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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1742-1749.
Prepublished online as a Blood First Edition Paper on October 26, 2004; DOI 10.1182/blood-2003-12-4322.
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Submitted December 19, 2003
Accepted October 12, 2004
Selective cytotoxicity and telomere damage in leukemia cells using the telomerase inhibitor BIBR1532
Hesham El-Daly, Miriam Kull, Stefan Zimmermann, Milena Pantic, Cornelius F Waller, and Uwe M Martens*
Department of Hematology/Oncology, Freiburg University Medical Center, Freiburg, Germany
Department of Hematology/Oncology, Freiburg University Medical Center, Freiburg, Germany; Department of Biology, Albert-Ludwigs-University, Freiburg, Germany
* Corresponding author; email: uwe.martens{at}uniklinik-freiburg.de.
Telomerase represents an attractive target for a mechanism-based therapeutic approach because its activation has been associated with unlimited proliferation in most cancer cells. Recently, a non-nucleosidic small molecule inhibitor, BIBR1532, has been identified which is highly selective for inhibition of telomerase resulting in delayed growth arrest of tumor cells. Here we examined the effects of BIBR1532 in different leukemia cell lines as well as in primary cells from patients with AML and CLL in short term culture assays. We observed a dose dependent direct cytotoxicity in concentrations ranging from 30 to 80 µM. Interestingly, cell death was not dependent on the catalytic activity of telomerase but was delayed in cells with very long telomeres. We observed time-dependent individual telomere erosion, which was associated with loss of TRF2 and increased phosphorylation of p53. Importantly, the proliferative capacity of normal CD34+ cells from cord blood and leukapheresis samples was not affected by treatment with BIBR1532. We conclude that using this class of telomerase inhibitor at higher concentrations exerts a direct cytotoxic effect on malignant cells of the hematopoietic system, which appears to derive from direct damage of the structure of individual telomeres and which must be dissected from telomerase suppressed overall telomere shortening.

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