2016
DOI: 10.18632/oncotarget.9525
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Targeting DNA repair with aphidicolin sensitizes primary chronic lymphocytic leukemia cells to purine analogs

Abstract: Purine analogs are among the most effective chemotherapeutic drugs for the treatment of chronic lymphocytic leukemia (CLL). However, chemoresistance and toxicity limit their clinical use. Here, we report that the DNA polymerase inhibitor aphidicolin, which displayed negligible cytotoxicity as a single agent in primary CLL cells, markedly synergizes with fludarabine and cladribine via enhanced apoptosis. Importantly, synergy was recorded regardless of CLL prognostic markers. At the molecular level, aphidicolin … Show more

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Cited by 10 publications
(7 citation statements)
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“…Induction of γH2AX in response to purine analogs in primary CLL cells has been reported in several studies [ 37 39 ]. We show here that γH2AX accumulation, whether induced by fludarabine (Figure 3C , left panel) or cladribine (Figure 3C , right panel), was significantly reduced by the ATR inhibitor VE-821.…”
Section: Resultsmentioning
confidence: 99%
“…Induction of γH2AX in response to purine analogs in primary CLL cells has been reported in several studies [ 37 39 ]. We show here that γH2AX accumulation, whether induced by fludarabine (Figure 3C , left panel) or cladribine (Figure 3C , right panel), was significantly reduced by the ATR inhibitor VE-821.…”
Section: Resultsmentioning
confidence: 99%
“…The first step of activating cladribine is catalyzed by deoxycytidine kinase (dCK). This enzyme is mainly expressed in lymphocytes, whereas cladribine is particularly active in lymphoid tissues 11 . Genotoxic agents, including UV-C and DNA synthesis inhibitors or cladribine contribute to increase of ATR (Ataxia Telangiectasia and Rad3-related protein) kinase activity, which is a major activator of dCK in leukemic cells 5,12 .…”
Section: Introductionmentioning
confidence: 99%
“…It is already known that aphidicolin acts synergistically to improve the sensitivity and cytotoxic potential of purine analogs and platinum compounds (25). It is also established that entinostat, a…”
Section: Chemo-radiotherapy Treated Samples Have Higher Incidence Of mentioning
confidence: 99%