Pronounced hypoxia in models of murine and human leukemia: high efficacy of hypoxia-activated prodrug PR-104.

Pronounced hypoxia in models of murine and human leukemia: high efficacy of hypoxia-activated prodrug PR-104.
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在鼠和人类白血病模型中明显缺氧:缺氧激活前药PR-104的高疗效。

DOI:
10.1371/journal.pone.0023108
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Konopleva M
Konopleva M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Benito J;Shi Y;Szymanska B;Carol H;Boehm I;Lu H;Konoplev S;Fang W;Zweidler-McKay PA;Campana D;Borthakur G;Bueso-Ramos C;Shpall E;Thomas DA;Jordan CT;Kantarjian H;Wilson WR;Lock R;Andreeff M;Konopleva M

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Recent studies indicate that interactions between leukemia cells and the bone marrow (BM) microenvironment promote leukemia cell survival and confer resistance to anti-leukemic drugs. There is evidence that BM microenvironment contains hypoxic areas that confer survival advantage to hematopoietic cells. In the present study we investigated whether hypoxia in leukemic BM contributes to the protective role of the BM microenvironment. We observed a marked expansion of hypoxic BM areas in immunodeficient mice engrafted with acute lymphoblastic leukemia (ALL) cells. Consistent with this finding, we found that hypoxia promotes chemoresistance in various ALL derived cell lines. These findings suggest to employ hypoxia-activated prodrugs to eliminate leukemia cells within hypoxic niches. Using several xenograft models, we demonstrated that administration of the hypoxia-activated dinitrobenzamide mustard, PR-104 prolonged survival and decreased leukemia burden of immune-deficient mice injected with primary acute lymphoblastic leukemia cells. Together, these findings strongly suggest that targeting hypoxia in leukemic BM is feasible and may significantly improve leukemia therapy.
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