Article ; Online: Integrin alpha4 blockade sensitizes drug resistant pre-B acute lymphoblastic leukemia to chemotherapy.
2013 Volume 121, Issue 10, Page(s) 1814–1818
Abstract: Bone marrow (BM) provides chemoprotection for acute lymphoblastic leukemia (ALL) cells, contributing to lack of efficacy of current therapies. Integrin alpha4 (alpha4) mediates stromal adhesion of normal and malignant B-cell precursors, and according to ... ...
Abstract | Bone marrow (BM) provides chemoprotection for acute lymphoblastic leukemia (ALL) cells, contributing to lack of efficacy of current therapies. Integrin alpha4 (alpha4) mediates stromal adhesion of normal and malignant B-cell precursors, and according to gene expression analyses from 207 children with minimal residual disease, is highly associated with poorest outcome. We tested whether interference with alpha4-mediated stromal adhesion might be a new ALL treatment. Two models of leukemia were used, one genetic (conditional alpha4 ablation of BCR-ABL1 [p210(+)] leukemia) and one pharmacological (anti-functional alpha4 antibody treatment of primary ALL). Conditional deletion of alpha4 sensitized leukemia cell to nilotinib. Adhesion of primary pre-B ALL cells was alpha4-dependent; alpha4 blockade sensitized primary ALL cells toward chemotherapy. Chemotherapy combined with Natalizumab prolonged survival of NOD/SCID recipients of primary ALL, suggesting adjuvant alpha4 inhibition as a novel strategy for pre-B ALL. |
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MeSH term(s) | Animals ; Antibodies, Monoclonal, Humanized/pharmacology ; Bone Marrow/drug effects ; Bone Marrow/metabolism ; Bone Marrow/pathology ; Cell Adhesion ; Child ; Drug Resistance, Neoplasm ; Flow Cytometry ; Fusion Proteins, bcr-abl/physiology ; Humans ; Integrases/metabolism ; Integrin alpha4/chemistry ; Integrin alpha4/genetics ; Integrin alpha4/metabolism ; Mice ; Mice, Inbred NOD ; Mice, Knockout ; Mice, SCID ; Natalizumab ; Neoplasm, Residual/drug therapy ; Neoplasm, Residual/metabolism ; Neoplasm, Residual/mortality ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/metabolism ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/mortality ; RNA, Messenger/genetics ; Real-Time Polymerase Chain Reaction ; Reverse Transcriptase Polymerase Chain Reaction ; Stromal Cells/drug effects ; Stromal Cells/metabolism ; Stromal Cells/pathology |
Chemical Substances | Antibodies, Monoclonal, Humanized ; Natalizumab ; RNA, Messenger ; Integrin alpha4 (143198-26-9) ; Fusion Proteins, bcr-abl (EC 2.7.10.2) ; Cre recombinase (EC 2.7.7.-) ; Integrases (EC 2.7.7.-) |
Language | English |
Publishing date | 2013-01-14 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 80069-7 |
ISSN | 1528-0020 ; 0006-4971 |
ISSN (online) | 1528-0020 |
ISSN | 0006-4971 |
DOI | 10.1182/blood-2012-01-406272 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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