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Targeting the Bcl-2 family of proteins in Hodgkin lymphoma: in vitro cytotoxicity, target modulation and drug combination studies of the Bcl-2 homology 3 mimetic ABT-737 *  

Authors: Aarthi Jayanthana; Scott C. Howardb; Tanya Trippettc; Terzah Hortond; James A. Whitlocke; Lara Daisleya; Victor Lewisa; Aru Narendrana
Affiliations:   a Hughes' Children's Cancer Research Centre and the Division of Pediatric Oncology, Alberta Children's Hospital, Calgary, Alberta, Canada
b St. Jude Children's Research Hospital, Memphis, Tennessee, USA
c Memorial Sloane-Kettering Cancer Center, New York, New York, USA
d Baylor College of Medicine, Houston, Texas, USA
e Vanderbilt University Medical Center, Nashville, Tennessee, USA
DOI: 10.1080/10428190902943069
Publication Frequency: 12 issues per year
Published in: journal Leukemia and Lymphoma, Volume 50, Issue 7 July 2009 , pages 1174 - 1182
Formats available: HTML (English) : PDF (English)
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Abstract

With currently available treatment, patients with refractory Hodgkin lymphoma (HL) or those who relapse multiple times have an extremely poor prognosis. Therefore, new agents and novel therapeutic approaches are urgently needed. Anti-apoptotic proteins such as Bcl-2 and Bcl-x have been associated with the growth and survival of Hodgkin Reed-Sternberg cells and are potential therapeutic targets. ABT-737 is a small molecule that inhibits the Bcl-2 family of apoptosis regulators. In this study, we show the concentration-dependent and time-dependent cytotoxicity of ABT-737 against cell lines derived from patients with HL. A concurrent reduction in a number of intracellular cell growth and survival related molecules, such as Bcl-2, Bcl-xl, NF-κB and survivin was also seen. Drug combination studies using a panel of conventional and novel therapeutic agents show that ABT-737 potentiates the activity of agents that have inherent anti-lymphoma activity and provide support for the evaluation of ABT-737 in the clinical setting.
* There is an accompanying commentary that discusses this paper. Please refer to the issue Table of Contents.
Keywords: Hodgkin lymphoma; ABT-737; Bcl-2; apoptosis; targeted therapeutics
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