Abstract

Background : The pathogenesis of acute myeloid leukemia (AML) is complicated by DNA damage, balanced or unbalanced translocation, deletion, inversion, abnormal transcription factors, receptors, and others. The CCAAT/enhancer binding protein alpha (C/EBP) and C/EBP epsilon (C/EBP), one of transcription factors, play important roles in normal granulopoiesis. We wished to assess whether increasing the activity of either C/EBP or C/EBP could suppress the leukemic myeloblasts. Methods : To make retrovirus, BOSC23 cells were transfected with retroviral constructs; mouse stem cell retrovirus-internal ribosomal entry site-green fluorescent protein (MIG), MIG-C/EBP-estrogen receptor (ER) and MIG-C/EBP -ER. murine myeloblastic () cells or #1111 acute promyelocytic leukemic (#1111 APL, #1111) cells were transduced with each retrovirus. Growth rate and differential cell count were examined, and granulocytic surface markers of Gr-1 and Mac-1 were checked. Transduced #1111 cells were injected into 20 sublethally irradiated (4.5 Gy) mice; at day 14, 4 groups of 5 mice each were input into subcutaneous tissue with placebo, 4-hydroxytamoxifen (4HT), all trans retinoic acid (ATRA), or 4HT & ATRA pellets; survival times were analysed when they died. Results : The number of GFP (+) transduced cells with MIG (control group) at days 2, 4, and 6 were 684976, 1975965, and 2808244; cells with MIG-C/EBP-ER were 77354, 53180, and 39460; and cell with MIG-C/EBP-ER were 328384, 698424, and 974850, respectively. The control group didn’t express both Gr-1 and Mac-1, but C/EBP expressed 56.1%, 55.6% and C/EBP expressed 31.3% and 32.6%, respectively. The differential counts of immature, intermediate, and mature forms in control group were 90.0%, 6.0%, and 4.0%; C/EBP 4.3%, 33.7%, and 62.0%; C/EBP 41.0%, 48.3%, and 10.7%, respectively. The mean survival time of transduced #1111 cells with MIG-C/EBP-ER injected mice was 30.5 days in placebo group, 41.8 days in 4HT (C/EBP) group, 69.0 days in ATRA group, and 97.8 days in 4HT (C/EBP) & ATRA group. In case of MIG-C/EBP-ER, the survival time was 26.4 days in placebo group, 33.0 days in 4HT (C/EBP) group, 49.6 days in ATRA group, and 52.5 days in 4HT (C/EBP) & ATRA group. Conclusions : Both C/EBP and C/EBP suppressed cell growth and differentiation of cells, and they also suppressed cell growth of #1111 cells. The ATRA was more effective than C/EBP in APL, and C/EBP and ATRA had synergistic effects in APL. The growth arrest and differentiated action of C/EBP was more powerful than that of C/EBP.

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