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Bcl-2 oncoprotein blocks chemotherapy-induced apoptosis in a human leukemia
cell line
T Miyashita and JC Reed
La Jolla Cancer Research Foundation, Cancer Research Institute, CA 92037.
Previous studies have shown that the bcl-2 gene encodes a mitochondrial
protein that contributes to neoplastic cell expansion primarily by
promoting cell survival through interference with "programmed cell death"
(PCD), also termed "apoptosis." Because many chemotherapeutic drugs are
capable of initiating pathways leading to apoptosis, we determined whether
deregulated bcl-2 expression could render cells resistant to several drugs
commonly used in the treatment of non- Hodgkin's lymphomas, including
dexamethasone (DEX), methotrexate (MTX), 1-beta-D-arabinofuranosyl-cytosine
(Ara-C), etoposide (VP-16), vincristine (VC), cisplatin (CP), and
hydroperoxycyclophosphamide (4- HC). For these experiments, we achieved
high levels of p26-Bcl-2 protein production in a human pre-B-cell leukemia
line 697 by stable infection with a recombinant bcl-2-containing retrovirus
and then compared these cells with control virus-infected 697 cells.
Control 697 cells were induced to undergo apoptosis by all drugs tested as
defined by DNA degradation into oligonucleosomal-length fragments, cell
shrinkage, and subsequent cell death. In contrast, 697 cells with elevated
Bcl-2 protein levels exhibited strikingly prolonged cell survival and
markedly reduced DNA fragmentation when cultured in the presence of these
antineoplastic agents. Although high levels of Bcl-2 protein protected 697
cells from the acute cytotoxic effects of DEX and the other drugs tested,
Bcl-2 did not prevent these drugs from suppressing the proliferation of 697
cells. However, when 697 cells were treated with DEX or MTX for 3 days,
then washed and cultured in semisolid media without drugs,
bcl-2-virus-infected cells gave rise to colonies at much higher frequencies
than 697 cells stably infected with control virus. These results indicate
that by protecting 697 leukemic cells from the acute cytotoxicity of DEX
and some other chemotherapeutic drugs, high levels of p26-Bcl-2 can create
the opportunity for re-initiation of cell growth when drugs are withdrawn.
The findings may be relevant to clinical correlative studies of non-
Hodgkin's lymphoma patients that have found an association between worse
prognosis and bcl-2 gene rearrangements or t[14;18] translocations.
Volume 81,
Issue 1,
pp. 151-157,
01/01/1993
Copyright © 1993 by The American Society of Hematology

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D. E. Lopes de Menezes, N. Hudon, N. McIntosh, and L. D. Mayer
Molecular and Pharmacokinetic Properties Associated with the Therapeutics of Bcl-2 Antisense Oligonucleotide G3139 Combined with Free and Liposomal Doxorubicin
Clin. Cancer Res.,
July 1, 2000;
6(7):
2891 - 2902.
[Abstract]
[Full Text]
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M. Konopleva, A. M. Tari, Z. Estrov, D. Harris, Z. Xie, S. Zhao, G. Lopez-Berestein, and M. Andreeff
Liposomal Bcl-2 antisense oligonucleotides enhance proliferation, sensitize acute myeloid leukemia to cytosine-arabinoside, and induce apoptosis independent of other antiapoptotic proteins
Blood,
June 15, 2000;
95(12):
3929 - 3938.
[Abstract]
[Full Text]
[PDF]
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R. J. Klasa, M. B. Bally, R. Ng, J. H. Goldie, R. D. Gascoyne, and F. M. P. Wong
Eradication of Human Non-Hodgkin's Lymphoma in SCID Mice by BCL-2 Antisense Oligonucleotides Combined with Low-Dose Cyclophosphamide
Clin. Cancer Res.,
June 1, 2000;
6(6):
2492 - 2500.
[Abstract]
[Full Text]
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R. Liu, C. Page, D. R. Beidler, M. S. Wicha, and G. Nunez
Overexpression of Bcl-xL Promotes Chemotherapy Resistance of Mammary Tumors in a Syngeneic Mouse Model
Am. J. Pathol.,
December 1, 1999;
155(6):
1861 - 1867.
[Abstract]
[Full Text]
[PDF]
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J. Fan and J. R. Bertino
Modulation of Cisplatinum Cytotoxicity by p53: Effect of p53-Mediated Apoptosis and DNA Repair
Mol. Pharmacol.,
November 1, 1999;
56(5):
966 - 972.
[Abstract]
[Full Text]
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Y. Kanatani, T. Kasukabe, J. Okabe-Kado, Y. Yamamoto-Yamaguchi, N. Nagata, K. Motoyoshi, and Y. Honma
Role of CD14 Expression in the Differentiation-Apoptosis Switch in Human Monocytic Leukemia Cells Treated with 1{{alpha}},25-Dihydroxyvitamin D3 or Dexamethasone in the Presence of Transforming Growth Factor {beta}
Cell Growth Differ.,
October 1, 1999;
10(10):
705 - 712.
[Abstract]
[Full Text]
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Y. Takada, M. Hachiya, Y. Osawa, Y. Hasegawa, K. Ando, Y. Kobayashi, and M. Akashi
12-O-tetradecanoylphorbol-13-acetate-induced Apoptosis Is Mediated by Tumor Necrosis Factor alpha in Human Monocytic U937 Cells
J. Biol. Chem.,
October 1, 1999;
274(40):
28286 - 28292.
[Abstract]
[Full Text]
[PDF]
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M. Gleave, A. Tolcher, H. Miyake, C. Nelson, B. Brown, E. Beraldi, and J. Goldie
Progression to Androgen Independence Is Delayed by Adjuvant Treatment with Antisense Bcl-2 Oligodeoxynucleotides after Castration in the LNCaP Prostate Tumor Model
Clin. Cancer Res.,
October 1, 1999;
5(10):
2891 - 2898.
[Abstract]
[Full Text]
[PDF]
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G.-J. Zhang, I. Kimijima, M. Onda, M. Kanno, H. Sato, T. Watanabe, A. Tsuchiya, R. Abe, and S. Takenoshita
Tamoxifen-induced Apoptosis in Breast Cancer Cells Relates to Down-Regulation of bcl-2, but not bax and bcl-XL, without Alteration of p53 Protein Levels
Clin. Cancer Res.,
October 1, 1999;
5(10):
2971 - 2977.
[Abstract]
[Full Text]
[PDF]
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J. C. Reed
Dysregulation of Apoptosis in Cancer
J. Clin. Oncol.,
September 1, 1999;
17(9):
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[Abstract]
[Full Text]
[PDF]
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P. T. Daniel, K.-T. Pun, S. Ritschel, I. Sturm, J. Holler, B. Dorken, and R. Brown
Expression of the Death Gene Bik/Nbk Promotes Sensitivity to Drug-Induced Apoptosis in Corticosteroid-Resistant T-Cell Lymphoma and Prevents Tumor Growth in Severe Combined Immunodeficient Mice
Blood,
August 1, 1999;
94(3):
1100 - 1107.
[Abstract]
[Full Text]
[PDF]
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R. G. Wickremasinghe and A. V. Hoffbrand
Biochemical and Genetic Control of Apoptosis: Relevance to Normal Hematopoiesis and Hematological Malignancies
Blood,
June 1, 1999;
93(11):
3587 - 3600.
[Full Text]
[PDF]
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S. Wesselborg, I. H. Engels, E. Rossmann, M. Los, and K. Schulze-Osthoff
Anticancer Drugs Induce Caspase-8/FLICE Activation and Apoptosis in the Absence of CD95 Receptor/Ligand Interaction
Blood,
May 1, 1999;
93(9):
3053 - 3063.
[Abstract]
[Full Text]
[PDF]
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L. A. Hogarth and A. G. Hall
Increased BAX Expression Is Associated With an Increased Risk of Relapse in Childhood Acute Lymphocytic Leukemia
Blood,
April 15, 1999;
93(8):
2671 - 2678.
[Abstract]
[Full Text]
[PDF]
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J. F. Krebs, R. C. Armstrong, A. Srinivasan, T. Aja, A. M. Wong, A. Aboy, R. Sayers, B. Pham, T. Vu, K. Hoang, et al.
Activation of Membrane-associated Procaspase-3 Is Regulated by Bcl-2
J. Cell Biol.,
March 8, 1999;
144(5):
915 - 926.
[Abstract]
[Full Text]
[PDF]
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S.-T. J. HUANG and J. A. CIDLOWSKI
Glucocorticoids inhibit serum depletion-induced apoptosis in T lymphocytes expressing Bcl-2
FASEB J,
March 1, 1999;
13(3):
467 - 476.
[Abstract]
[Full Text]
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M. Gaubin, M. Autiero, S. Basmaciogullari, D. Metivier, Z. Misehal, R. Culerrier, A. Oudin, J. Guardiola, and D. Piatier-Tonneau
Potent Inhibition of CD4/TCR-Mediated T Cell Apoptosis by a CD4-Binding Glycoprotein Secreted from Breast Tumor and Seminal Vesicle Cells
J. Immunol.,
March 1, 1999;
162(5):
2631 - 2638.
[Abstract]
[Full Text]
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C. A. Schandl, S. Li, G. G. Re, W. Fan, and M. C. Willingham
Mitotic Chromosomal Bcl-2: I. Stable Expression Throughout the Cell Cycle and Association with Isolated Chromosomes
J. Histochem. Cytochem.,
February 1, 1999;
47(2):
139 - 150.
[Abstract]
[Full Text]
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R. W. Johnstone, E. Cretney, and M. J. Smyth
P-Glycoprotein Protects Leukemia Cells Against Caspase-Dependent, but not Caspase-Independent, Cell Death
Blood,
February 1, 1999;
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1075 - 1085.
[Abstract]
[Full Text]
[PDF]
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P. Polverini and J.E. Nor
Apoptosis and Predisposition To Oral Cancer
Critical Reviews in Oral Biology & Medicine,
January 1, 1999;
10(2):
139 - 152.
[Abstract]
[Full Text]
[PDF]
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J. L. Kenney, M. E. Guinness, T. Curiel, and J. Lacy
Antisense to the Epstein-Barr Virus (EBV)-Encoded Latent Membrane Protein 1 (LMP-1) Suppresses LMP-1 and Bcl-2 Expression and Promotes Apoptosis in EBV-Immortalized B Cells
Blood,
September 1, 1998;
92(5):
1721 - 1727.
[Abstract]
[Full Text]
[PDF]
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M. Nishikawa, K. Takeda, E. F. Sato, T. Kuroki, and M. Inoue
Nitric oxide regulates energy metabolism and Bcl-2 expression in intestinal epithelial cells
Am J Physiol Gastrointest Liver Physiol,
May 1, 1998;
274(5):
G797 - G801.
[Abstract]
[Full Text]
[PDF]
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J. L. Slack and M. Yu
Constitutive Expression of the Promyelocytic Leukemia-Associated Oncogene PML-RARalpha in TF1 Cells: Isoform-Specific and Retinoic Acid-Dependent Effects on Growth, bcl-2 Expression, and Apoptosis
Blood,
May 1, 1998;
91(9):
3347 - 3356.
[Abstract]
[Full Text]
[PDF]
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U. Consoli, I. El-Tounsi, A. Sandoval, V. Snell, H.-D. Kleine, W. Brown, J. R. Robinson, F. DiRaimondo, W. Plunkett, and M. Andreeff
Differential Induction of Apoptosis by Fludarabine Monophosphate in Leukemic B and Normal T Cells in Chronic Lymphocytic Leukemia
Blood,
March 1, 1998;
91(5):
1742 - 1748.
[Abstract]
[Full Text]
[PDF]
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S. H. Kaufmann, J. E. Karp, P. A. Svingen, S. Krajewski, P. J. Burke, S. D. Gore, and J. C. Reed
Elevated Expression of the Apoptotic Regulator Mcl-1 at the Time of Leukemic Relapse
Blood,
February 1, 1998;
91(3):
991 - 1000.
[Abstract]
[Full Text]
[PDF]
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D. S. Siegel, X. Zhang, R. Feinman, T. Teitz, A. Zelenetz, V. M. Richon, R. A. Rifkind, P. A. Marks, and J. Michaeli
Hexamethylene bisacetamide induces programmed cell death (apoptosis) and down-regulates BCL-2 expression in human myeloma cells
PNAS,
January 6, 1998;
95(1):
162 - 166.
[Abstract]
[Full Text]
[PDF]
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L. M. Martins, P. W. Mesner, T. J. Kottke, G. S. Basi, S. Sinha, J. S. Tung, P. A. Svingen, B. J. Madden, A. Takahashi, D. J. McCormick, et al.
Comparison of Caspase Activation and Subcellular Localization in HL-60 and K562 Cells Undergoing Etoposide-Induced Apoptosis
Blood,
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[Abstract]
[Full Text]
[PDF]
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T. Miyashita, Y. Okamura-Oho, Y. Mito, S. Nagafuchi, and M. Yamada
Dentatorubral Pallidoluysian Atrophy (DRPLA) Protein Is Cleaved by Caspase-3 during Apoptosis
J. Biol. Chem.,
November 14, 1997;
272(46):
29238 - 29242.
[Abstract]
[Full Text]
[PDF]
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C. D. Jennings and K. A. Foon
Recent Advances in Flow Cytometry: Application to the Diagnosis of Hematologic Malignancy
Blood,
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90(8):
2863 - 2892.
[Full Text]
[PDF]
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D. W. Jung, P. C. Bradshaw, and D. R. Pfeiffer
Properties of a Cyclosporin-insensitive Permeability Transition Pore in Yeast Mitochondria
J. Biol. Chem.,
August 22, 1997;
272(34):
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[Abstract]
[Full Text]
[PDF]
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R. A. Brodsky, M. S. Vala, J. P. Barber, M. E. Medof, and R. J. Jones
Resistance to apoptosis caused by PIG-A gene mutations in paroxysmal nocturnal hemoglobinuria
PNAS,
August 5, 1997;
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[Abstract]
[Full Text]
[PDF]
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L. Tentori, L. Orlando, P. M. Lacal, E. Benincasa, I. Faraoni, E. Bonmassar, S. D'Atri, and G. Graziani
Inhibition of O6-Alkylguanine DNA-Alkyltransferase or Poly(ADP-ribose) Polymerase Increases Susceptibility of Leukemic Cells to Apoptosis Induced by Temozolomide
Mol. Pharmacol.,
August 1, 1997;
52(2):
249 - 258.
[Abstract]
[Full Text]
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C. M. Eischen, T. J. Kottke, L. M. Martins, G. S. Basi, J. S. Tung, W. C. Earnshaw, P. J. Leibson, and S. H. Kaufmann
Comparison of Apoptosis in Wild-Type and Fas-Resistant Cells: Chemotherapy-Induced Apoptosis Is Not Dependent on Fas/Fas Ligand Interactions
Blood,
August 1, 1997;
90(3):
935 - 943.
[Abstract]
[Full Text]
[PDF]
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P. L. Simonian, D. A.M. Grillot, and G. Nunez
Bcl-2 and Bcl-XL Can Differentially Block Chemotherapy-Induced Cell Death
Blood,
August 1, 1997;
90(3):
1208 - 1216.
[Abstract]
[Full Text]
[PDF]
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R. D. Gascoyne, S. A. Adomat, S. Krajewski, M. Krajewska, D. E. Horsman, A. W. Tolcher, S. E. O'Reilly, P. Hoskins, A. J. Coldman, J. C. Reed, et al.
Prognostic Significance of Bcl-2 Protein Expression and Bcl-2 Gene Rearrangement in Diffuse Aggressive Non-Hodgkin's Lymphoma
Blood,
July 1, 1997;
90(1):
244 - 251.
[Abstract]
[Full Text]
[PDF]
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F. M. Uckun, Z. Yang, H. Sather, P. Steinherz, J. Nachman, B. Bostrom, L. Crotty, M. Sarquis, O. Ek, T. Zeren, et al.
Cellular Expression of Antiapoptotic BCL-2 Oncoprotein in Newly Diagnosed Childhood Acute Lymphoblastic Leukemia: A Children's Cancer Group Study
Blood,
May 15, 1997;
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3769 - 3777.
[Abstract]
[Full Text]
[PDF]
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G.-Q. Chen, X.-G. Shi, W. Tang, S.-M. Xiong, J. Zhu, X. Cai, Z.-G. Han, J.-H. Ni, G.-Y. Shi, P.-M. Jia, et al.
Use of Arsenic Trioxide (As2O3 ) in the Treatment of Acute Promyelocytic Leukemia (APL): I. As2O3 Exerts Dose-Dependent Dual Effects on APL Cells
Blood,
May 1, 1997;
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[Abstract]
[Full Text]
[PDF]
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J.-L. Diaz, T. Oltersdorf, W. Horne, M. McConnell, G. Wilson, S. Weeks, T. Garcia, and L. C. Fritz
A Common Binding Site Mediates Heterodimerization and Homodimerization of Bcl-2 Family Members
J. Biol. Chem.,
April 25, 1997;
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[Abstract]
[Full Text]
[PDF]
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H. W. Findley, L. Gu, A. M. Yeager, and M. Zhou
Expression and Regulation of Bcl-2, Bcl-xl, and Bax Correlate With p53 Status and Sensitivity to Apoptosis in Childhood Acute Lymphoblastic Leukemia
Blood,
April 15, 1997;
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[Abstract]
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Y. A. Hannun
Apoptosis and the Dilemma of Cancer Chemotherapy
Blood,
March 15, 1997;
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L. M. Martins, T. Kottke, P. W. Mesner, G. S. Basi, S. Sinha, N. Frigon Jr., E. Tatar, J. S. Tung, K. Bryant, A. Takahashi, et al.
Activation of Multiple Interleukin-1beta Converting Enzyme Homologues in Cytosol and Nuclei of HL-60 Cells during Etoposide-induced Apoptosis
J. Biol. Chem.,
March 14, 1997;
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[Abstract]
[Full Text]
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