Histone deacetylase inhibitor but not arsenic trioxide differentiates acute promyelocytic leukaemia cells with t(11;17) in combination with all‐trans retinoic acid

K Kitamura, S Hoshi, M Koike, H Kiyoi… - British journal of …, 2000 - Wiley Online Library
K Kitamura, S Hoshi, M Koike, H Kiyoi, H Saito, T Naoe
British journal of haematology, 2000Wiley Online Library
Acute promyelocytic leukaemia (APL) with t (11; 17)/PLZF‐RARα responds poorly to all‐
trans retinoic acid (ATRA) and arsenic trioxide (As2O3), in contrast to APL with t (15;
17)/PML‐RARα. Molecular studies have shown that histone deacetylase (HDAC) recruited
by PLZF‐RARα is associated with the ATRA resistance. Here, we analysed in vitro the
differentiation of APL cells with t (11; 17) using ATRA, As203, granulocyte colony‐stimulating
factor (G‐CSF), HDAC inhibitor trichostatin A (TSA), or combinations of these. Although 1 μm …
Acute promyelocytic leukaemia (APL) with t(11;17)/PLZF‐RARα responds poorly to all‐trans retinoic acid (ATRA) and arsenic trioxide (As2O3), in contrast to APL with t(15;17)/PML‐RARα. Molecular studies have shown that histone deacetylase (HDAC) recruited by PLZF‐RARα is associated with the ATRA resistance. Here, we analysed in vitro the differentiation of APL cells with t(11;17) using ATRA, As203, granulocyte colony‐stimulating factor (G‐CSF), HDAC inhibitor trichostatin A (TSA), or combinations of these. Although 1 μm ATRA, which stimulated the differentiation of APL cells with t(15;17), was insufficient to induce differentiation, 3 μm ATRA induced terminal differentiation into granulocytes. As203 alone or in combination with ATRA induced neither differentiation nor apoptosis. However, the combination of TSA and 1 μm ATRA had a potent differentiating effect, although TSA alone had little effect. The combination of 1 μm ATRA and G‐CSF did not induce differentiation. These results indicate that APL cells with t(11;17) need a higher concentration of ATRA than those with t(15;17) to differentiate and suggest that HDAC inhibitor is a promising differentiation enhancer in APL with t(11;17).
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