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Received for publication June 11, 2004.
Revised October 5, 2004.
Accepted for publication October 5, 2004.
Multiple prior studies have identified aldehyde dehydrogenases (ALDH) able to oxidize retinal to retinoic acid. In this study, we test the hypothesis that the accumulation of intracellular retinoic acid may lead to the suppression of ALDH expression and thus increase cytotoxicity to 4-hydroperoxycyclophosphamide (4-HC) in vitro. Mainly A549, but also other lung cancer cell lines, were used in our experiments with the former having high levels of two ALDH isozymes expressed. Dose response and time course were performed incubating the cells with all-trans retinoic acid (ATRA) as well as other commercially available retinoids. The results show that incubation of A549 cells with any of the retinoids at pharmacologic doses for
48 hr results in significant decrease in ALDH-1A1 and ALDH-3A1 enzyme activity and protein levels, but not the corresponding mRNAs. Such decrease in ALDH activity was seen in all cell lines tested and results in a significant increase in toxicity of 4-HC and acetaldehyde, both are substrates for the enzymes. Prior incubation with ATRA also results in increased cytotoxicity, although to a lesser degree, of phenylketophosphamide (PKP) and melphalan, neither is substrate for ALDH. These results suggest a posttranslational mechanism through which retinoids decrease both ALDH expression, which results in increased cytotoxicity of 4-HC and acetaldehyde, although other previously described effects of these retinoids may be contributing to the slight increase in cytotoxicity seen with other chemotherapy agents. These results may have clinical implications in regards to the use of retinoids in lung cancer prevention and treatment.
Key words:
4-HC, ALDH, Acetaldehyde, Cytotoxicity, lung cancer, retinoic acid
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