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Blood, Vol. 92 No. 5 (September 1), 1998:
pp. 1497-1504
RAPID COMMUNICATION
Arsenic Trioxide and Melarsoprol Induce Programmed Cell Death in
Myeloid Leukemia Cell Lines and Function in a PML and PML-RAR
Independent Manner
Zhu-Gang Wang,
Roberta Rivi,
Laurent Delva,
Andrea König,
David A. Scheinberg,
Carlo Gambacorti-Passerini,
Janice L. Gabrilove,
Raymond P. Warrell Jr, and
Pier Paolo Pandolfi
From the Department of Human Genetics, Molecular Biology Program, and
the Molecular Therapeutics Program, the Sloan-Kettering Institute,
Graduate School of Medical Sciences, Cornell University, New York,
NY; the Leukemia and Developmental Chemotherapy Services,
the Department of Medicine, Memorial Sloan-Kettering Cancer Center, New
York, NY; and the Istituto Nazionale Tumori, Milan, Italy.
Inorganic arsenic trioxide (As2O3) and the
organic arsenical, melarsoprol, were recently shown to inhibit growth
and induce apoptosis in NB4 acute promyelocytic leukemia (APL) and
chronic B-cell leukemia cell lines, respectively.
As2O3 has been proposed to principally target
PML and PML-RAR proteins in APL cells. We investigated
the activity of As2O3 and melarsoprol in a
broader context encompassing various myeloid leukemia cell lines,
including the APL cell line NB4-306 (a retinoic acid-resistant cell
line derived from NB4 that no longer expresses the intact PML-RAR fusion protein), HL60, KG-1, and the myelomonocytic cell line U937. To
examine the role of PML in mediating arsenical activity, we also tested
these agents using murine embryonic fibroblasts (MEFs) and bone marrow
(BM) progenitors in which the PML gene had been inactivated by
homologous recombination. Unexpectedly, we found that both compounds
inhibited cell growth, induced apoptosis, and downregulated bcl-2
protein in all cell lines tested. Melarsoprol was more potent than
As2O3 at equimolar concentrations ranging from
10 7 to 10 5 mol/L.
As2O3 relocalized PML and PML-RAR onto
nuclear bodies, which was followed by PML degradation in NB4 as well as
in HL60 and U937 cell lines. Although melarsoprol was more potent in
inhibiting growth and inducing apoptosis, it did not affect PML
and/or PML-RAR nuclear localization. Moreover, both
As2O3 and melarsoprol comparably inhibited
growth and induced apoptosis of PML+/+ and PML / MEFs, and
inhibited colony-forming unit erythroid (CFU-E) and CFU
granulocyte-monocyte formation in BM cultures of PML+/+ and
PML / progenitors. Together, these results show that
As2O3 and melarsoprol inhibit growth and induce
apoptosis independent of both PML and PML-RAR expression in a
variety of myeloid leukemia cell lines, and suggest that these agents
may be more broadly used for treatment of leukemias other than APL.
© 1998 by The American Society of Hematology.

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