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NEOPLASIA
From the John Wayne Cancer Institute at Saint John's
Health Center, Santa Monica, CA; Departments of Cancer Biology and
Medicine, Wake Forest University, School of Medicine, Winston-Salem,
NC; and Mayo Clinic, Division of Oncology Research, Rochester, MN.
DT388-GM-CSF, a targeted fusion toxin constructed by
conjugation of human granulocyte-macrophage colony-stimulating factor (GM-CSF) with the catalytic and translocation domains of diphtheria toxin, is presently in phase I trials for patients with resistant acute
myeloid leukemia. HL-60/VCR, a multidrug-resistant human myeloid
leukemia cell line, and wild-type HL-60 cells were used to study the
impact of DT388-GM-CSF on metabolism of ceramide, a
modulator of apoptosis. After 48 hours with DT388-GM-CSF
(10 nM), ceramide levels in HL-60/VCR cells rose 6-fold and viability fell to 10%, whereas GM-CSF alone was without influence. Similar results were obtained in HL-60 cells. Examination of the time course
revealed that protein synthesis decreased by about 50% and cellular
ceramide levels increased by about 80% between 4 and 6 hours after
addition of DT388-GM-CSF. By 6 hours this was accompanied
by activation of caspase-9, followed by activation of caspase-3,
cleavage of caspase substrates, and chromatin fragmentation. Hygromycin
B and emetine failed to elevate ceramide levels or induce apoptosis at
concentrations that inhibited protein synthesis by 50%. Exposure to
C6-ceramide inhibited protein synthesis (EC50 ~5 µM) and decreased viability (EC50 ~6 µM).
Sphingomyelinase treatment depleted sphingomyelin by about 10%, while
increasing ceramide levels and inhibiting protein synthesis. Diphtheria
toxin increased ceramide and decreased sphingomyelin in U-937 cells, a
cell line extremely sensitive to diphtheria toxin; exposure to
DT388-GM-CSF showed sensitivity at less than 1.0 pM.
Diphtheria toxin and conjugate trigger ceramide formation that
contributes to apoptosis in human leukemia cells through caspase
activation and inhibition of protein synthesis. This article has been cited by other articles:
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| Copyright © 2001 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||