The human leukemic cell line NB4 was derived from a patient with acute
promyelocytic leukemia and is characterized by a specific 15;17 chrom
osomal translocation. We analyzed the response of NB4 and HL-60 cells
to the biomodulators all-trans-retinoic acid (ATRA), vitamin D3 (Vit D
3) and the protein kinase C agonists bryostatin 1 (Bryo 1) and phorbol
ester 12-O-tetradecanoylphorbol 13-acetate (TPA). HL-60 cells were us
ed for comparison being arrested at the myeloblastic-promyelocytic sta
ge, but lacking the t(15;17) abnormality. In most experiments Vit D3 w
as only weakly or not at all effective. The other three reagents effec
tively slowed or stopped the proliferation of the cells in suspension.
Associated with this proliferation arrest was the cell differentiatio
n along the myeloid cell lineages: ATRA modulated morphological featur
es indicative of granulocytic differentiation; Bryo 1 and TPA caused a
lso distinct morphological changes. The inducers up-regulated the expr
ession of CD11b (without changing the surface expression of other mark
ers, e.g. CD13, CD14, CD15, CD33, CD68, HLA-DR) and completely down-re
gulated the originally strong expression of myeloperoxidase and c-myc
at the mRNA level. Thus, ATRA- or protein kinase C activator-induced d
ifferentiation involved changes associated with maturational processes
. Induction of terminal differentiation of leukemic cells by physiolog
ical or pharmacological modulators may be able to control the growth o
f the malignant cells and has therapeutic implications.