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Prepublished online as a Blood First Edition Paper on July 31, 2003; DOI 10.1182/blood-2003-02-0412.

Submitted February 7, 2003
Accepted June 22, 2003
Comparative analysis of genes regulated by PML/RAR and PLZF/RAR in response to retinoic acid using oligonucleotide arrays
Dorothy J Park*, Peter T Vuong, Sven de Vos, Dan Douer, and H. Phillip Koeffler
Division of Hematology/Oncology, Cedars-Sinai Medical Center, UCLA School of Medicine, Los Angeles, CA, USA
Division of Hematology/Oncology, Center for Health Sciences, UCLA School of Medicine, Los Angeles, CA, USA
Division of Hematology, USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
* Corresponding author; email: parkd{at}cshs.org.
Acute promyelocytic leukemia (APL) is associated with chromosomal translocations involving RAR and its fusion partners including PML and PLZF. Using oligonucleotide arrays, we examined changes in global gene expression mediated by the ectopic expression of either PML/RAR (retinoid-sensitive) or PLZF/RAR (retinoid-resistant) in U937 cells. Of over 5000 genes analyzed, 16 genes were commonly upregulated, and 57 genes were downregulated by both fusion proteins suggesting their role in the APL phenotype. In our APL model, for example, TNFAIP2, TNFR2, ELF4, RAR , and HoxA1 were downregulated by both fusion proteins in the absence of RA. RA strongly upregulated these genes in PML/RAR , but not in PLZF/RAR expressing U937 cells. Expression studies in NB4, retinoid-resistant NB4-R2, normal human CD34+ cells, and APL patient samples strongly suggest their role in the regulation of granulocytic differentiation. Furthermore, combined treatment with TNF and RA synergistically enhanced granulocytic differentiation in NB4 cells but not in NB4-R2 cells. Our data indicate that APL pathogenesis and retinoid-induced granulocytic differentiation of APL cells involve genes in the cell death pathway, and cooperation between the RA and TNF signaling pathways exists. Targeting both the retinoid-dependent differentiation and the cell death pathways may improve leukemic therapy, especially in retinoid-resistant acute myeloid leukemia.

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