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Cotreatment with suberanoylanilide hydroxamic acid and 17-allylamino 17-demethoxygeldanamycin synergistically induces apoptosis in Bcr-Abl+ Cells sensitive and resistant to STI571 (imatinib mesylate) in association with down-regulation of Bcr-Abl, abrogation of signal transducer and activator of transcription 5 activity, and Bax conformational change.

Abstract
Interactions between the histone deacetylase (HDAC) inhibitors suberanoylanilide hydroxamic acid (SAHA) and sodium butyrate (SB) and the heat shock protein (Hsp) 90 antagonist 17-allylamino 17-demethoxygeldanamycin (17-AAG) have been examined in Bcr-Abl(+) human leukemia cells (K562 and LAMA84), including those sensitive and resistant to STI571 (imatinib mesylate). Cotreatment with 17-AAG and SAHA or SB synergistically induced mitochondrial dysfunction (cytochrome c and apoptosis-inducing factor release), caspase-3 and -8 activation, apoptosis, and growth inhibition. Similar effects were observed in LAMA84 cells and K562 cells resistant to STI571, as well as in CD34(+) cells isolated from the bone marrows of three patients with chronic myelogenous leukemia. These events were associated with increased binding of Bcr-Abl, Raf-1, and Akt to Hsp70, and inactivation of extracellular signal-regulated kinase 1/2 and Akt. In addition, 17-AAG/SAHA abrogated the DNA binding and the transcriptional activities of signal transducer and activator of transcription (STAT) 5 in K562 cells, including those ectopically expressing a constitutively active STAT5A construct. Cotreatment with 17-AAG and SAHA also induced down-regulation of Mcl-1, Bcl-xL, and B-Raf; up-regulation of Bak; cleavage of 14-3-3 proteins; and a profound conformational change in Bax accompanied by translocation to the membrane fraction. Moreover, ectopic expression of Bcl-2 attenuated cell death induced by this regimen, implicating mitochondrial injury in the lethality observed. Together, these findings raise the possibility that combining HDAC inhibitors with the Hsp90 antagonist 17-AAG may represent a novel strategy against Bcr-Abl(+) leukemias, including those resistant to STI571.
AuthorsMohamed Rahmani, Erin Reese, Yun Dai, Cheryl Bauer, Lora B Kramer, Mei Huang, Richard Jove, Paul Dent, Steven Grant
JournalMolecular pharmacology (Mol Pharmacol) Vol. 67 Issue 4 Pg. 1166-76 (Apr 2005) ISSN: 0026-895X [Print] United States
PMID15625278 (Publication Type: Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • BAX protein, human
  • Benzamides
  • Benzoquinones
  • DNA-Binding Proteins
  • Enzyme Inhibitors
  • Histone Deacetylase Inhibitors
  • Hydroxamic Acids
  • Lactams, Macrocyclic
  • Milk Proteins
  • Piperazines
  • Proto-Oncogene Proteins
  • Proto-Oncogene Proteins c-bcl-2
  • Pyrimidines
  • STAT5 Transcription Factor
  • STAT5A protein, human
  • Trans-Activators
  • Tumor Suppressor Proteins
  • bcl-2-Associated X Protein
  • Rifabutin
  • tanespimycin
  • Vorinostat
  • Imatinib Mesylate
  • DNA
  • Fusion Proteins, bcr-abl
  • AKT1 protein, human
  • Protein Serine-Threonine Kinases
  • Proto-Oncogene Proteins c-akt
  • raf Kinases
  • MAP Kinase Kinase Kinases
Topics
  • Apoptosis (drug effects)
  • Benzamides
  • Benzoquinones
  • DNA (metabolism)
  • DNA-Binding Proteins (metabolism)
  • Down-Regulation
  • Drug Synergism
  • Enzyme Inhibitors (pharmacology)
  • Fusion Proteins, bcr-abl (analysis)
  • Histone Deacetylase Inhibitors
  • Humans
  • Hydroxamic Acids (pharmacology)
  • Imatinib Mesylate
  • K562 Cells
  • Lactams, Macrocyclic
  • MAP Kinase Kinase Kinases (physiology)
  • Milk Proteins (metabolism)
  • Mitochondria (drug effects)
  • Piperazines (pharmacology)
  • Protein Conformation
  • Protein Serine-Threonine Kinases (physiology)
  • Protein Transport (drug effects)
  • Proto-Oncogene Proteins (physiology)
  • Proto-Oncogene Proteins c-akt
  • Proto-Oncogene Proteins c-bcl-2 (chemistry)
  • Pyrimidines (pharmacology)
  • Rifabutin (analogs & derivatives, pharmacology)
  • STAT5 Transcription Factor
  • Trans-Activators (metabolism)
  • Transcription, Genetic (drug effects)
  • Tumor Suppressor Proteins
  • Vorinostat
  • bcl-2-Associated X Protein
  • raf Kinases (physiology)

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