PMID- 17926185 OWN - NLM STAT- MEDLINE DCOM- 20080416 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 49 IP - 1 DP - 2008 Jan TI - Chemotherapeutic treatment of bone marrow stromal cells strongly affects their protective effect on acute myeloid leukemia cell survival. PG - 134-48 AB - Bone marrow stromal cells (BMSCs) have been found to support leukemic cell survival; however, the mechanisms responsible are far from elucidated yet. Therefore, the effect of BMSCs on both proliferation and apoptosis characteristics of acute myeloid leukaemia (AML) cells was investigated as well as the effect of BMSCs exposure to chemotherapy on the stromal supportive capacity. Leukemic HL-60 and primary AML cells were either untreated or treated with cytarabine and subsequently cultured for 3-4 days, in the presence or absence of untreated or cytarabine-treated BMSCs. The effect on proliferation and apoptosis was investigated with flow cytometry using CFSE labeling and Syto16 and 7AAD staining. BMSCs were found to maintain cytarabine-exposed primary AML cells by protection against spontaneous apoptosis. Accordingly, an increase in phosphorylated-AKT and Bcl-2 expression was found. Concomitant exposure of BMSCs to cytarabine resulted in a dose-dependent decrease of protective capacity of BMSCs. Thus, inhibition of spontaneous apoptosis of leukemic cells mediated by phosphorylation of AKT/Bcl-2 pathway results in protection of leukemic cells by BMSCs, which decreases after BMSCs exposure to chemotherapy. Targeting both the tumor cells and intervening in their interaction with the bone marrow microenvironment may thus affect clinical outcome in AML. FAU - Moshaver, Bijan AU - Moshaver B AD - Department of Hematology, VU University Medical Center, Amsterdam, The Netherlands. FAU - van der Pol, Marjolein A AU - van der Pol MA FAU - Westra, August H AU - Westra AH FAU - Ossenkoppele, Gert J AU - Ossenkoppele GJ FAU - Zweegman, Sonja AU - Zweegman S FAU - Schuurhuis, Gerrit Jan AU - Schuurhuis GJ LA - eng PT - Journal Article PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antineoplastic Agents) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 04079A1RDZ (Cytarabine) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM CIN - Leuk Lymphoma. 2008 Jan;49(1):17-8. PMID: 18203006 MH - Antineoplastic Agents/*pharmacology MH - Apoptosis MH - *Bone Marrow MH - Cell Proliferation MH - Cell Survival/*drug effects MH - Cytarabine/pharmacology MH - Drug Design MH - Flow Cytometry MH - HL-60 Cells MH - Humans MH - Leukemia, Myeloid, Acute/*drug therapy/*pathology MH - Phosphorylation/drug effects MH - Proto-Oncogene Proteins c-akt/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Stromal Cells/*drug effects/physiology MH - Tumor Cells, Cultured EDAT- 2007/10/11 09:00 MHDA- 2008/04/17 09:00 CRDT- 2007/10/11 09:00 PHST- 2007/10/11 09:00 [pubmed] PHST- 2008/04/17 09:00 [medline] PHST- 2007/10/11 09:00 [entrez] AID - 782925669 [pii] AID - 10.1080/10428190701593636 [doi] PST - ppublish SO - Leuk Lymphoma. 2008 Jan;49(1):134-48. doi: 10.1080/10428190701593636.