[PML-RARα and p21 are key factors for maintaining acute promyelocytic leukemia stem cells survival]

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2011 Oct;19(5):1299-302.
[Article in Chinese]

Abstract

Tumor stem/progenitor cells are the cells with the characteristics of self-renewal, differentiating to all the other cell populations within tumor, which are also regarded as the source of tumor relapse, drug-resistance and metastasis. As a subtype of acute myeloid leukemia, acute promyelocytic leukemia (APL) represents the target of therapy due to the good response of the oncogenic protein PML-RARα to all-trans retinoic acid (ATRA) and arsenic trioxide (ATO). This review summarizes the latest research results of APL as follows: (1) there probably are two APL stem/progenitor cell populations within APL, and self-renewal and survival of APL stem/progenitor cells highly depend on PML-RARα expression, cell cycle inhibitor p21, self-renewal associated molecules and chemokines; and (2) ATRA and ATO eradicate APL stem/progenitor cells mainly by PML-RARα degradation, FOXO3A activation and the inhibition of self-renewal-associated signaling pathway of sonic hedgehog. These findings are helpful to improve other tumor therapy.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Cell Survival
  • Cyclin-Dependent Kinase Inhibitor p21*
  • Humans
  • Leukemia, Promyelocytic, Acute* / metabolism
  • Leukemia, Promyelocytic, Acute* / pathology
  • Neoplastic Stem Cells / cytology*
  • Oncogene Proteins, Fusion*
  • Signal Transduction
  • Tumor Cells, Cultured

Substances

  • Cyclin-Dependent Kinase Inhibitor p21
  • Oncogene Proteins, Fusion
  • promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein