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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1706-1716.
Prepublished online as a Blood First Edition Paper on October 19, 2004; DOI 10.1182/blood-2004-07-2767.


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Submitted July 19, 2004
Accepted October 3, 2004

Farnesyltransferase inhibitors interact synergistically with the CHK1 inhibitor UCN-01 to induce apoptosis in human leukemia cells through interruption of both AKT and MEK/ERK pathways and activation of SEK1/JNK

Yun Dai, Mohamed Rahmani, Xin-Yan Pei, Payal Khanna, Song I Han, Clint Mitchell, Paul Dent, and Steven Grant*

Department of Medicine, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
Department of Radiation Oncology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
Department of Pharmacology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA; Department of Radiation Oncology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA
Department of Medicine, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA; Department of Biochemistry, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA; Department of Pharmacology, Virginia Commonwealth University/Medical College of Virginia, Richmond, VA, USA

* Corresponding author; email: stgrant{at}hsc.vcu.edu.

Interactions between the Chk1 inhibitor UCN-01 and the farnesyltransferase inhibitor L744832 were examined in human leukemia cells. Combined exposure of U937 cells to sub-toxic concentrations of UCN-01 and L744352 resulted in a dramatic increase in mitochondrial dysfunction, apoptosis, and loss of clonogenicity. Similar interactions were noted in other leukemia cells (HL-60, Raji, Jurkat), and primary AML blasts. Co-administration of L744832 blocked UCN-01-mediated phosphorylation of MEK/ERK, leading to down-regulation of phospho-CREB and -p90RSK, and activation of p34cdc2 and SEK/JNK. Combined treatment also resulted in pronounced reductions in levels of phospho-Akt, -GSK-3, -p70S6K, -mTOR, -FKHR, -caspase-9, and -Bad. Ectopic expression of Bcl-2 or Bcl-xL but not dominant-negative caspase-8 blocked UCN-01/L744832-mediated mitochondrial dysfunction and apoptosis, but did not prevent activation of p34cdc2 and JNK, or inactivation of MEK/ERK and Akt. Enforced expression of myristoylated Akt but not constitutively-active MEK significantly attenuated UCN-01/L744832-induced apoptosis. However, dual transfection with Akt and MEK resulted in further protection from UCN-01/L744832-mediated lethality. Finally, down-regulation of JNK1 by siRNA significantly reduced the lethality of the UCN-01/L744832 regimen. Together, these findings suggest that farnesyltransferase inhibitors interrupt the cytoprotective Akt and MAPK pathways while reciprocally activating SAPK/JNK in leukemia cells exposed to UCN-01, and in so doing, dramatically increase mitochondria-dependent apoptosis.


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