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Benzodiazepine-induced superoxide signals B cell apoptosis: mechanistic insight and potential therapeutic utility.

Abstract
The properties of a proapoptotic 1,4-benzodiazepine, Bz-423, identified through combinatorial chemistry and phenotype screening are described. Bz-423 rapidly generated superoxide (O(2)(-)) in transformed Ramos B cells. This O(2)(-) response originated from mitochondria prior to mitochondrial transmembrane gradient collapse and opening of the permeability transition pore. Bz-423-induced O(2)(-) functioned as an upstream signal that initiated an apoptotic program characterized by cytochrome c release, mitochondrial depolarization, and caspase activation. Pretreatment of cells with agents that either block the formation of Bz-423-induced O(2)(-) or scavenge free radicals attenuated the death cascade, which demonstrated that cell killing by Bz-423 depends on O(2)(-). Parallels between Ramos cells and germinal center B cells prompted experiments to determine whether Bz-423 had therapeutic activity in vivo. This possibility was tested using the (NZB x NZW)F(1) murine model of lupus, in which the pathologically enhanced survival and expansion of germinal center B cells mediate disease. Administration of Bz-423 for 12 weeks specifically controlled germinal center hyperplasia and reduced the histological evidence of glomerulonephritis. Collectively, these studies define a new structure-function relationship for benzodiazepines and point to a new target and mechanism that could be of value for developing improved drugs to manage systemic lupus erythematosus and related disorders.
AuthorsNeal B Blatt, Jeffrey J Bednarski, Roscoe E Warner, Francesco Leonetti, Kathryn M Johnson, Anthony Boitano, Raymond Yung, Bruce C Richardson, Kent J Johnson, Jonathan A Ellman, Anthony W Opipari Jr, Gary D Glick
JournalThe Journal of clinical investigation (J Clin Invest) Vol. 110 Issue 8 Pg. 1123-32 (Oct 2002) ISSN: 0021-9738 [Print] United States
PMID12393848 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antibodies, Antinuclear
  • Reactive Oxygen Species
  • Superoxides
  • Benzodiazepines
  • Bz-423
Topics
  • Animals
  • Antibodies, Antinuclear (blood)
  • Apoptosis (drug effects, physiology)
  • B-Lymphocytes (cytology, drug effects, metabolism)
  • Benzodiazepines (chemistry, pharmacology)
  • Cell Line, Transformed
  • Female
  • Humans
  • In Vitro Techniques
  • Lupus Erythematosus, Systemic (drug therapy, immunology, metabolism)
  • Mice
  • Mice, Inbred NZB
  • Models, Biological
  • Reactive Oxygen Species (metabolism)
  • Signal Transduction (drug effects)
  • Superoxides (metabolism)

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