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Blood, 15 December 2006, Vol. 108, No. 13, pp. 4126-4135.
Prepublished online as a Blood First Edition Paper on August 29, 2006; DOI 10.1182/blood-2006-04-017046.


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NEOPLASIA

Selective leukemic-cell killing by a novel functional class of thalidomide analogs

Yun Ge, Idalia Montano, Gabriella Rustici, Wendy J. Freebern, Cynthia M. Haggerty, Wenwu Cui, Damaris Ponciano-Jackson, G. V. R. Chandramouli, Erin R. Gardner, William D. Figg, Mones Abu-Asab, Maria Tsokos, Sharon H. Jackson, and Kevin Gardner

The Advanced Technology Center, Laboratory of Receptor Biology and Gene Expression, National Cancer Institute (NCI), National Institutes of Health (NIH) Bethesda, MD; Clinical Pharmacology Research Core, SAIC-Frederick Inc, NCI-Frederick, Frederick, MD; Molecular Pharmacology Section, Cancer Therapeutics Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD; Laboratory of Pathology, NCI, Bethesda, MD; and Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD.

Using a novel cell-based assay to profile transcriptional pathway targeting, we have identified a new functional class of thalidomide analogs with distinct and selective antileukemic activity. These agents activate nuclear factor of activated T cells (NFAT) transcriptional pathways while simultaneously repressing nuclear factor-{kappa}B (NF-{kappa}B) via a rapid intracellular amplification of reactive oxygen species (ROS). The elevated ROS is associated with increased intracellular free calcium, rapid dissipation of the mitochondrial membrane potential, disrupted mitochondrial structure, and caspase-independent cell death. This cytotoxicity is highly selective for transformed lymphoid cells, is reversed by free radical scavengers, synergizes with the antileukemic activity of other redox-directed compounds, and preferentially targets cells in the S phase of the cell cycle. Live-cell imaging reveals a rapid drug-induced burst of ROS originating in the endoplasmic reticulum and associated mitochondria just prior to spreading throughout the cell. As members of a novel functional class of "redoxreactive" thalidomides, these compounds provide a new tool through which selective cellular properties of redox status and intracellular bioactivation can be leveraged by rational combinatorial therapeutic strategies and appropriate drug design to exploit cell-specific vulnerabilities for maximum drug efficacy.


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