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Blood, 1 December 2000, Vol. 96, No. 12, pp. 3900-3906
NEOPLASIA
Antileukemic drugs increase death receptor 5 levels and enhance
Apo-2L-induced apoptosis of human acute leukemia
cells
Jinghai Wen,
Nimmanapalli Ramadevi,
Diep Nguyen,
Charles Perkins,
Elizabeth Worthington, and
Kapil Bhalla
From the Division of Clinical and Translational
Research, Sylvester Comprehensive Cancer Center, and Department of
Medicine, University of Miami School of Medicine, Miami, FL.
In present studies, treatment with tumor necrosis factor
(TNF)-related apoptosis inducing ligand (TRAIL, also known as Apo-2 ligand [Apo-2L]) is shown to induce apoptosis of the human acute leukemia HL-60, U937, and Jurkat cells in a dose-dependent manner, with
the maximum effect seen following treatment of Jurkat cells with 0.25 µg/mL of Apo-2L (95.0% ± 3.5% of apoptotic cells).
Susceptibility of these acute leukemia cell types, which are known to
lack p53wt function, did not appear to correlate with the
levels of the apoptosis-signaling death receptors (DRs) of Apo-2L, ie,
DR4 and DR5; decoy receptors (DcR1 and 2); FLAME-1
(cFLIP); or proteins in the inhibitors of apoptosis proteins
(IAP) family. Apo-2L-induced apoptosis was associated with the
processing of caspase-8, Bid, and the cytosolic accumulation of
cytochrome c as well as the processing of caspase-9 and
caspase-3. Apo-2L-induced apoptosis was significantly inhibited in
HL-60 cells that overexpressed Bcl-2 or Bcl-xL.
Cotreatment with either a caspase-8 or a caspase-9 inhibitor suppressed
Apo-2L-induced apoptosis. Treatment of human leukemic cells with
etoposide, Ara-C, or doxorubicin increased DR5 but not DR4, Fas, DcR1,
DcR2, Fas ligand, or Apo-2L levels. Importantly, sequential treatment
of HL-60 cells with etoposide, Ara-C, or doxorubicin followed by Apo-2L
induced significantly more apoptosis than treatment with Apo-2L,
etoposide, doxorubicin, or Ara-C alone, or cotreatment with Apo-2L and
the antileukemic drugs, or treatment with the reverse sequence of
Apo-2L followed by one of the antileukemic drugs. These findings
indicate that treatment with etoposide, Ara-C, or doxorubicin
up-regulates DR5 levels in a p53-independent manner and sensitizes
human acute leukemia cells to Apo-2L-induced apoptosis.

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