Ja. Vrana et al., Induction of apoptosis and differentiation by fludarabine in human leukemia cells (U937): interactions with the macrocyclic lactone bryostatin 1, LEUKEMIA, 13(7), 1999, pp. 1046-1055
We have examined interactions between the purine nucleoside analog fludarab
ine (9-beta-arabinofuranosyl-2-fluoroadenine) and the macrocyclic lactone b
ryostatin 1 in the human monocytic leukemic cell line U937. Fludarabine exe
rted dose-dependent effects on U937 cell viability and growth which were as
sociated with both induction of apoptosis, as well as cellular maturation.
Incubation of cells with bryostatin 1 (10 nM; 24 h) after, but not before a
6-h exposure to 10 mu M fludarabine resulted in a modest but significant i
ncrease in apoptosis, and was associated with greater than a 1 log reductio
n in clonogenicity. Subsequent exposure to bryostatin 1 also increased the
percentage of fludarabine-treated cells displaying differentiation-related
features (eg plastic adherence, CD11b positivity) compared to cells exposed
to fludarabine alone. Bryostatin 1 did not increase the retention of the a
ctive fludarabine metabolite, Fara-ATP, nor did it increase H-3-F-ara-A inc
orporation into DNA. Despite its capacity to trigger cellular maturation, f
ludarabine exposure (either with or without bryostatin 1) failed to induce
the cyclin-dependent kinase inhibitors (CDKIs) p21(WAF1/CIP1) and p27(KIP1)
. Nevertheless, dysregulation of p21 (resulting from stable transfection of
cells with a p21(WAF1/CIP1) antisense construct) reduced fludarabine-media
ted differentiation, while inducing a corresponding increase in apoptosis.
Enforced expression of Bcl-2 partially protected cells from fludarabine-rel
ated apoptosis, an effect that was overcome, in part, by subsequent exposur
e of cells to bryostatin 1. Interestingly, Bcl-2-overexpressing cells were
as or In some cases, more susceptible to differentiation induction by fluda
rabine (+/- bryostatin 1) than their empty vector-containing counterparts.
Collectively, these results indicate that the antiproliferative effects of
fludarabine toward U937 leukemic cells involve both induction of apoptosis
and cellular maturation, and that each of these processes may be enhanced b
y bryostatin 1.