PMID- 32168763 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 3 DP - 2020 Mar 11 TI - Benefits of Combined All-Trans Retinoic Acid and Arsenic Trioxide Treatment of Acute Promyelocytic Leukemia Cells and Further Enhancement by Inhibition of Atypically Expressed Transglutaminase 2. LID - 10.3390/cancers12030648 [doi] LID - 648 AB - Randomized trials in acute promyelocytic leukemia patients have shown that treatment with a combination of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) is superior in efficacy to monotherapy, with significantly decreased mortality. So far, there are little data available to explain the success of the ATRA and ATO combination treatment in molecular terms. We showed that ATRA- and ATO-treated cells had the same capacity for superoxide production, which was reduced by two-thirds in the combined treatment. Secreted inflammatory biomarkers (monocyte chemoattractant protein-1 [MCP-1], interleukin-1 beta [IL-1beta] and tumor necrosis factor-alpha [TNF-alpha]) were significantly decreased and were further reduced in a transglutaminase 2 (TG2) expression-dependent manner. The amount of secreted TNF-alpha in the supernatant of NB4 TG2 knockout cells was close to 50 times lower than in ATRA-treated differentiated wild-type NB4 cells. The irreversible inhibitor of TG2 NC9 not only decreased reactive oxygen species production 28-fold, but decreased the concentration of MCP-1, IL-1beta and TNF-alpha 8-, 15- and 61-fold, respectively in the combined ATRA + ATO-treated wild-type NB4 cell culture. We propose that atypical expression of TG2 leads to the generation of inflammation, which thereby serves as a potential target for the prevention of differentiation syndrome. FAU - Jambrovics, Karoly AU - Jambrovics K AD - Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary. FAU - Uray, Ivan P AU - Uray IP AD - Department of Clinical Oncology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary. FAU - Keillor, Jeffrey W AU - Keillor JW AD - Department of Chemistry and Biomolecular Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada. FAU - Fesus, Laszlo AU - Fesus L AD - Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary. AD - MTA DE Apoptosis, Genomics and Stem Cell Research Group of the Hungarian Academy of Sciences, 4032 Debrecen, Hungary. FAU - Balajthy, Zoltan AU - Balajthy Z AD - Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary. LA - eng GR - NKFI129139K/Nemzeti Kutatasi, Fejlesztesi es Innovacios Alap/ GR - K129218/Nemzeti Kutatasi, Fejlesztesi es Innovacios Alap/ GR - 05893/Natural Sciences and Engineering Research Council of Canada/ GR - GINOP-2.3.2-15-2016-00020 | 2.3.2-15-2016-00020/MolMedEx TUMORDNS/ PT - Journal Article DEP - 20200311 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7139906 OTO - NOTNLM OT - NB4 OT - acute promyelocytic leukemia OT - all-trans retinoic acid (ATRA) OT - arsenic trioxide (ATO), ATRA and ATO combination treatment COIS- The authors declare that they have no conflict of interest. EDAT- 2020/03/15 06:00 MHDA- 2020/03/15 06:01 PMCR- 2020/03/11 CRDT- 2020/03/15 06:00 PHST- 2020/02/02 00:00 [received] PHST- 2020/03/06 00:00 [revised] PHST- 2020/03/09 00:00 [accepted] PHST- 2020/03/15 06:00 [entrez] PHST- 2020/03/15 06:00 [pubmed] PHST- 2020/03/15 06:01 [medline] PHST- 2020/03/11 00:00 [pmc-release] AID - cancers12030648 [pii] AID - cancers-12-00648 [pii] AID - 10.3390/cancers12030648 [doi] PST - epublish SO - Cancers (Basel). 2020 Mar 11;12(3):648. doi: 10.3390/cancers12030648.