PMID- 17344917 OWN - NLM STAT- MEDLINE DCOM- 20070604 LR - 20131121 IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 21 IP - 5 DP - 2007 May TI - Fludarabine induces apoptosis of human T-cell leukemia virus type 1-infected T cells via inhibition of the nuclear factor-kappaB signal pathway. PG - 1044-9 AB - Adult T-cell leukemia/lymphoma (ATL) is a highly aggressive disease in which the human T-cell lymphotropic virus type I (HTLV-I) has been recognized as the etiologic agent. Fludarabine is a purine analog that has demonstrated significant activity in B-cell malignancies, including chronic lymphocytic leukemia and indolent non-Hodgkin's lymphoma. This study explored the effects of fludarabine on HTLV-1-infected T cells (MT-1, -2, -4 and HUT102). Fludarabine induced growth arrest and apoptosis of these cells, as measured by 3-(4,5-dimethylithiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay, cell cycle analysis and annexin V staining. Moreover, exposure of HTLV-1-infected T cells to fludarabine decreased the levels of X-inhibitor of apoptosis protein in conjunction with inhibition of nuclear factor kappaB (NF-kappaB)/DNA-binding activity, as measured by Western blot analysis and electrophoretic mobility shift and reporter gene assays, respectively. Further studies found that fludarabine accumulated NF-kappaB and inhibitory subunit of NF-kappaB in cytosole in conjunction with downregulation of NF-kappaB in nucleus, suggesting that fludarabine blocked nuclear translocation of NF-kappaB. Taken together, fludarabine may be useful for treatment of individuals with ATL and other types of cancer in which NF-kappaB plays a role. FAU - Nishioka, C AU - Nishioka C AD - Department of Hematology and Respiratory Medicine, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan. FAU - Ikezoe, T AU - Ikezoe T FAU - Yang, J AU - Yang J FAU - Koeffler, H P AU - Koeffler HP FAU - Taguchi, H AU - Taguchi H LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20070308 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antineoplastic Agents) RN - 0 (NF-kappa B) RN - FA2DM6879K (Vidarabine) RN - P2K93U8740 (fludarabine) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/*drug effects MH - Cell Cycle/drug effects MH - Cells, Cultured MH - Human T-lymphotropic virus 1/*drug effects MH - Humans MH - Lymphocyte Activation/drug effects MH - NF-kappa B/*antagonists & inhibitors/metabolism MH - Signal Transduction/*drug effects MH - T-Lymphocytes/*drug effects/*virology MH - Vidarabine/*analogs & derivatives/pharmacology EDAT- 2007/03/09 09:00 MHDA- 2007/06/05 09:00 CRDT- 2007/03/09 09:00 PHST- 2007/03/09 09:00 [pubmed] PHST- 2007/06/05 09:00 [medline] PHST- 2007/03/09 09:00 [entrez] AID - 2404622 [pii] AID - 10.1038/sj.leu.2404622 [doi] PST - ppublish SO - Leukemia. 2007 May;21(5):1044-9. doi: 10.1038/sj.leu.2404622. Epub 2007 Mar 8.