2012
DOI: 10.1038/leu.2012.147
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Actinomycin D induces p53-independent cell death and prolongs survival in high-risk chronic lymphocytic leukemia

Abstract: Chronic lymphocytic leukemia (CLL) is the most prevalent lymphoid malignancy in the elderly of the Western world. Although treatment options have improved over the past two decades, 10-15% of patients still have a poor prognosis and are often resistant to therapy. Aberrations in the p53 pathway, such as a deleted (del17p13) or mutated p53 gene, are highly enriched in this class of patients. In an extensive screen for p53-independent apoptosis inducers, actinomycin D was identified from 1496 substances and show… Show more

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Cited by 23 publications
(15 citation statements)
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References 46 publications
(71 reference statements)
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“…Low doses of Act D also induce ribosomal stress and the sequestration of MDM2 by free ribosomal proteins, leading to the accumulation of p53 [7]. However, Act D induces p53-independent cell death and prolongs survival in chronic lymphocytic leukemia [8]. These studies indicate a potential for Act D as a therapeutic agent for a variety of cancers, either as monotherapy or in combination with other drugs.…”
Section: Introductionmentioning
confidence: 93%
“…Low doses of Act D also induce ribosomal stress and the sequestration of MDM2 by free ribosomal proteins, leading to the accumulation of p53 [7]. However, Act D induces p53-independent cell death and prolongs survival in chronic lymphocytic leukemia [8]. These studies indicate a potential for Act D as a therapeutic agent for a variety of cancers, either as monotherapy or in combination with other drugs.…”
Section: Introductionmentioning
confidence: 93%
“…Therefore, therapeutics that target the antiapoptotic pathway represent valuable strategies for CLL treatment. Preclinical studies of actinomycin D 108 and silvestrol (a plant-derived cyclopenta[b] benzofuran) 109 that, respectively, inhibit transcription and translation, and of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) (a derivative of the heat shock protein 90 inhibitor geldanamycin) 94 showed promising results and were indeed associated with a reduction in the levels of antiapoptotic proteins. The studies may provide a rationale for the treatment of CLL cases carrying a deletion of the 17p locus (that are resistant to standard chemotherapy including fludarabine) 110 with actinomycin D or silvestrol, which can induce apoptosis in a P53-independent fashion.…”
Section: Em-tcl1 Transgenic Mouse Model As a Preclinical Model For Nomentioning
confidence: 99%
“…The studies may provide a rationale for the treatment of CLL cases carrying a deletion of the 17p locus (that are resistant to standard chemotherapy including fludarabine) 110 with actinomycin D or silvestrol, which can induce apoptosis in a P53-independent fashion. 108,109 Epigenome targeting. Finally, CLL cells display epigenetic alterations, and evidence suggests that overexpression of histone deacetylase enzymes contributes to CLL pathogenesis.…”
Section: Em-tcl1 Transgenic Mouse Model As a Preclinical Model For Nomentioning
confidence: 99%
“…However, NTSR1 knockdown could significantly downregulate the expression of Bcl-w but not sharply alter the expression of Bcl-2 (Figure 4C). It was reported that actinomycin D and doxorubicin could downregulate Bcl-2 expression (Merkel et al , 2012; Florou et al , 2013). So we added low concentration of actinomycin D and doxorubicin in NTSR1-downregulated cells and the results showed that both Bcl-w and Bcl-2 was inhibited, thus sensitising actinomycin D-induced apoptosis (Figure 3D and F, Supplementary Figures S4A–B).…”
Section: Discussionmentioning
confidence: 99%