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Proteasome inhibitors induce apoptosis in glucocorticoid-resistant chronic lymphocytic leukemic lymphocytes

J Chandra1, I Niemer, J Gilbreath

  • 1Departments of Cell Biology and Hematology, The University of Texas, M.D. Anderson Cancer Center, Houston, TX, USA.

Blood
|December 3, 1998
PubMed

Insights

Proteasome inhibitors induce DNA fragmentation and apoptosis in chronic lymphocytic leukemia (CLL) cells, even those resistant to standard therapies. This suggests proteasome-targeted drugs may overcome chemotherapy resistance in CLL.

Area of Science:

  • Molecular Biology
  • Cell Biology
  • Oncology

Background:

  • Nuclear scaffold (NS) protease is crucial for apoptosis in thymocytes and chronic lymphocytic leukemia (CLL) cells.
  • NS protease subunits show homology to proteasomes, prompting investigation into proteasome inhibitor effects.

Purpose of the Study:

  • To evaluate the efficacy of proteasome inhibitors in inducing apoptosis in CLL cells.
  • To elucidate the molecular mechanisms underlying proteasome inhibitor-induced apoptosis in CLL.

Main Methods:

  • Treatment of CLL cells with classical proteasome inhibitors in vitro.
  • Assessment of DNA fragmentation, caspase activation, and mitochondrial parameters (cytochrome c release, transmembrane potential).
  • Analysis of Nuclear Factor-kappaB (NF-kappaB) inhibition.

Main Results:

  • Proteasome inhibition led to significant DNA fragmentation in all analyzed CLL patients, including those resistant to glucocorticoids or nucleoside analogs.
  • DNA fragmentation was linked to caspase activation and blocked by a caspase antagonist (zVADfmk).
  • Mechanisms involved mitochondrial dysregulation, cytochrome c release, decreased mitochondrial transmembrane potential, and NF-kappaB inhibition.

Conclusions:

  • Proteasome inhibition effectively induces apoptosis in CLL cells, irrespective of conventional chemotherapy resistance.
  • Mitochondrial pathways and NF-kappaB inhibition are key mediators of proteasome inhibitor-induced apoptosis.
  • Targeting the proteasome represents a promising therapeutic strategy to overcome chemoresistance in CLL.

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