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Induction of apoptotic cell death in chronic lymphocytic leukemia by 2-
chloro-2'-deoxyadenosine and 9-beta-D-arabinosyl-2-fluoroadenine
LE Robertson, S Chubb, RE Meyn, M Story, R Ford, WN Hittelman and W Plunkett
Department of Hematology, University of Texas, M.D. Anderson Cancer Center,
Houston 77030.
2-Chloro-2'-deoxyadenosine (CldAdo) and 9-beta-D-arabinosyl-2-
fluoroadenine (F-ara-A) have shown marked activity in the treatment of
indolent lymphoid malignancies. Based on the susceptibility of various
lymphocyte populations to apoptosis, we investigated whether CldAdo or
F-ara-A would induce this process in lymphocytes from patients with chronic
lymphocytic leukemia (CLL). In vitro exposure of leukemic lymphocytes to
CldAdo or F-ara-A for 24 to 72 hours elicited features of apoptosis visible
by light and electron microscopy. Analysis of DNA integrity showed DNA
cleavage into nucleosomal-sized multimers. Using a quantitative assay,
drug-induced DNA fragmentation was both time and dose dependent. Inhibition
of active macromolecular synthesis did not prevent drug-induced
fragmentation; however, both drug-induced and spontaneous DNA fragmentation
were prevented by intracellular calcium chelation. In vitro culture with
phorbol ester generally decreased drug- induced DNA cleavage. After
prolonged incubation, CLL cells exhibited spontaneous cleavage; albeit, at
significantly lower rates than drug- treated cells. Heterogeneity was
observed for spontaneous and drug- induced DNA fragmentation and was
significantly lower in B-leukemic cells obtained from patients with
high-risk and refractory disease. We conclude that CldAdo and F-ara-A are
potent inducers of apoptotic death in CLL and that this feature correlates
with the disease status.
Volume 81,
Issue 1,
pp. 143-150,
01/01/1993
Copyright © 1993 by The American Society of Hematology

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