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Blood, 26 February 2009, Vol. 113, No. 9, pp. 1982-1991. Prepublished online as a Blood First Edition Paper on December 5, 2008; DOI 10.1182/blood-2008-05-156851.
Submitted May 16, 2008
Cancer Immunology Program, The Peter MacCallum Cancer Centre, East Melbourne, Australia * Corresponding author; email: ricky.johnstone{at}petermac.org.
The apoptotic and therapeutic activities of the histone deacetylase inhibitor (HDACi) vorinostat are blocked by overexpresssion of Bcl-2 or Bcl-XL. Herein, we utilised the small molecule inhibitor ABT-737 to restore sensitivity of Eµ-myc lymphomas overexpressing Bcl-2 or Bcl-XL to vorinostat and valproic acid (VPA). Combining low dose ABT-737 with vorinostat or VPA resulted in synergistic apoptosis of these cells. ABT-737 was ineffective against Eµ-myc/Mcl-1 and Eµ-myc/A1 cells either as a single agent or in combination with HDACi. However, in contrast to the reported binding specificity data, Eµ-myc/Bcl-w lymphomas were insensitive to ABT-737 used alone or in combination with HDACi indicating that the regulatory activity of ABT-737 is restricted to Bcl-2 and Bcl-XL. Eµ-myc lymphomas that expressed Bcl-2 throughout the tumorigenesis process were especially sensitive to ABT-737, while those forced to overexpress Mcl-1 were not. This supports the notion that tumor cells "addicted" to ABT-737 target proteins (i.e. Bcl-2 or Bcl-XL) are likely to be the most sensitive target cell population. Our studies provide important pre-clinical data on the binding specificity of ABT-737 and its usefulness against primary haematological malignancies when used as a single agent and in combination with HDACi.
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