PMID- 23469683 OWN - NLM STAT- MEDLINE DCOM- 20130408 LR - 20211203 IS - 0031-7144 (Print) IS - 0031-7144 (Linking) VI - 68 IP - 2 DP - 2013 Feb TI - Combination therapy with 5-amino-4-imidazolecarboxamide riboside and arsenic trioxide in acute myeloid leukemia cells involving AMPK/TSC2/mTOR pathway. PG - 117-23 AB - The aim of this study was to demonstrate the effects of the AMP-activated protein kinase (AMPK) activator 5-amino-4-imidazolecarboxamide riboside (AICAR) in combination with arsenic trioxide (ATO) in acute myeloid leukemia cells and determine its mechanism of action. Cell lines were either exposed to each drug alone or both the drugs simultaneously. Cell proliferation, cell cycle and apoptosis were assessed. Combination index (CI) method was used to calculate the synergistic, additive, or antagonistic effects of these drugs. Western blot technique was used to study the signaling molecules in the AMPK/TSC2/mTOR pathway. Simultaneous exposure of HL-60 cells to AICAR and ATO indicated a synergism (CI < 1), whereas CI on NB4 cells was greater than 1. In HL-60, the change in expression level of each protein was quite significant in the presence of the combination as compared to that induced through any single agent. On the contrary, ATO weakened the effect of AICAR-mediated AMPK activation in NB4 cells. ATO caused a profound decrease in the protein level of PML/RARalpha in NB4 cells after 48 h, but there was no change with AICAR and the combination. The combination of AICAR and ATO produced a synergistic effect in the treatment of HL-60 cells involving AMPK/TSC2/mTOR pathway, and AICAR reduced ATO-mediated apoptotic death on acute promyelocytic leukemia NB4 cells. FAU - Chen, Lan AU - Chen L AD - Department of Pediatrics, the Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Han, Fengtong AU - Han F FAU - Qu, Hui AU - Qu H FAU - Yan, Hongji AU - Yan H FAU - Ren, Lihong AU - Ren L FAU - Yang, Shufen AU - Yang S LA - eng PT - Journal Article PL - Germany TA - Pharmazie JT - Die Pharmazie JID - 9800766 RN - 0 (Antineoplastic Agents) RN - 0 (Arsenicals) RN - 0 (Hypoglycemic Agents) RN - 0 (Oxides) RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) RN - 0 (Ribonucleotides) RN - 0 (TSC2 protein, human) RN - 0 (Tuberous Sclerosis Complex 2 Protein) RN - 0 (Tumor Suppressor Proteins) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - F0X88YW0YK (AICA ribonucleotide) RN - S7V92P67HO (Arsenic Trioxide) SB - IM MH - AMP-Activated Protein Kinases/*physiology MH - Aminoimidazole Carboxamide/*analogs & derivatives/therapeutic use MH - Antineoplastic Agents/*therapeutic use MH - Apoptosis/drug effects MH - Arsenic Trioxide MH - Arsenicals/*therapeutic use MH - Blotting, Western MH - Cell Cycle/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival MH - Drug Synergism MH - HL-60 Cells MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Leukemia, Myeloid, Acute/*drug therapy/pathology MH - Oxides/*therapeutic use MH - Receptors, Retinoic Acid/biosynthesis MH - Retinoic Acid Receptor alpha MH - Ribonucleotides/*therapeutic use MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*physiology MH - Tuberous Sclerosis Complex 2 Protein MH - Tumor Suppressor Proteins/*physiology EDAT- 2013/03/09 06:00 MHDA- 2013/04/09 06:00 CRDT- 2013/03/09 06:00 PHST- 2013/03/09 06:00 [entrez] PHST- 2013/03/09 06:00 [pubmed] PHST- 2013/04/09 06:00 [medline] PST - ppublish SO - Pharmazie. 2013 Feb;68(2):117-23.