Interactions between the
purine analogue
2-fluoroadenine 9-beta-D-arabinofuranoside (
F-ara-A) and the
kinase inhibitor
UCN-01 have been examined in human
leukemia cells (U937 and HL-60) with respect to induction of mitochondrial damage,
caspase activation, apoptosis, and loss of clonogenic survival. Simultaneous or subsequent exposure of
F-ara-A-treated cells (2 microM) to
UCN-01 (100 nM) resulted in a marked potentiation of apoptosis, manifested by loss of mitochondrial membrane potential (delta psi(m)), cleavage/activation of
procaspase-9 and
procaspase-3, DNA fragmentation, and degradation of poly-
ADP(ribosyl) polymerase. Coadministration of
UCN-01 with
F-ara-A was also associated with diminished phosphorylation of the
cdc25 phosphatase. In contrast, exposure of cells to the sequence
UCN-01, followed by
F-ara-A, resulted in only a modest increase in apoptotic cells. The ability of
UCN-01 to potentiate
F-ara-A-mediated lethality was not mimicked by the selective PKC inhibitor
bisindolylmaleimide, nor did treatment of cells with
UCN-01 enhance formation of
F-ara-ATP or increase incorporation of [3H]
F-ara-A into
DNA. Enhanced apoptosis in cells exposed sequentially or simultaneously to
F-ara-A and
UCN-01 was accompanied by a substantial reduction in colony formation (e.g., to 0.01% of control values). Cotreatment with
UCN-01 also increased
F-ara-A-mediated apoptosis and loss of delta psi(m) in U937 cells ectopically expressing Bcl-2, although not to the same extent as that observed in empty-vector controls. Finally, simultaneous exposure (24 h) of malignant B lymphocytes from the
pleural effusion of a patient with indolent
non-Hodgkin's lymphoma to
F-ara-A and
UCN-01 ex vivo resulted in a striking increase in apoptosis, as determined by terminal
deoxynucleotidyltransferase-mediated nick end labeling assay. These findings indicate that
UCN-01 increases
F-ara-A-induced mitochondrial damage and apoptosis in human
leukemia cells in a sequence-dependent manner, and that these events occur in at least some primary human
lymphoma cells.