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Prepublished online as a Blood First Edition Paper on February 20, 2003; DOI 10.1182/blood-2002-08-2623.

Submitted September 4, 2002
Accepted January 15, 2003
KRN5500: a novel therapeutic agent with in vitro activity against human B-cell chronic lymphocytic leukemia cells mediates cytotoxicity via the intrinsic pathway of apoptosis
John C Byrd*, David M Lucas, Andrew Mone, Joshua B Kitner, Joseph J Drabick, and Michael R Grever
Department of Medicine, The Ohio State University, Columbus, OH
Department of Medicine, Walter Reed Army Medical Center, Washington, DC
* Corresponding author; email: byrd-3{at}medctr.osu.edu.
Therapy of B-cell chronic lymphocytic leukemia (CLL) is currently palliative, emphasizing the need for identification of new therapies for this disease. KRN5500 is a novel agent that has a unique sensitivity pattern in the National Cancer Institute cell line screening panel suggesting a unique mechanism of action. To assess its in vitro activity in CLL, we exposed peripheral mononuclear cells from CLL patients (n=11) to varying concentrations of this agent. Viability of the CLL cells was reduced by 50 percent (LC50) at 4 hours, 24 hours, and 4 days at KRN5500 concentrations of 2.50 µM, 0.276 µM and 0.139 µM, respectively. KRN5500 induced cellular injury via caspase-dependent apoptosis involving the intrinsic mitochondrial (caspase-9) initiating caspase and caspase 3 effector caspase; however, expression of the anti-apoptotic mitochondrial membrane protein Bcl-2 was unaffected. These data demonstrate KRN5500 has significant in vitro activity against human CLL cells, thus providing support for introduction of this agent into clinical trials for patients with CLL.

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