1997
DOI: 10.1038/sj.leu.2400860
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The influence of 1-β- D-arabinofuranosylcytosine on the metabolism of phosphatidylcholine in human leukemic HL 60 and Raji cells

Abstract: Further evidence for this mechanism is presented by the observation that hexadecylphosphocholine, an inhibitor of PC synthesis shows synergistic antiproliferative effects with Ara-C. We conclude that the rapid cell lysis described during high-dose Ara-C treatment seems to be mediated by reduction of cell membrane PC content.

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Cited by 16 publications
(11 citation statements)
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“…Cytosine arabinoside (Ara-C) exhibits cytotoxic effects on leukemia cells by inhibiting the activity of DNA polymerase and becoming incorporated into newly synthesized DNA at the S-phase. Berkovic et al (1997) reported that high-dose Ara-C treatment leads to a reduction of cell membrane PC content in HL-60 cells. The addition of lysophosphatidylcholine (lysoPC), which is a direct precursor for PC, increases the PC content of the cell membrane and antagonized the cytotoxic effect.…”
Section: Discussionmentioning
confidence: 99%
“…Cytosine arabinoside (Ara-C) exhibits cytotoxic effects on leukemia cells by inhibiting the activity of DNA polymerase and becoming incorporated into newly synthesized DNA at the S-phase. Berkovic et al (1997) reported that high-dose Ara-C treatment leads to a reduction of cell membrane PC content in HL-60 cells. The addition of lysophosphatidylcholine (lysoPC), which is a direct precursor for PC, increases the PC content of the cell membrane and antagonized the cytotoxic effect.…”
Section: Discussionmentioning
confidence: 99%
“…Also, during dose escalation of AraC the ratio of AraCDP-choline to AraCTP rose from 17% to 20% in blasts and from 11% to 16% in NBMMC (not statistically significant, P ¼ 0·25 and 0·16). Since AraCDP-choline is implicated in the rapid blast lysis during high-dose AraC regimens, the preferential formation of this metabolite in leukaemic blasts might contribute to this phenomenon (Berkovic et al, 1997;Daly et al, 1990;Kucera & Capizzi, 1992;Lauzon et al, 1978). Our data are in accordance with data from other groups who have also demonstrated a higher formation of AraCTP in leukaemic cells than in NBMMC.…”
Section: Discussionmentioning
confidence: 99%
“…The drug exerts its cyctotoxicity via several interconnected mechanisms of action which still remain to be fully elucidated: AraC monophosphate (AraCMP) is incorporated into the DNA and acts as a relative chain terminator (Kufe et al, 1980(Kufe et al, , 1984, enzymes of DNA metabolism (polymerases a and b) are inhibited (Harrington & Perrino, 1995;Leclerc et al, 1987;Mutsukage et al, 1978;Ohno et al, 1988) as are mechanisms of DNA repair (Gedik & Collins, 1991). Alterations of phospholipid metabolism (Berkovic et al, 1997;Daly et al, 1990;Kucera & Capizzi, 1992) and direct interactions with cellular membranes (Koehler et al, 1985) may contribute to cellular lysis particularly during high-dose AraC treatment. In recent years perturbations of cellular signal transduction pathways during AraC exposure have been described potentially leading to apoptosis (Ibrado et al, 1996;Kuwakado et al, 1995).…”
mentioning
confidence: 99%
“…Moreover, the correlation of a high EPA and a response to AraC treatment as shown in this study as well as in a previous investigation (Jahns Streubel et al, 1995) was based on standard dose AraC and hence cannot be extrapolated to, for example, high-dose AraC protocols. This has to be considered in view of the observation that the rapid blast clearance after high-dose AraC might be caused by interactions of AraCTP and/or AraCDP choline with the phospholipid metabolism of cellular membranes (Koehler et al, 1985;Daly et al, 1990;Berkovic et al, 1997). High-dose AraC-induced cytotoxicity would therefore not necessarily require rapidly dividing cells, which is a potential explanation for efficacy of such regimens in relapsed or primarily refractory AML in which standard dose AraC combinations have proved to be unsuccessful.…”
Section: Discussionmentioning
confidence: 99%