PLZF-RARα is the second most
frequent variant acute promyelocytic
leukemia (APL) fusion protein that ranks after PML-RARα in APL.
However, PLZF-RARα is resistant to current front line APL treatments
including all transretinoic acid (ATRA), arsenic trioxide (ATO), and
chemotherapy (i.e., Idarubicin). Herein, we for the first time report
that phenylarsine oxide (PAO) could effectively induce PLZF-RARα
variant fusion protein degradation through ubiquitin proteasome degradation
pathway by apoptosis, which indicates that PAO might be a potential
candidate for the treatment of PLZF-RARα variant APL. Given
that, this study highlights the potential benefit of arsenic-organometallic
compound PAO in APL treatment.