2010
DOI: 10.1182/blood-2009-07-233304
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Acquired resistance to ABT-737 in lymphoma cells that up-regulate MCL-1 and BFL-1

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Cited by 317 publications
(317 citation statements)
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“…One would be to include compounds that decrease Mcl-1 expression (such as ABT-737 treatment in combination with flavopiridol or ara-C) and another approach would be to inhibit Mcl-1 antiapoptotic action by increasing Noxa expression using bortezomib. Recent publications suggested that ABT-737 exposure might enhance Mcl-1 upregulation, leading to ABT-737 resistance (36,42). This putative role played by ABT-737 as a Mcl-1 upregulator further enhances the potential of Mcl-1-targeted therapy used in combination with ABT-737.…”
Section: Discussionmentioning
confidence: 99%
“…One would be to include compounds that decrease Mcl-1 expression (such as ABT-737 treatment in combination with flavopiridol or ara-C) and another approach would be to inhibit Mcl-1 antiapoptotic action by increasing Noxa expression using bortezomib. Recent publications suggested that ABT-737 exposure might enhance Mcl-1 upregulation, leading to ABT-737 resistance (36,42). This putative role played by ABT-737 as a Mcl-1 upregulator further enhances the potential of Mcl-1-targeted therapy used in combination with ABT-737.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, ABT-737 and its orally active analog, ABT-263, have a single agent activity in a subset of cancers (including multiple myeloma and small-cell lung cancer) that rely on Bcl-2/Bcl-X L but not Mcl-1 for survival (7). However, recent studies demonstrated that cancer cells rapidly develop resistance to ABT-737 through up-regulation of Mcl-1 and that down-regulation of Mcl-1 restores the sensitivity to ABT-737 (38,44). This suggests that the anti-apoptotic members of the Bcl-2 family can functionally compensate for each other.…”
Section: Discussionmentioning
confidence: 99%
“…24 The emergence of Bcl-2 inhibitors such as ABT-263 and ABT-199 are showing considerable promise for the treatment of CLL, however these drugs are unable to inhibit the antiapoptotic effects of Mcl-1 conferred by the microenvironment, 25 thus identifying a known mechanism of resistance to these BH3-mimetics. [26][27][28][29] Several pan-Bcl-2 family inhibitors such as obatoclax, sabutoclax and AT-101 have been developed with low micromolar potency against Mcl-1. Obatoclax (a BH-3 mimetic) has been investigated in a phase I clinical trial for advanced CLL, but its effect was limited.…”
Section: Introductionmentioning
confidence: 99%