PMID- 17972943 OWN - NLM STAT- MEDLINE DCOM- 20080326 LR - 20171116 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 22 IP - 2 DP - 2008 Feb TI - Combination therapy of an anticancer drug with the FNIII14 peptide of fibronectin effectively overcomes cell adhesion-mediated drug resistance of acute myelogenous leukemia. PG - 353-60 AB - We investigated whether FNIII14, a 22-mer peptide derived from fibronectin (FN) that potently impairs interaction of FN with beta1-integrin, could overcome cell adhesion-mediated drug resistance (CAM-DR) induced by very late antigen (VLA)-4-to-FN interaction in acute myelogenous leukemia (AML). Two AML cell lines, U937 cells and HL-60 cells, and fresh leukemic cells from six AML patients with high alpha4-integrin expression exhibited CAM-DR to cytosine arabinoside (Ara C) through VLA-4-to-FN interaction, while fresh leukemic cells from two AML patients with low alpha4-integrin expression did not display CAM-DR to Ara C. FNIII14 impaired VLA-4-to-FN interaction and restored sensitivity to Ara C in the CAM-DR leukemic cells. In these CAM-DR leukemic cells, upregulation of Bcl-2, which was induced through the focal adhesion kinase/Akt signal pathway upon VLA-4-to-FN interaction, was inhibited by FNIII14 treatment. In a mouse model of minimal residual disease (MRD) in bone marrow, 100% survival was achieved by combining FNIII14 with Ara C, whereas Ara C alone prolonged survival only slightly. The myelosuppression induced by Ara C was not augmented by the combination of FNIII14 in mouse experiments. Thus, the combination of anticancer drugs and FNIII14 holds promise to eradicate MRD in bone marrow after chemotherapy. FAU - Matsunaga, T AU - Matsunaga T AD - Fourth Department of Internal Medicine, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Fukai, F AU - Fukai F FAU - Miura, S AU - Miura S FAU - Nakane, Y AU - Nakane Y FAU - Owaki, T AU - Owaki T FAU - Kodama, H AU - Kodama H FAU - Tanaka, M AU - Tanaka M FAU - Nagaya, T AU - Nagaya T FAU - Takimoto, R AU - Takimoto R FAU - Takayama, T AU - Takayama T FAU - Niitsu, Y AU - Niitsu Y LA - eng PT - Journal Article DEP - 20071101 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antineoplastic Agents) RN - 0 (Fibronectins) RN - 0 (Integrin beta1) RN - 0 (Peptide Fragments) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 04079A1RDZ (Cytarabine) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology/therapeutic use MH - Bone Marrow/pathology MH - Cell Adhesion/drug effects MH - Cell Line, Tumor MH - Cytarabine/pharmacology/therapeutic use MH - Drug Resistance/*drug effects MH - Drug Therapy, Combination MH - Fibronectins/*pharmacology/therapeutic use MH - Humans MH - Integrin beta1 MH - Leukemia, Myeloid, Acute/*drug therapy/pathology MH - Mice MH - Neoplasm, Residual/*drug therapy MH - Peptide Fragments/*pharmacology/therapeutic use MH - Proto-Oncogene Proteins c-bcl-2/antagonists & inhibitors MH - Tumor Cells, Cultured EDAT- 2007/11/02 09:00 MHDA- 2008/03/28 09:00 CRDT- 2007/11/02 09:00 PHST- 2007/11/02 09:00 [pubmed] PHST- 2008/03/28 09:00 [medline] PHST- 2007/11/02 09:00 [entrez] AID - 2405017 [pii] AID - 10.1038/sj.leu.2405017 [doi] PST - ppublish SO - Leukemia. 2008 Feb;22(2):353-60. doi: 10.1038/sj.leu.2405017. Epub 2007 Nov 1.