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Prepublished online as a Blood First Edition Paper on November 21, 2002; DOI 10.1182/blood-2002-08-2675.

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Submitted September 6, 2002
Accepted November 14, 2002

Co-treatment with the histone deacetylase inhibitor suberoylanilide hydroxamic acid (SAHA) enhances Gleevec-induced apoptosis of Bcr-Abl positive human acute leukemia cells

Ramadevi Nimmanapalli, Lianne Fuino, Corinne Stobaugh, Victoria M Richon, and Kapil Bhalla*

Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA
Aton Pharma, Inc., Tarrytown, NY, USA

* Corresponding author; email: bhallakn{at}moffitt.usf.edu.

Here we demonstrate that treatment with SAHA (Suberoylanilide hydroxamic acid), a known inhibitor of histone deacetylases (HDACs), alone induced p21 and/or p27 expressions, but decreased the mRNA and protein levels of Bcr-Abl, which was associated with apoptosis of Bcr-Abl expressing K562 and LAMA-84 cells. Co-treatment with SAHA and Gleevec caused more downregulation of the levels and auto-tyrosine phosphorylation of Bcr-Abl and apoptosis of these cell-types, as compared to treatment with either agent alone (p<0.05). This was also associated with a greater decline in the levels of phospho-AKT and Bcl-xL. Significantly, treatment with SAHA also downregulated Bcr-Abl levels and induced apoptosis of CD34+ leukemia blast progenitor cells derived from patients who had developed progressive blast crisis (BC) of CML while receiving therapy with Gleevec. Taken together, these findings indicate that co-treatment with SAHA enhances the cytotoxic effects of Gleevec and may have activity against Gleevec-refractory CML-BC.


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