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Blood, 15 January 2002, Vol. 99, No. 2, pp. 664-671
NEOPLASIA
Effects of the Bcr/abl kinase inhibitors STI571 and adaphostin
(NSC 680410) on chronic myelogenous leukemia cells in vitro
Benjamin M. F. Mow,
Joya Chandra,
Phyllis A. Svingen,
Christopher G. Hallgren,
Ellen Weisberg,
Timothy J. Kottke,
Ven L. Narayanan,
Mark R. Litzow,
James D. Griffin,
Edward A. Sausville,
Ayalew Tefferi, and
Scott H. Kaufmann
From the Division of Hematology, Department of Internal
Medicine, the Division of Oncology Research, Department of Oncology,
Mayo Clinic, Rochester, MN; the Department of Adult Oncology,
Dana-Farber Cancer Institute, Boston, MA; and the Developmental
Therapeutics Program, Division of Cancer Treatment and Diagnosis,
National Cancer Institute, Bethesda, MD.
The adenosine triphosphate binding-site-directed agent STI571 and
the tyrphostin adaphostin are undergoing evaluation as bcr/abl kinase inhibitors. The current study compared the effects of these agents on the survival of K562 cells, bcr/abl-transduced FDC-P1 cells,
and myeloid progenitors from patients with chronic myelogenous leukemia
(CML) compared with healthy donors. Treatment of K562 cells with 10 µM adaphostin resulted in decreased p210bcr/abl
polypeptide levels in the first 6 hours, followed by caspase activation
and accumulation of apoptotic cells in less than 12 hours. By 24 hours,
90% of the cells were apoptotic and unable to form colonies. In
contrast, 20 µM STI571 caused rapid inhibition of bcr/abl
autophosphorylation without p210bcr/abl degradation.
Although this was followed by the inhibition of Stat5 phosphorylation
and the down-regulation of Bcl-xL and Mcl-1, only
7% ± 3% and 25% ± 9% of cells were apoptotic at 16 and 24 hours, respectively. Instead, the cytotoxic effects of STI571 became
more pronounced with prolonged exposure, with IC90
values greater than 20 µM and 1.0 ± 0.6 µM after 24 and 48 hours, respectively. Consistent with these results, 24-hour adaphostin
exposure inhibited CML granulocyte colony-forming units (CFU-G) (median
IC50, 12 µM) but not normal CFU-G (median
IC50, greater than 20 µM), whereas 24-hour STI571
treatment had no effect on CML or normal CFU-G. Additional
experiments revealed that STI571-resistant K562 cells remained sensitive to adaphostin. Moreover, the combination of STI571 + adaphostin induced more cytotoxicity in K562 cells and in
CML CFU-G than either agent alone did. Collectively, these results
identify adaphostin as a mechanistically distinct CML-selective agent
that retains activity in STI571-resistant cell lines.

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