PMID- 15188002 OWN - NLM STAT- MEDLINE DCOM- 20040806 LR - 20220309 IS - 0007-0920 (Print) IS - 1532-1827 (Electronic) IS - 0007-0920 (Linking) VI - 91 IP - 1 DP - 2004 Jul 5 TI - Activation of protein kinase A (PKA) by 8-Cl-cAMP as a novel approach for antileukaemic therapy. PG - 186-92 AB - Activation of PKA by cAMP agonists, such as 8-Cl-cAMP activation, selectively causes rapid apoptosis in v-abl transformed fibroblasts by inhibiting the Raf-1 kinase. Here we investigated whether 8-Cl-cAMP is useful for the treatment of chronic myelogenous leukaemia (CML), which is hallmarked by the expression of the p210(bcr/abl) oncogene. Autologous bone marrow transplantation is a feasible alternative for patients with no suitable donor, but hampered by the risk of relapse due to the persistence of leukaemia cells in the transplant. To study the effects of 8-Cl-cAMP on primary leukaemic cells, bone marrow cells (BMCs) from eight CML patients (one at diagnosis, three in chronic and four in accelerated phase) were treated. Ex vivo treatment of BMCs obtained in chronic phase of CML with 100 microM 8-Cl-cAMP for 24-48 h led to the selective purging of Philadelphia Chromosome (Ph1 chromosome) without toxic side effects on BMCs from healthy donors as measured by colony-forming unit (CFU) assays. BMCs from patients in accelerated phase showed selective, but incomplete elimination of Ph1 chromosome positive colony forming cells. The mechanism of 8-Cl-cAMP was investigated in FDCP-mix cells transformed by p210(bcr/abl), a cell culture model for CML. The results showed that 8-Cl-cAMP reduced DNA synthesis and viability independent of Raf inhibition as Raf inhibitors had no effect. MEK inhibitors interfered with DNA synthesis, but not with viability. In summary, our results indicate that 8-Cl-cAMP could be useful to purge malignant cells from the bone marrow of patients with CML and certain other forms of leukaemias. FAU - Weissinger, E M AU - Weissinger EM AD - Medizinische Hochschule Hannover (MHH), Department of Hematology and Oncology, Hannover, Germany. FAU - Oettrich, K AU - Oettrich K FAU - Evans, C AU - Evans C FAU - Genieser, H-G AU - Genieser HG FAU - Schwede, F AU - Schwede F FAU - Dangers, M AU - Dangers M FAU - Dammann, E AU - Dammann E FAU - Kolb, H-J AU - Kolb HJ FAU - Mischak, H AU - Mischak H FAU - Ganser, A AU - Ganser A FAU - Kolch, W AU - Kolch W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Antineoplastic Agents) RN - 23583-48-4 (8-Bromo Cyclic Adenosine Monophosphate) RN - 9007-49-2 (DNA) RN - BQ94Z7E5OR (8-chloro-cyclic adenosine monophosphate) RN - EC 2.7.11.11 (Cyclic AMP-Dependent Protein Kinases) SB - IM MH - 8-Bromo Cyclic Adenosine Monophosphate/*analogs & derivatives/*pharmacology MH - Antineoplastic Agents/*pharmacology MH - Bone Marrow Cells/*physiology MH - Bone Marrow Purging/*methods MH - *Bone Marrow Transplantation MH - Cyclic AMP-Dependent Protein Kinases/*pharmacology MH - DNA/biosynthesis MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*drug therapy/pathology MH - Transplantation, Autologous MH - Tumor Cells, Cultured MH - Tumor Stem Cell Assay PMC - PMC2364761 EDAT- 2004/06/10 05:00 MHDA- 2004/08/07 05:00 PMCR- 2005/06/08 CRDT- 2004/06/10 05:00 PHST- 2004/06/10 05:00 [pubmed] PHST- 2004/08/07 05:00 [medline] PHST- 2004/06/10 05:00 [entrez] PHST- 2005/06/08 00:00 [pmc-release] AID - 6601909 [pii] AID - 10.1038/sj.bjc.6601909 [doi] PST - ppublish SO - Br J Cancer. 2004 Jul 5;91(1):186-92. doi: 10.1038/sj.bjc.6601909.