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Blood, Vol. 93 No. 1 (January 1), 1999:
pp. 268-277
Malignant Cells Can Be Sensitized to Undergo Growth Inhibition and
Apoptosis by Arsenic Trioxide Through Modulation of the Glutathione
Redox System
Jie Dai,
Rona S. Weinberg,
Samuel Waxman, and
Yongkui Jing
From the Rochelle Belfer Chemotherapy Foundation Laboratory, the
Division of Neoplastic Diseases, the Division of Hematology, the
Department of Medicine, Mount Sinai Medical Center, New York, NY.
Arsenic trioxide (As2O3) induces clinical
remission in acute promyelocytic leukemia (APL) with minimal toxicity
and apoptosis in APL-derived NB4 cells at low (1 to 2 µmol/L)
concentration. We examined the basis for NB4 cell sensitivity to
As2O3 to identify experimental conditions that
would render other malignant cells responsive to low concentrations of
As2O3. The intracellular glutathione (GSH)
content had a decisive effect on As2O3-induced
apoptosis. Highly sensitive NB4 cells had the lowest GSH and the
sensitivity of other cell lines was inversely proportional to their GSH
content. The t(14;18) B-cell lymphoma cell line had low GSH levels and sensitivity to As2O3 at levels slightly higher
than in APL cells. Experimental upmodulation of GSH content decreased
the sensitivity to As2O3. Ascorbic acid and
buthionine sulfoxide (BSO) decreased GSH to a greater extent, and
rendered malignant cells more sensitive to
As2O3. As2O3-induced
apoptosis was not enhanced by ascorbic acid in normal cells, suggesting
that the combination of ascorbic acid and As2O3
may be selectively toxic to some malignant cells. Ascorbic acid
enhanced the antilymphoma effect of As2O3 in
vivo without additional toxicity. Thus, As2O3
alone or administered with ascorbic acid may provide a novel therapy
for lymphoma.

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J. L. Slack, S. Waxman, G. Tricot, M. S. Tallman, and C. D. Bloomfield
Advances in the Management of Acute Promyelocytic Leukemia and Other Hematologic Malignancies with Arsenic Trioxide
Oncologist,
April 1, 2002;
7(90001):
1 - 13.
[Abstract]
[Full Text]
[PDF]
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W. H. Miller Jr.
Molecular Targets of Arsenic Trioxide in Malignant Cells
Oncologist,
April 1, 2002;
7(90001):
14 - 19.
[Abstract]
[Full Text]
[PDF]
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M. A. Hussein
Nontraditional Cytotoxic Therapies for Relapsed/Refractory Multiple Myeloma
Oncologist,
April 1, 2002;
7(90001):
20 - 29.
[Abstract]
[Full Text]
[PDF]
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M. O'Dwyer
Multifaceted Approach to the Treatment of Bcr-Abl-Positive Leukemias
Oncologist,
April 1, 2002;
7(90001):
30 - 38.
[Abstract]
[Full Text]
[PDF]
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R. B. Gartenhaus, S. N. Prachand, M. Paniaqua, Y. Li, and L. I. Gordon
Arsenic Trioxide Cytotoxicity in Steroid and Chemotherapy-resistant Myeloma Cell Lines: Enhancement of Apoptosis by Manipulation of Cellular Redox State
Clin. Cancer Res.,
February 1, 2002;
8(2):
566 - 572.
[Abstract]
[Full Text]
[PDF]
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K. Dvorakova, C. M. Payne, M. E. Tome, M. M. Briehl, M. A. Vasquez, C. N. Waltmire, A. Coon, and R. T. Dorr
Molecular and Cellular Characterization of Imexon-resistant RPMI8226/I Myeloma Cells
Mol. Cancer Ther.,
January 1, 2002;
1(3):
185 - 195.
[Abstract]
[Full Text]
[PDF]
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D. Cen, R. I. Gonzalez, J. A. Buckmeier, R. S. Kahlon, N. B. Tohidian, and F. L. Meyskens Jr
Disulfiram Induces Apoptosis in Human Melanoma Cells: A Redox-related Process
Mol. Cancer Ther.,
January 1, 2002;
1(3):
197 - 204.
[Abstract]
[Full Text]
[PDF]
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J. M. Grad, N. J. Bahlis, I. Reis, M. M. Oshiro, W. S. Dalton, and L. H. Boise
Ascorbic acid enhances arsenic trioxide-induced cytotoxicity in multiple myeloma cells
Blood,
August 1, 2001;
98(3):
805 - 813.
[Abstract]
[Full Text]
[PDF]
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H. Maeda, S. Hori, H. Nishitoh, H. Ichijo, O. Ogawa, Y. Kakehi, and A. Kakizuka
Tumor Growth Inhibition by Arsenic Trioxide (As2O3) in the Orthotopic Metastasis Model of Androgen-independent Prostate Cancer
Cancer Res.,
July 1, 2001;
61(14):
5432 - 5440.
[Abstract]
[Full Text]
[PDF]
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O. Sordet, C. Rebe, I. Leroy, J.-M. Bruey, C. Garrido, C. Miguet, G. Lizard, S. Plenchette, L. Corcos, and E. Solary
Mitochondria-targeting drugs arsenic trioxide and lonidamine bypass the resistance of TPA-differentiated leukemic cells to apoptosis
Blood,
June 15, 2001;
97(12):
3931 - 3940.
[Abstract]
[Full Text]
[PDF]
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K. Dvorakova, C. N. Waltmire, C. M. Payne, M. E. Tome, M. M. Briehl, and R. T. Dorr
Induction of mitochondrial changes in myeloma cells by imexon
Blood,
June 1, 2001;
97(11):
3544 - 3551.
[Abstract]
[Full Text]
[PDF]
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J. Dai, R. Shen, M. Sumitomo, J. S. Goldberg, Y. Geng, D. Navarro, S. Xu, J. A. Koutcher, M. Garzotto, C. T. Powell, et al.
Tumor-Suppressive Effects of Neutral Endopeptidase in Androgen-independent Prostate Cancer Cells
Clin. Cancer Res.,
May 1, 2001;
7(5):
1370 - 1377.
[Abstract]
[Full Text]
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S. Waxman and K. C. Anderson
History of the Development of Arsenic Derivatives in Cancer Therapy
Oncologist,
April 1, 2001;
6(90002):
3 - 10.
[Abstract]
[Full Text]
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A. J. Murgo
Clinical Trials of Arsenic Trioxide in Hematologic and Solid Tumors: Overview of the National Cancer Institute Cooperative Research and Development Studies
Oncologist,
April 1, 2001;
6(90002):
22 - 28.
[Abstract]
[Full Text]
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Y. Jing, L. Wang, L. Xia, G.-q. Chen, Z. Chen, W. H. Miller, and S. Waxman
Combined effect of all-trans retinoic acid and arsenic trioxide in acute promyelocytic leukemia cells in vitro and in vivo
Blood,
January 1, 2001;
97(1):
264 - 269.
[Abstract]
[Full Text]
[PDF]
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M. J. McCabe Jr., K. P. Singh, S. A. Reddy, B. Chelladurai, J. G. Pounds, J. J. Reiners Jr., and J. C. States
Sensitivity of Myelomonocytic Leukemia Cells to Arsenite-Induced Cell Cycle Disruption, Apoptosis, and Enhanced Differentiation Is Dependent on the Inter-Relationship between Arsenic Concentration, Duration of Treatment, and Cell Cycle Phase
J. Pharmacol. Exp. Ther.,
November 1, 2000;
295(2):
724 - 733.
[Abstract]
[Full Text]
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K. Hossain, A. A. Akhand, M. Kato, J. Du, K. Takeda, J. Wu, K. Takeuchi, W. Liu, H. Suzuki, and I. Nakashima
Arsenite Induces Apoptosis of Murine T Lymphocytes Through Membrane Raft-Linked Signaling for Activation of c-Jun Amino-Terminal Kinase
J. Immunol.,
October 15, 2000;
165(8):
4290 - 4297.
[Abstract]
[Full Text]
[PDF]
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P. Borst, R. Evers, M. Kool, and J. Wijnholds
A Family of Drug Transporters: the Multidrug Resistance-Associated Proteins
J Natl Cancer Inst,
August 16, 2000;
92(16):
1295 - 1302.
[Abstract]
[Full Text]
[PDF]
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G. J. Roboz, S. Dias, G. Lam, W. J. Lane, S. L. Soignet, R. P. Warrell Jr, and S. Rafii
Arsenic trioxide induces dose- and time-dependent apoptosis of endothelium and may exert an antileukemic effect via inhibition of angiogenesis
Blood,
August 15, 2000;
96(4):
1525 - 1530.
[Abstract]
[Full Text]
[PDF]
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W. H. Park, J. G. Seol, E. S. Kim, J. M. Hyun, C. W. Jung, C. C. Lee, B. K. Kim, and Y. Y. Lee
Arsenic Trioxide-mediated Growth Inhibition in MC/CAR Myeloma Cells via Cell Cycle Arrest in Association with Induction of Cyclin-dependent Kinase Inhibitor, p21, and Apoptosis
Cancer Res.,
June 1, 2000;
60(11):
3065 - 3071.
[Abstract]
[Full Text]
[PDF]
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C. Perkins, C. N. Kim, G. Fang, and K. N. Bhalla
Arsenic induces apoptosis of multidrug-resistant human myeloid leukemia cells that express Bcr-Abl or overexpress MDR, MRP, Bcl-2, or Bcl-xL
Blood,
February 1, 2000;
95(3):
1014 - 1022.
[Abstract]
[Full Text]
[PDF]
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Y. Jing, J. Dai, R. M.E. Chalmers-Redman, W. G. Tatton, and S. Waxman
Arsenic Trioxide Selectively Induces Acute Promyelocytic Leukemia Cell Apoptosis Via a Hydrogen Peroxide-Dependent Pathway
Blood,
September 15, 1999;
94(6):
2102 - 2111.
[Abstract]
[Full Text]
[PDF]
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A. Melnick and J. D. Licht
Deconstructing a Disease: RAR{alpha}, Its Fusion Partners, and Their Roles in the Pathogenesis of Acute Promyelocytic Leukemia
Blood,
May 15, 1999;
93(10):
3167 - 3215.
[Full Text]
[PDF]
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G. Kroemer and H. de The
Arsenic Trioxide, a Novel Mitochondriotoxic Anticancer Agent?
J Natl Cancer Inst,
May 5, 1999;
91(9):
743 - 745.
[Full Text]
[PDF]
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X.-H. Zhu, Y.-L. Shen, Y.-k. Jing, X. Cai, P.-M. Jia, Y. Huang, W. Tang, G.-Y. Shi, Y.-P. Sun, J. Dai, et al.
Apoptosis and Growth Inhibition in Malignant Lymphocytes After Treatment With Arsenic Trioxide at Clinically Achievable Concentrations
J Natl Cancer Inst,
May 5, 1999;
91(9):
772 - 778.
[Abstract]
[Full Text]
[PDF]
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S. V. Kala, M. W. Neely, G. Kala, C. I. Prater, D. W. Atwood, J. S. Rice, and M. W. Lieberman
The MRP2/cMOAT Transporter and Arsenic-Glutathione Complex Formation Are Required for Biliary Excretion of Arsenic
J. Biol. Chem.,
October 20, 2000;
275(43):
33404 - 33408.
[Abstract]
[Full Text]
[PDF]
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