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D Schlaifer, MR Cooper, M Attal, AO Sartor, JB Trepel, G Laurent and CE Myers
Clinical Pharmacology Branch, National Cancer Institute, National
Institutes of Health, Bethesda, MD.
One of the differences between acute myeloblastic leukemia (AML) and acute
lymphoblastic leukemia (ALL) is their sensitivity to vincristine. Although
vincristine plays an important role in chemotherapeutic regimens for ALL,
it does not possess clinically significant activity in AML. Horseradish
peroxidase, a heme-centered peroxidase, oxidatively degrades Vinca
derivatives and thereby abrogates their cytotoxic activity. This finding
suggested that myeloperoxidase (MPO), a heme- centered peroxidase
characteristically found in AML and not in ALL, might also degrade
vincristine. We first examined the effects of MPO on vincristine in a
cell-free system and demonstrated that this enzyme is capable of catalyzing
vincristine's oxidative breakdown. We also observed that vincristine is
more rapidly degraded in tissue culture by MPO-positive HL-60 cells than by
a MPO-negative HL-60 subclone. The degree of MPO activity in these cell
lines correlated in a positive manner with their degree of resistance to
vincristine's cytotoxic activity. Moreover, the differential resistance to
vincristine observed between these cell lines could be increased by
increasing the concentration of H2O2 available to the enzyme. These data
support the hypothesis that MPO-mediated oxidation of vincristine accounts
in part for this drug's lack of activity in AML.
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| Copyright © 1993 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||