) ICA and BCM as
compared with 1,25(OH)2D3. To gain insight into the possible mechanism of
action of these new analogs, receptor binding studies were done with
1,25(OH)2-16ene-23yne-D3 and showed that it competed only about 60% as
effectively as 1,25(OH)2D3 for 1,25(OH)2D3 receptors present in HL-60 cells
and 98% as effective as 1,25(OH)2D3 for receptors present in chick
intestinal cells. In summary, we have discovered seven novel vitamin D
analogs that are more potent than the physiologic 1,25(OH)2D3 as measured
by a variety of hematopoietic assays. In contrast, these compounds appear
to have the potential to be markedly less toxic (induction of
hypercalcemia). These novel vitamin D compounds may be superior to
1,25(OH)2D3 in a number of clinical situations including
leukemia/preleukemia; they will provide a tool to dissect the mechanism of
action of vitamin D seco-steroids in promoting cellular differentiation.
Volume 74,
Issue 1,
pp. 82-93,
07/01/1989
Copyright © 1989 by The American Society of Hematology

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