PMID- 17721914 OWN - NLM STAT- MEDLINE DCOM- 20080506 LR - 20220311 IS - 0278-0232 (Print) IS - 0278-0232 (Linking) VI - 26 IP - 1 DP - 2008 Mar TI - The association of up-regulation of X-linked inhibitor of apoptosis protein with cell adhesion-mediated drug resistance in U937 cells. PG - 21-6 AB - An increasing body of evidence indicates that environmental factors may contribute to the drug resistance of acute myeloid leukaemia (AML). CAM-DR (cell adhesion-mediated drug resistance) is a reversible, de novo drug resistance induced by adhesion of tumour cell lines to fibronectin (FN). Adhesion was demonstrated to directly regulate the apoptotic machinery. And it was observed in previous studies that high levels of X-linked inhibitor of apoptosis protein (XIAP) were related to resistance to chemotherapeutics in many cancer cell lines. However, whether XIAP is relevant to CAM-DR of AML cells is unknown. In this report, we demonstrated that the mRNA and protein levels of XIAP were increased by 96.15% and 120.92%, respectively in U937 cells cocultured with FN as compared with controls. Antisense oligonucleotides targeting XIAP down-regulated the expression of XIAP and sensitized U937 cells to daunorubicin. In addition, we investigated the signalling pathway involved in the upregulation of XIAP. The levels of phosphorylated Akt (Ser473) were elevated in U937/FN cells and the phosphatidylinositol 3-kinase (PI3K) inhibitor LY294002 suppressed XIAP expression and restored the chemosensitivity to daunorubicin. Our findings suggested that adhesion-dependent activation of the PI3K/Akt/XIAP pathway may be one of the factors involved in the CAM-DR of U937 cells. Targeting this pathway may be a useful approach to improve the therapeutic responsiveness of leukaemia cells. FAU - Wang, Xiaofang AU - Wang X AD - Department of Hematology, Cancer Hospital of Tianjin, Tianjin Medical University, Tianjin 300060, P.R. China. FAU - Wang, Chun AU - Wang C FAU - Qin, You-wen AU - Qin YW FAU - Yan, Shi-ke AU - Yan SK FAU - Gao, Yan-rong AU - Gao YR LA - eng PT - Journal Article PL - England TA - Hematol Oncol JT - Hematological oncology JID - 8307268 RN - 0 (Fibronectins) RN - 0 (Oligonucleotides, Antisense) RN - 0 (RNA, Messenger) RN - 0 (X-Linked Inhibitor of Apoptosis Protein) RN - 0 (XIAP protein, human) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - ZS7284E0ZP (Daunorubicin) SB - IM MH - *Cell Adhesion MH - Daunorubicin/pharmacology MH - *Drug Resistance, Neoplasm MH - Fibronectins/*physiology MH - Humans MH - Oligonucleotides, Antisense/pharmacology MH - Phosphatidylinositol 3-Kinases/physiology MH - Proto-Oncogene Proteins c-akt/physiology MH - RNA, Messenger/analysis MH - U937 Cells MH - Up-Regulation MH - X-Linked Inhibitor of Apoptosis Protein/*genetics/physiology EDAT- 2007/08/28 09:00 MHDA- 2008/05/07 09:00 CRDT- 2007/08/28 09:00 PHST- 2007/08/28 09:00 [pubmed] PHST- 2008/05/07 09:00 [medline] PHST- 2007/08/28 09:00 [entrez] AID - 10.1002/hon.828 [doi] PST - ppublish SO - Hematol Oncol. 2008 Mar;26(1):21-6. doi: 10.1002/hon.828.