Induction of a functional vitamin D receptor in all-trans-retinoic acid-induced monocytic differentiation of M2-type leukemic blast cells

Different types of acute myeloid leukemia blast cells were induced to diffe rentiate in vitro with all-trans-retinoic acid (ATRA) and vitamin D-3 (VD). M0/M1 leukemic cells are not sensitive to differentiating agents, whereas M3 leukemic cells are induced to undergo granulocytic differentiation after ATRA treatment but are not sensitive to VD. M2 leukemic blast cells behave differently because they undergo monocytic differentiation with both the d ifferentiation inducers. To gain some insight into the maturation of M2-typ e leukemic cells, we studied the molecular mechanisms underlying monocytic differentiation induced by ATRA and VD in spontaneous M2 blast cells as wel l as in Kasumi-1 cells (an acute myeloid leukemia M2-type cell line). Our r esults indicate that ATRA as well as VD efficiently increases the nuclear a bundance of VD receptor (VDR) and promotes monocytic differentiation. VDR i s functionally active in ATRA-treated Kasumi-1 cells because it efficiently heterodimerizes with retinoid X receptor, binds to a DR3-type vitamin D-re sponsive element, and activates the transcription of a vitamin D-responsive element-regulated reporter gene. Consistent with these findings, VD-respon sive genes are induced by ATRA treatment of Kasmmi-1 cells, suggesting that the genetic program underlying monocytic differentiation is activated. The molecular mechanism by which ATRA increases the nuclear abundance of a fun ctional VDR is still unknown, but our data clearly indicate that the M2 leu kemic cell context is only permissive of monocytic differentiation.