Abstract

Previous chemotherapy research has focused almost exclusively on apoptosis. Here, a standard frontlinedrug combination of cytarabine and idarubicin induces distinct features of caspase-independent, poly(ADP-ribose)polymerase 1 (PARP-1)-mediated programmed cell death "parthanatos" in acute myeloid leukemia (AML) cell lines (n= 3/10 tested), peripheral blood mononuclear cells from healthy human donors (n= 10/10 tested), and primary cell samples from patients with AML (n= 18/39 tested, French-American-British subtypes M4 and M5). A 3-fold improvement in survival rates is observed in the parthanatos-positive versus -negative patient groups (hazard ratio [HR]= 0.28-0.37, p= 0.002-0.046). Manipulation of PARP-1 activity in parthanatos-competent cells reveals higher drug sensitivity in cells that have basal PARP-1 levels as compared with those subjected to PARP-1 overexpression or suppression. The same trends are observed in RNA expression databases and support the conclusion that PARP-1 can have optimal levels for favorable chemotherapeutic responses.

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call