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Triterpenoid CDDO-Im downregulates PML/RARalpha expression in acute promyelocytic leukemia cells
1Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.
Abstract:
The triterpenoid 2-cyano-3,12-dioxooleana-1,9-dien-28-oic acid (CDDO) induces differentiation and apoptosis of diverse human tumor cells. In the present study, we examined the effects of the CDDO imidazolide imide (CDDO-Im) on the NB4 acute promyelocytic leukemia (APL) cell line and primary APL cells. The results show that CDDO-Im selectively downregulates expression of the PML/retinoic receptor alpha fusion protein by a caspase-dependent mechanism and sensitizes APL cells to the differentiating effects of all-trans retinoic acid (ATRA). CDDO-Im treatment of APL cells was also associated with disruption of redox balance and activation of the extrinsic apoptotic pathway. In concert with these results, CDDO-Im sensitizes APL cells to arsenic trioxide (ATO)-induced apoptosis. Our findings indicate that CDDO-Im may be effective in the treatment of APL by: (i) downregulation of PML/RARalpha; (ii) enhancement of ATRA-induced differentiation; and (iii) sensitization of ATO-induced APL cell death.
Insights
The novel compound CDDO-Im effectively targets acute promyelocytic leukemia (APL) cells by downregulating PML/RARalpha, enhancing ATRA differentiation, and sensitizing cells to ATO-induced apoptosis.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The triterpenoid CDDO induces tumor cell differentiation and apoptosis.
- Acute promyelocytic leukemia (APL) is characterized by the PML/RARalpha fusion protein.
Purpose of the Study:
- To investigate the effects of CDDO-Im on APL cells.
- To determine the therapeutic potential of CDDO-Im in APL treatment.
Main Methods:
- Treatment of NB4 and primary APL cells with CDDO-Im.
- Analysis of PML/RARalpha expression, caspase activity, and apoptosis.
- Assessment of APL cell sensitivity to ATRA and ATO.
Main Results:
- CDDO-Im selectively downregulated PML/RARalpha via a caspase-dependent pathway.
- CDDO-Im sensitized APL cells to ATRA-induced differentiation and ATO-induced apoptosis.
- CDDO-Im disrupted redox balance and activated the extrinsic apoptotic pathway.
Conclusions:
- CDDO-Im demonstrates significant therapeutic potential for APL treatment.
- CDDO-Im acts through PML/RARalpha downregulation, enhanced ATRA differentiation, and ATO sensitization.
- CDDO-Im represents a promising agent for APL therapy.
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