Table 1.

Some synergistic effects of anticancer drugs combined with ATRA in non-APL AML

Type of drugDrug targetTested modelsCombined effect with ATRAReference
DNA hypomethylating agents DNMT High-risk AML patient Complete clinical remissions with ATRA+decitabine 63, 101 
Histone modifiers Histone demethylase (LSD-1/KDM-1A) AML cell lines Enhanced AML cell differentiation 71, 73-75 
Histone acetyltransferase(GCN-5) AML cell lines Enhanced cell differentiation 124 
SUMOylation inhibitors SUMOylation enzymes (E1, E2) AML cell lines
Mouse xenografts 
Increased ATRA-induced differentiation 81 
Kinase inhibitors FLT3-ITD AML cell lines Increased apoptosis of leukemia cells and survival in mice 19 
HER-2 Mouse xenografts
AML cell lines 
Promotion of AML cell differentiation 18 
 
ATRA metabolism CYP26 AML cell lines Inhibited stromal CYP26 favoring ATRA-induced differentiation 125 
Type of drugDrug targetTested modelsCombined effect with ATRAReference
DNA hypomethylating agents DNMT High-risk AML patient Complete clinical remissions with ATRA+decitabine 63, 101 
Histone modifiers Histone demethylase (LSD-1/KDM-1A) AML cell lines Enhanced AML cell differentiation 71, 73-75 
Histone acetyltransferase(GCN-5) AML cell lines Enhanced cell differentiation 124 
SUMOylation inhibitors SUMOylation enzymes (E1, E2) AML cell lines
Mouse xenografts 
Increased ATRA-induced differentiation 81 
Kinase inhibitors FLT3-ITD AML cell lines Increased apoptosis of leukemia cells and survival in mice 19 
HER-2 Mouse xenografts
AML cell lines 
Promotion of AML cell differentiation 18 
 
ATRA metabolism CYP26 AML cell lines Inhibited stromal CYP26 favoring ATRA-induced differentiation 125 

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