Detection of apoptosis in acute promyelocytic leukemia cells in vivo during differentiation-induction with all-trans retinoic acid in combination with chemotherapy

Autor: Hoshiro Suzuki, Toshiaki Saito, Masue Imaizumi, Yutaka Hayashi, Atsushi Sato, Kazuie Iinuma, Miyako Yoshinari
Rok vydání: 1999
Předmět:
Zdroj: Leukemia Research. 23:827-832
ISSN: 0145-2126
DOI: 10.1016/s0145-2126(99)00098-3
Popis: In two patients with acute promyelocytic leukemia (APL) treated with all-trans retinoic acid (ATRA) in combination with chemotherapy, we demonstrated that cells with apoptotic morphology were recognized in a small fraction of whole blood cells (0.2-0.4%) at the regression phase of leukocytosis with mostly maturing aberrant granulocytes of APL clone origin. Moreover, in a light-density cell fraction ( < 1.077) of peripheral blood or marrow cells obtained from three patients, DNA fragmentation was detected by agarose gel electrophoresis temporarily. These findings may suggest that, during the treatment with ATRA, a small fraction of APL cells maturing toward the stage of terminal differentiation underwent apoptosis in vivo, which might be enriched by the combination of chemotherapy to ATRA administration.
Databáze: OpenAIRE