2008
DOI: 10.1159/000151511
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Antitumor Activity of Bortezomib Alone and in Combination with Trail in Human Acute Myeloid Leukemia

Abstract: Acute myeloid leukemia (AML) is a malignant disease characterized by abnormal proliferation of clonal precursor cells. Although different strategies have been adopted to obtain complete remission, the disease actually progresses in about 60–70% of patients. Bortezomib has been used in multiple myeloma and other lymphoid malignancies because of its antitumor activity. Here we examined the sensitivity of bone marrow cells from AML patients (34 patients: 25 newly diagnosed, 4 relapsed, 5 refractory) to bortezomib… Show more

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Cited by 27 publications
(11 citation statements)
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“…However, AML is largely resistant to TRAIL-induced apoptosis, due to inhibition or lack of expression of the apoptosis-inducing TRAIL receptors (DR4, DR5) and overexpression of intracellular anti-apoptotic factors, such as c-FLIP [33]. There is a strong rationale for using bortezomib to overcome TRAIL resistance based on the known influence of bortezomib on the proteins regulating the TRAIL apoptotic pathway, however, currently there is limited information on the potential of bortezomib to sensitize AML to rhTRAIL [38]. Our data reveal that bortezomib exerts potent pro-apoptotic effects against AML in vitro in the nanomolar range and also sensitizes AML cells of myelomonocytic/monocytic phenotype, which account for 20-30% of AML cases [39], to rhTRAIL, an effect which is at least partly mediated by inhibition of NF-κB and by reducing c-FLIP and XIAP expression, which is consistent with similar findings in other cancer cells [30,40-42].…”
Section: Resultsmentioning
confidence: 99%
“…However, AML is largely resistant to TRAIL-induced apoptosis, due to inhibition or lack of expression of the apoptosis-inducing TRAIL receptors (DR4, DR5) and overexpression of intracellular anti-apoptotic factors, such as c-FLIP [33]. There is a strong rationale for using bortezomib to overcome TRAIL resistance based on the known influence of bortezomib on the proteins regulating the TRAIL apoptotic pathway, however, currently there is limited information on the potential of bortezomib to sensitize AML to rhTRAIL [38]. Our data reveal that bortezomib exerts potent pro-apoptotic effects against AML in vitro in the nanomolar range and also sensitizes AML cells of myelomonocytic/monocytic phenotype, which account for 20-30% of AML cases [39], to rhTRAIL, an effect which is at least partly mediated by inhibition of NF-κB and by reducing c-FLIP and XIAP expression, which is consistent with similar findings in other cancer cells [30,40-42].…”
Section: Resultsmentioning
confidence: 99%
“…Earlier studies also suggested that bortezomib could dramatically sensitize not only multiple myeloma cells (3), but also a variety of human and mouse solid tumor cells to the apoptotic effects of TRAIL in vitro (4, 5). Subsequent studies confirmed that a combination of bortezomib with TRAIL could overcome the resistance to TRAIL cytotoxicity in vitro in a wide variety of cancer cells including leukemias and lymphomas (6, 7), prostate (8, 9), colon (5), bladder (8), thyroid (10), ovarian (11), lung (12), sarcoma (13), hepatoma (14, 15) and glioma (16). Encouragingly, normal cells still seem to remain relatively resistant to TRAIL, even in combination with bortezomib (14, 15).…”
Section: Introductionmentioning
confidence: 88%
“…Conticello et al [115] examined the sensitivity of bone marrow cells from AML patients (34 patients; 25 newly diagnosed, 4 relapsed, 5 refractory) to bortezomib alone or in combinaton with TRAIL, a member of the tumor necrosis factor (TNF) family that induces apoptosis in tumor cells while sparing normal cells. Bortezomib induced cell death in blasts from all 34 AML patients.…”
Section: Antitumor Activity Of Bortezomib In Combination With Trail Imentioning
confidence: 99%