2004
DOI: 10.1124/mol.65.1.227
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The Antileukemia Drug 2-Chloro-2′-deoxyadenosine: An Intrinsic Transcriptional Antagonist

Abstract: The nucleoside analog 2-chloro-2Ј-deoxyadenosine (CldAdo; cladribine) is effective in the treatment of hairy cell leukemia and chronic lymphocytic leukemia. CldAdo is phosphorylated and incorporated into cellular DNA but is not an absolute chain terminator. We demonstrated by in vitro gel-shift assays that binding interactions of the human TATA box-binding protein (TBP) were disrupted on 2-chlorodeoxyadenosine monophosphate (CldAMP)-substituted TATA box consensus sequences. We hypothesized that human RNA polym… Show more

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Cited by 19 publications
(9 citation statements)
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“…Results from RNA profiling studies also suggest that DCK levels are high in T cells, B cells and dendritic cells but low in nonhematologic cell types such as liver, brain, lung, heart, skin, kidney and germ cells [7], [8], which may have an advantage of reduced adverse events related to these organs for 2-CDA. The mechanism by which 2-CdATP induces cell death appears to be through DNA double strand breaks, failure to repair them and disruption of DNA synthesis by inhibition of key enzymes involved in DNA and RNA synthesis and repair such as DNA polymerase and ribonucleotide reductase [9][11]. 2-CDA can induce cell death at clinically relevant concentrations through apoptosis by depleting intracellular pools of nicotinamide adenine dinucleotide and adenosine triphosphate [12].…”
Section: Introductionmentioning
confidence: 99%
“…Results from RNA profiling studies also suggest that DCK levels are high in T cells, B cells and dendritic cells but low in nonhematologic cell types such as liver, brain, lung, heart, skin, kidney and germ cells [7], [8], which may have an advantage of reduced adverse events related to these organs for 2-CDA. The mechanism by which 2-CdATP induces cell death appears to be through DNA double strand breaks, failure to repair them and disruption of DNA synthesis by inhibition of key enzymes involved in DNA and RNA synthesis and repair such as DNA polymerase and ribonucleotide reductase [9][11]. 2-CDA can induce cell death at clinically relevant concentrations through apoptosis by depleting intracellular pools of nicotinamide adenine dinucleotide and adenosine triphosphate [12].…”
Section: Introductionmentioning
confidence: 99%
“…They also cooperate with cytochrome c and apoptosis protein-activated factor-1 (Apaf-1) to initiate the intrinsic pathway of apoptosis [7,8]. Lastly, purine NAs, mainly fludarabine, inhibit RNA and protein synthesis, which could contribute to their cytotoxicity by reducing the synthesis of proteins that are essential for cell survival [9,10]. The diversity of these effects can explain why purine NAs are efficient towards both proliferating and quiescent cells.…”
Section: Introductionmentioning
confidence: 99%
“…Also, cladribine is phosphorylated and incorporated into cellular DNA and acts as a transcriptional antagonist. 62 It causes apoptosis in leukemia cells. Its efficacy, however, is compromised by the emergence of resistant cells, which do not undergo apoptosis.…”
Section: Velcade/bortezomib (Ps-341)mentioning
confidence: 99%