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Blood, 15 November 2006, Vol. 108, No. 10, pp. 3538-3547. Prepublished online as a Blood First Edition Paper on July 18, 2006; DOI 10.1182/blood-2005-12-028456.
Submitted December 20, 2005
Department of Internal Medicine I, Division of Hematology and Hemostaseology, Med. Univ. of Vienna * Corresponding author; email: peter.valent{at}meduniwien.ac.at.
Basophil numbers are typically elevated in chronic
myeloid leukemia (CML) and increase during disease-
progression. Histamine is an essential mediator and
marker of basophils and is highly upregulated in CML. We
examined the biochemical basis of histamine-synthesis in
CML cells. The CML-specific oncoprotein BCR/ABL was
found to promote expression of histidine decarboxylase
(HDC) and synthesis of histamine in Ba/F3 cells.
Moreover, the BCR/ABL tyrosine kinase inhibitors
imatinib/STI571 and nilotinib/AMN107 decreased histamine-
levels and HDC mRNA-expression in BCR/ABL-transformed
Ba/F3 cells, in the CML-derived basophil cell line
KU812, and in primary CML cells. Synthesis of histamine
was found to be restricted to the basophil-compartment
of the CML-clone, and to depend on signaling through the
PI3-kinase-pathway. CML cells also expressed histamine
receptors (HR) including HR-1, HR-2, HR-4, and histamine-
binding CYP450-isoenzymes which also serve as targets of
HR-antagonists. The HR-1-antagonists loratadine and
terfenadine, which bind to CYP450, were found to
counteract proliferation of CML cells, whereas no growth-
inhibition was observed with the HR-1-antagonist
fexofenadine which is not targeted or metabolized by
CYP450. Moreover, DPPE, an inhibitor of histamine-
binding CYP450-isoenzymes, produced growth-inhibition in
CML cells. Together, these data show that BCR/ABL
promotes histamine-production in CML cells, and that
certain HR-targeting drugs exert antileukemic effects on
CML cells.
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