Selective apoptosis of multiple myeloma cells in primary samples induced by arsenic trioxide

Objectives Currently, multiple myeloma (MM) is an incurable disease. Despite the fact that arsenic trioxide (ATO) shows promising results in vitro, data from treatment of patients with MM are disappointing. Due to these discrepancies, we compared the efficacy and selectivity of ATO at two different...

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Veröffentlicht in:Hematology (Luxembourg) 2014-09, Vol.19 (6), p.346-351
Hauptverfasser: Reberšek, Katarina, Žontar, Darja Marija, Černelč, Peter, Podgornik, Helena
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container_end_page 351
container_issue 6
container_start_page 346
container_title Hematology (Luxembourg)
container_volume 19
creator Reberšek, Katarina
Žontar, Darja Marija
Černelč, Peter
Podgornik, Helena
description Objectives Currently, multiple myeloma (MM) is an incurable disease. Despite the fact that arsenic trioxide (ATO) shows promising results in vitro, data from treatment of patients with MM are disappointing. Due to these discrepancies, we compared the efficacy and selectivity of ATO at two different concentrations in samples from MM patients. Methods The extent of apoptosis induced by 2 and 5 µM ATO was evaluated by flow cytometry using annexin V. 34 diagnostic bone marrow samples obtained from MM patients were analysed. Results 5 µM ATO efficiently induced apoptosis in primary samples. Besides efficacy, also selectivity of action on MM cells in comparison to remaining haematopoietic cells was demonstrated for 5 µM ATO but not for 2 µM ATO. Discussion Our study on primary samples confirmed that ATO has a potential role in therapeutic management of MM. Further controlled studies on MM patients are needed.
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Despite the fact that arsenic trioxide (ATO) shows promising results in vitro, data from treatment of patients with MM are disappointing. Due to these discrepancies, we compared the efficacy and selectivity of ATO at two different concentrations in samples from MM patients. Methods The extent of apoptosis induced by 2 and 5 µM ATO was evaluated by flow cytometry using annexin V. 34 diagnostic bone marrow samples obtained from MM patients were analysed. Results 5 µM ATO efficiently induced apoptosis in primary samples. Besides efficacy, also selectivity of action on MM cells in comparison to remaining haematopoietic cells was demonstrated for 5 µM ATO but not for 2 µM ATO. Discussion Our study on primary samples confirmed that ATO has a potential role in therapeutic management of MM. 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subjects Annexin V
Antineoplastic Agents - pharmacology
Apoptosis
Apoptosis - drug effects
Arsenic trioxide
Arsenicals - pharmacology
Bone Marrow - drug effects
Bone Marrow - pathology
Cells, Cultured
Female
Humans
Male
Multiple myeloma
Multiple Myeloma - drug therapy
Multiple Myeloma - pathology
Oxides - pharmacology
title Selective apoptosis of multiple myeloma cells in primary samples induced by arsenic trioxide
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