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Prepublished online as a Blood First Edition Paper on April 24, 2003; DOI 10.1182/blood-2003-01-0178.

Submitted January 21, 2003
Accepted April 15, 2003
Involvement of nitric oxide in farnesyltransferase inhibitor-mediated apoptosis in chronic myeloid leukemia cells
Carmine Selleri*, Jaroslaw P Maciejewski, Nunzia Montuori, Patrizia Ricci, Valeria Visconte, Bianca Serio, Luigiana Luciano, and Bruno Rotoli
Division of Hematology, Federico II University, Naples, Italy
Experimental Hematology Section, Taussig Cancer Center, Cleveland, OH, USA
Institute of Experimental Endocrinology and Oncology, National Research Council, Naples, Italy
* Corresponding author; email: selleri{at}unina.it.
Mechanism of action of farnesyltransferase inhibitors (FTIs) is not fully clarified. We investigated the cytotoxic effects of various FTIs in chronic myeloid leukemia (CML), using LAMA cells and marrow cells from 40 CML patients in chronic phase. FTI-mediated cytotoxic effect was observed in LAMA cells and in 65% of primary CML cells, whereas marrow cells from controls were only weakly affected. Cytotoxic effects were partially related to enhanced apoptosis; however, Fas-receptor (FasR) and Fas-ligand (FasL) expression were not modified by FTIs. Susceptibility to FTI-mediated inhibition did not correlate with FasR/FasL expression in CD34+ CML cells. Moreover, intracellular activation of caspase-1 and caspase-8 were not altered by FTIs, and their blockade did not reverse FTI-toxicity. However, we observed FTI-induced activation of caspase-3, and its inhibition partially reverted FTI-induced apoptosis. FTIs did not modulate bcl2, bclxL and bclxS expression, while they increased inducible nitric oxide (iNOS) mRNA and protein levels resulting in higher NO production. Furthermore, C3 exoenzyme, a Rho inhibitor, significantly increased iNOS expression in CML cells suggesting that FTIs may up-regulate NO formation at least partially through FTI-mediated inhibition of Rho. We conclude that FTIs induce selective apoptosis in CML cells via activation of iNOS and caspase-3.

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