Expression of the transforming oncogene bcr-abl in
chronic myelogenous leukemia (CML) cells is reported to confer resistance against apoptosis induced by many chemotherapeutic agents such as
etoposide,
ara-C, and
staurosporine. In the present study some members of a series of novel pyrrolo-1,5-benzoxazepines potently induce apoptosis, as shown by cell shrinkage,
chromatin condensation, DNA fragmentation, and
poly(ADP-ribose) polymerase (PARP) cleavage, in three CML cell lines, K562, KYO.1, and LAMA 84. Induction of apoptosis by a representative member of this series,
PBOX-6, was not accompanied by either the down-regulation of Bcr-Abl or by the attenuation of its
protein tyrosine kinase activity up to 24 h
after treatment, when approximately 50% of the cells had undergone apoptosis. These results suggest that down-regulation of Bcr-Abl is not part of the upstream apoptotic death program activated by
PBOX-6. By characterizing the mechanism in which this novel agent executes apoptosis, this study has revealed that
PBOX-6 caused activation of
caspase 3-like
proteases in only two of the three CML cell lines. In addition, inhibition of
caspase 3-like
protease activity using the inhibitor
z-DEVD-fmk blocked
caspase 3-like
protease activity but did not prevent the induction of apoptosis, suggesting that
caspase 3-like
proteases are not essential in the mechanism by which
PBOX-6 induces apoptosis in CML cells. In conclusion, this study demonstrates that
PBOX-6 can bypass Bcr-Abl-mediated suppression of apoptosis, suggesting an important potential use of these compounds in the treatment of CML.