PMID- 26506264 OWN - NLM STAT- MEDLINE DCOM- 20160913 LR - 20231213 IS - 1551-4005 (Electronic) IS - 1538-4101 (Print) IS - 1551-4005 (Linking) VI - 14 IP - 22 DP - 2015 TI - p21(WAF1) modulates drug-induced apoptosis and cell cycle arrest in B-cell precursor acute lymphoblastic leukemia. PG - 3602-12 LID - 10.1080/15384101.2015.1100774 [doi] AB - p21(WAF1) is a well-characterized mediator of cell cycle arrest and may also modulate chemotherapy-induced cell death. The role of p21(WAF1) in drug-induced cell cycle arrest and apoptosis of acute lymphoblastic leukemia (ALL) cells was investigated using p53-functional patient-derived xenografts (PDXs), in which p21(WAF1) was epigenetically silenced in T-cell ALL (T-ALL), but not in B-cell precursor (BCP)-ALL PDXs. Upon exposure to diverse cytotoxic drugs, T-ALL PDX cells exhibited markedly increased caspase-3/7 activity and phosphatidylserine (PS) externalization on the plasma membrane compared with BCP-ALL cells. Despite dramatic differences in apoptotic characteristics between T-ALL and BCP-ALL PDXs, both ALL subtypes exhibited similar cell death kinetics and were equally sensitive to p53-inducing drugs in vitro, although T-ALL PDXs were significantly more sensitive to the histone deacetylase inhibitor vorinostat. Transient siRNA suppression of p21(WAF1) in the BCP-ALL 697 cell line resulted in a moderate depletion of the cell fraction in G1 phase and marked increase in PS externalization following exposure to etoposide. Furthermore, stable lentiviral p21(WAF1) silencing in the BCP-ALL Nalm-6 cell line accelerated PS externalization and cell death following exposure to etoposide and vorinostat, supporting previous findings. Finally, the Sp1 inhibitor, terameprocol, inhibited p21(WAF1) expression in Nalm-6 cells exposed to vorinostat and also partially augmented vorinostat-induced cell death. Taken together, these findings demonstrate that p21(WAF1) regulates the early stages of drug-induced apoptosis in ALL cells and significantly modulates their sensitivity to vorinostat. FAU - Davies, Carwyn AU - Davies C AD - a Children's Cancer Institute ; Lowy Cancer Research Centre; UNSW Australia ; Sydney , NSW , Australia. AD - c Clinical Pharmacology Modeling and Simulation ; GlaxoSmithKline R&D ; Sydney , Australia. FAU - Hogarth, Linda A AU - Hogarth LA AD - b Northern Institute for Cancer Research ; Newcastle University; Newcastle upon Tyne ; Tyne and Wear , UK. FAU - Mackenzie, Karen L AU - Mackenzie KL AD - a Children's Cancer Institute ; Lowy Cancer Research Centre; UNSW Australia ; Sydney , NSW , Australia. FAU - Hall, Andrew G AU - Hall AG AD - b Northern Institute for Cancer Research ; Newcastle University; Newcastle upon Tyne ; Tyne and Wear , UK. FAU - Lock, Richard B AU - Lock RB AD - a Children's Cancer Institute ; Lowy Cancer Research Centre; UNSW Australia ; Sydney , NSW , Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cell Cycle JT - Cell cycle (Georgetown, Tex.) JID - 101137841 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (CDKN1A protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p21) RN - 0 (Histone Deacetylase Inhibitors) RN - 0 (Hydroxamic Acids) RN - 0 (Phosphatidylserines) RN - 0 (RNA, Small Interfering) RN - 0 (Sp1 Transcription Factor) RN - 0 (SP1 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 53YET703F2 (terameprocol) RN - 58IFB293JI (Vorinostat) RN - 6PLQ3CP4P3 (Etoposide) RN - 7BO8G1BYQU (Masoprocol) RN - EC 3.4.22.- (CASP3 protein, human) RN - EC 3.4.22.- (CASP7 protein, human) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.22.- (Caspase 7) SB - IM MH - Antineoplastic Agents, Phytogenic/pharmacology MH - Apoptosis/drug effects MH - B-Lymphocytes/*drug effects/metabolism/pathology MH - Caspase 3/genetics/metabolism MH - Caspase 7/genetics/metabolism MH - Cell Cycle Checkpoints/*drug effects MH - Cell Line, Tumor MH - Cyclin-Dependent Kinase Inhibitor p21/antagonists & inhibitors/*genetics/metabolism MH - Etoposide/pharmacology MH - *Gene Expression Regulation, Leukemic MH - Histone Deacetylase Inhibitors/*pharmacology MH - Humans MH - Hydroxamic Acids/*pharmacology MH - Masoprocol/analogs & derivatives/pharmacology MH - Phosphatidylserines/metabolism MH - Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy/genetics/metabolism/pathology MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy/genetics/metabolism/pathology MH - RNA, Small Interfering/genetics/metabolism MH - Signal Transduction MH - Sp1 Transcription Factor/antagonists & inhibitors/genetics/metabolism MH - T-Lymphocytes/drug effects/metabolism/pathology MH - Transcription, Genetic MH - Tumor Suppressor Protein p53/genetics/metabolism MH - Vorinostat PMC - PMC4825786 OTO - NOTNLM OT - childhood acute lymphoblastic leukemia OT - etoposide OT - p21WAF1 OT - patient derived xenograft models OT - terameprocol OT - vorinostat EDAT- 2015/10/28 06:00 MHDA- 2016/09/14 06:00 PMCR- 2016/10/27 CRDT- 2015/10/28 06:00 PHST- 2015/10/28 06:00 [entrez] PHST- 2015/10/28 06:00 [pubmed] PHST- 2016/09/14 06:00 [medline] PHST- 2016/10/27 00:00 [pmc-release] AID - 1100774 [pii] AID - 10.1080/15384101.2015.1100774 [doi] PST - ppublish SO - Cell Cycle. 2015;14(22):3602-12. doi: 10.1080/15384101.2015.1100774.