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Vol. 301, Issue 2, 568-577, May 2002
-D-Arabinofuranosylcytosine-Induced Cytochrome
c Release and Apoptosis in Human Leukemia Cells
Ectopically Expressing Bcl-xL
Departments of Medicine (Z.W., S.G.), Biochemistry (S.W., S.G.),
and Pharmacology (S.G.), Medical College of Virginia, Virginia
Commonwealth University, Richmond, Virginia
The ability of the protein kinase C down-regulator bryostatin 1 to potentiate 1-
-D-arabinofuranosylcytosine
(ara-C)-induced apoptosis was examined in human leukemia cells (U937)
over-expressing the antiapoptotic protein Bcl-xL.
Coadministration of bryostatin 1 with ara-C resulted in enhanced
cytosolic release of cytochrome c and
Smac/DIABLO, procaspase-3 and -9 activation, loss of
mitochondrial membrane potential (
m),
poly(ADP-ribosyl)phosphorylase degradation, apoptosis, and loss of
clonogenic survival in U937/Bcl-xL cells, although effects
were not as marked as in empty-vector control cells. Whereas the broad
caspase inhibitor ZVAD-fluoromethyl ketone blocked
ara-C/bryostatin 1-mediated caspase activation, loss of 
m, and apoptosis in U937 cells, it
failed to diminish cytochrome c release. In contrast,
ectopic expression of Bcl-xL blocked cytochrome
c redistribution as well as all other events involved in
ara-C/bryostatin 1-mediated apoptosis. The ability of ectopic
expression of cytokine response modifier A to attenuate, albeit
partially, bryostatin 1-mediated potentiation of ara-C-related apoptosis suggested a contributory role for activation of the extrinsic
pathway in this phenomenon. Finally, the F0F1
ATPase inhibitor oligomycin effectively blocked cytochrome
c release as well as loss of 
m and
apoptosis in U937/Bcl-xL cells. Together, these findings
support the concept that bryostatin 1 potentiates ara-C lethality in
human leukemia cells ectopically expressing Bcl-xL by
diminishing the capacity of this antiapoptotic protein to antagonize
cytochrome c release. In addition, they raise the possibility that activation of caspase cascades operating independently of Bcl-xL-associated mitochondrial actions may also
contribute to enhanced lethality.
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