Zhang W, Ohnishi K, Shigeno K, Fujisawa S, Naito K, Nakamura S, Takeshita K, Takeshita A, Ohno R
Department of Medicine III, Hamamatsu University School of Medicine, Japan.
Leukemia. 1998 Sep;12(9):1383-91. doi: 10.1038/sj.leu.2401112.
Arsenic trioxide (As2O3) has recently been shown to induce complete remission in acute promyelocytic leukemia (APL). As2O3 reportedly has dose-dependent dual effects on APL cells, triggering apoptosis at relatively high concentrations and inducing differentiation at lower concentrations. However, its effect is still controversial for other AML cells and hematological neoplasms. We studied the in vitro effect of As2O3 on lymphoid lineage cells: lymphoma cell lines, NOL-3, Raji and Daudi, a myeloma cell line, NOP-1, normal peripheral blood lymphocytes (PBL), non-Hodgkin's lymphoma (NHL) cells and chronic lymphocytic leukemia (CLL) cells, and compared it with the effect on APL cell line, NB4, as well as other myeloid cell lines, HL-60 and NKM-1. As2O3 at a concentration of 1 micromol/l markedly inhibited both proliferation and viability of NB4, NOP-1, NOL-3 and NKM-1 cells, but it reduced only viability in normal PBL, CLL cells and NHL cells. As2O3 induced apoptosis and down-regulated bcl-2 expression in NB4, NOP-1 and NKM-1 cells. On the other hand, in HL-60, Raji and Daudi cells, 1 micromol/l As2O3 inhibited only the proliferation weakly, and neither induced apoptosis nor down-regulated bcl-2 expression, but arrested only cell cycle at G1 phase. As2O3 at a low concentration of 0.1 micromol/l had no effect on proliferation and viability of these cells except for NB4. These results showed that As2O3 exerted variable and definite effects on lymphoid cells and indicated that As2O3 might be clinically useful in lymphoid neoplasms such as malignant lymphoma and CLL.
三氧化二砷(As2O3)最近已被证明可使急性早幼粒细胞白血病(APL)完全缓解。据报道,As2O3对APL细胞具有剂量依赖性双重作用,在相对高浓度时触发凋亡,在较低浓度时诱导分化。然而,其对其他急性髓系白血病(AML)细胞和血液系统肿瘤的作用仍存在争议。我们研究了As2O3对淋巴系细胞的体外作用:淋巴瘤细胞系NOL-3、Raji和Daudi,骨髓瘤细胞系NOP-1,正常外周血淋巴细胞(PBL),非霍奇金淋巴瘤(NHL)细胞和慢性淋巴细胞白血病(CLL)细胞,并将其与对APL细胞系NB4以及其他髓系细胞系HL-60和NKM-1的作用进行比较。浓度为1微摩尔/升的As2O3显著抑制NB4、NOP-1、NOL-3和NKM-1细胞的增殖和活力,但仅降低正常PBL、CLL细胞和NHL细胞的活力。As2O3诱导NB4、NOP-1和NKM-1细胞凋亡并下调bcl-2表达。另一方面,在HL-60、Raji和Daudi细胞中,1微摩尔/升的As2O3仅微弱抑制增殖,既不诱导凋亡也不下调bcl-2表达,而是仅使细胞周期停滞在G1期。低浓度0.1微摩尔/升的As2O3对这些细胞的增殖和活力无影响,但对NB4细胞除外。这些结果表明As2O3对淋巴细胞发挥了可变且明确的作用,并表明As2O3在恶性淋巴瘤和CLL等淋巴系统肿瘤中可能具有临床应用价值。
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