2018
DOI: 10.1093/intimm/dxy040
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Anti-leukemic effects of all-trans retinoic acid in combination with Daratumumab in acute myeloid leukemia

Abstract: Acute myeloid leukemia (AML) remains a significant health problem, with poor outcomes despite chemotherapy and bone marrow transplants. Although one form of AML, acute promyelocytic leukemia (APL), is successfully treated with all-trans retinoic acid (ATRA), this drug is seemingly ineffective against all other forms of AML. Here, we show that ATRA up-regulates CD38 expression on AML blasts to sufficient levels that promote antibody-mediated fratricide following the addition of anti-CD38 daratumumab (DARA). The… Show more

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Cited by 22 publications
(20 citation statements)
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“…Recently, a combined effect of ATRA and bromodomain inhibitor JQ1 has been demonstrated on non-APL AML cells with a synergistic growth inhibition resulting from differentiation or apoptosis [ 30 ]. Similarly, inhibition of the SUMO pathway appeared as a promising strategy to sensitize patients with non-APL AML to retinoids [ 31 ], and the combination of ATRA with the anti-CD38 daratumumab to increase cytotoxicity among AML blasts in vitro and overall survival in murine engraftment models of AML [ 32 ]. Preliminary studies have suggested that the epigenetic and transcriptional state of leukemia cells determines their susceptibility to ATRA [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…Recently, a combined effect of ATRA and bromodomain inhibitor JQ1 has been demonstrated on non-APL AML cells with a synergistic growth inhibition resulting from differentiation or apoptosis [ 30 ]. Similarly, inhibition of the SUMO pathway appeared as a promising strategy to sensitize patients with non-APL AML to retinoids [ 31 ], and the combination of ATRA with the anti-CD38 daratumumab to increase cytotoxicity among AML blasts in vitro and overall survival in murine engraftment models of AML [ 32 ]. Preliminary studies have suggested that the epigenetic and transcriptional state of leukemia cells determines their susceptibility to ATRA [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…A recent study identified that all-trans retinoic acid (ATRA) increases CD38 expression on acute myeloid leukemia (34). We next identified if this was the case for multiple myeloma.…”
Section: Cd38 Inhibition Prevents Mitochondrial Transfer and Tnt Formmentioning
confidence: 97%
“…Acute myeloid leukemia (AML) is another disease where the anti-tumor effects of DARA have been investigated. In combination with all-trans retinoic acid (ATRA), DARA enhanced cytotoxicity of AML cells [ 70 ], while as a single agent, DARA induced an inhibition of mitochondrial transfer from mesenchymal stromal cells to AML cells, thus reducing the tumor burden [ 71 ]. Moreover, the efficacy of anti-CD38 therapy was assessed also in post-transplant refractory B-acute lymphoblastic leukemia [ 72 , 73 , 74 ].…”
Section: Clinical Applications Outside MMmentioning
confidence: 99%