Abstract

The major oncogenic driver of acute promyelocytic leukemia (APL) is the fusion protein PML-RARα originated from the chromosomal translocation t(15;17). All-trans retinoic acid (ATRA) and arsenic trioxide cure most patients by directly targeting PML-RARα. However, major issues including the resistance of ATRA and arsenic therapy still remain in APL clinical management. Here we showed that compound Z-10, a nitro-ligand of retinoid X receptor α (RXRα), strongly promoted the cAMP-independent apoptosis of both ATRA- sensitive and resistant NB4 cells via the induction of caspase-mediated PML-RARα degradation. RXRα was vital for the stability of both PML-RARα and RARα likely through the interactions. The binding of Z-10 to RXRα dramatically inhibited the interaction of RXRα with PML-RARα but not with RARα, leading to Z-10's selective induction of PML-RARα but not RARα degradation. Z-36 and Z-38, two derivatives of Z-10, had improved potency of inducing PML-RARα reduction and NB4 cell apoptosis. Hence, RXRα ligand Z-10 and its derivatives could target both ATRA- sensitive and resistant APL cells through their distinct acting mechanism, and are potential drug leads for APL treatment.

Highlights

  • Acute promyelocytic leukemia (APL) originates from the specific chromosomal translocations mostly between chromosomes 15 and 17, leading to the occurrence of the fused oncogene promyelocytic leukemia - retinoic acid receptor-α (PML-RARα) [1]

  • We report that Z-10 induced PMLRARα degradation and the apoptosis of both ATRAsensitive and resistant acute promyelocytic leukemia (APL) cells in a cAMP-independent manner

  • Both Z-10 and arsenic at 1 μM significantly promoted NB4 cell apoptosis comparing with All-trans retinoic acid (ATRA) (8.07%, 7.38% and 4.76% NB4 cells underwent apoptosis in the presence of Z-10, arsenic, and ATRA, respectively) (Figure 1C)

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Summary

Introduction

Acute promyelocytic leukemia (APL) originates from the specific chromosomal translocations mostly between chromosomes 15 and 17, leading to the occurrence of the fused oncogene promyelocytic leukemia - retinoic acid receptor-α (PML-RARα) [1]. PML is the organizer of a nuclear structure known as the PML nuclear bodies (NBs), which is important for maintaining cellular homeostasis [5, 6]. Another pathogenic activity of PML-RARα is to disrupt the PML nuclear bodies through its interaction with PML [7]. All-trans-retinoic acid (ATRA) induces the transcriptional activity of PML-RARα, leading to the induction of RARα-targeted genes and the differentiation of promyelocyte [2]. Arsenic trioxide binds to the PML moiety, leading to SUMO-dependent and ubiquitin-mediated degradation of PML-RARα [15, 16]. Because arsenic targets to the PML moiety, it can overcome ATRA-resistance in some cases [13]

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