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Chemosensitivity of B cell chronic lymphocytic leukemia and correlated expression of proteins regulating apoptosis, cell cycle and DNA repair.

Abstract
B cell chronic lymphocytic leukemia (B-CLL) cannot be cured with conventional chemotherapy. This clinical enigma appears to be at least partially due to the fact that B-CLL cells are resistant to programmed cell death (apoptosis) and that they are arrested in G0/G1 phase of the cell cycle. The reasons for the dysregulation of these two key cellular events in B-CLL are unclear. The present study aimed at determining correlations between the expression levels of proteins regulating apoptosis, cell cycle and DNA repair in B-CLL cells and normal B cells. In addition, the differential sensitivity of B-CLL cells to drug-induced apoptosis was quantified. We show that in B-CLL cells levels of the death-suppressor Bcl-2 correlated positively with those of the pro-apoptotic protein Bax and of the cyclin-dependent kinase (cdk) inhibitor p27Kip1. In B-CLL cells levels of the anti-apoptotic Bcl-xL showed a positive correlation with levels of the 80 kDa regulatory component (Ku80) of the DNA-dependent protein kinase that is involved in DNA double-stranded break repair. These correlations were not detected in normal B cells. The sensitivity of leukemic cells to FLUD but not to ADM, CPM or to DEX was reduced in pre-treated patients. These data support the hypothesis that in B-CLL cells death-modulators and molecules modulating cell cycle and DNA repair are regulated in a coordinated manner. Leukemia (2000) 14, 40-46.
AuthorsA Klein, O Miera, O Bauer, S Golfier, F Schriever
JournalLeukemia (Leukemia) Vol. 14 Issue 1 Pg. 40-6 (Jan 2000) ISSN: 0887-6924 [Print] England
PMID10637475 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Dexamethasone
  • Doxorubicin
  • Cyclophosphamide
  • Vidarabine
  • fludarabine
Topics
  • Antineoplastic Agents (pharmacology)
  • Apoptosis (genetics)
  • Cell Cycle (genetics)
  • Cyclophosphamide (pharmacology)
  • DNA Repair (genetics)
  • Dexamethasone (pharmacology)
  • Doxorubicin (pharmacology)
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell (genetics, pathology)
  • Tumor Cells, Cultured
  • Vidarabine (analogs & derivatives, pharmacology)

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