Table 3.

Bcl-2-AS increases apoptosis induced by ara-C

Samples Subdiploid apoptotic cells (%) Bcl-2 expression (×103 ABC per cell)
Control NS Bcl-2-AS Control NSBcl-2-AS
Responsive blasts (N = 7)  
 No ara-C 18.5 ± 5.6  26.9 ± 6.6  43.8 ± 8.1 23.7 ± 7.8  25.7 ± 5.4  16.7 ± 5.5  
 Ara-C 42.3 ± 5.8  42.6 ± 5.8  61.7 ± 7.0 30.4 ± 7.1  29.2 ± 8.1  13.5 ± 3.0 
Nonresponsive blasts (N = 6)  
 No ara-C  20.5 ± 5.7 18.9 ± 5.4  20.5 ± 5.7  49.2 ± 9.9 53.0 ± 6.2  35.3 ± 6.7  
 Ara-C  46.4 ± 11.2 42.5 ± 11.0  42.3 ± 11.6  42.8 ± 5.8 44.6 ± 6.3  36.3 ± 4.5 
Samples Subdiploid apoptotic cells (%) Bcl-2 expression (×103 ABC per cell)
Control NS Bcl-2-AS Control NSBcl-2-AS
Responsive blasts (N = 7)  
 No ara-C 18.5 ± 5.6  26.9 ± 6.6  43.8 ± 8.1 23.7 ± 7.8  25.7 ± 5.4  16.7 ± 5.5  
 Ara-C 42.3 ± 5.8  42.6 ± 5.8  61.7 ± 7.0 30.4 ± 7.1  29.2 ± 8.1  13.5 ± 3.0 
Nonresponsive blasts (N = 6)  
 No ara-C  20.5 ± 5.7 18.9 ± 5.4  20.5 ± 5.7  49.2 ± 9.9 53.0 ± 6.2  35.3 ± 6.7  
 Ara-C  46.4 ± 11.2 42.5 ± 11.0  42.3 ± 11.6  42.8 ± 5.8 44.6 ± 6.3  36.3 ± 4.5 

Bcl-2-AS, Bcl-2 antisense oligodeoxynucleotides; ABC, antibody-binding capacity; NS, nonsense oligodeoxynucleotides.

The percentage of apoptotic cells was determined using flow cytometry of acridine orange staining as described in “Materials and methods.” The combination of Bcl-2-AS with 1 μmol/L ara-C significantly (P < .05) enhanced ara-C induced apoptosis in responsive blast samples but not in nonresponsive blast samples after 72 hours of treatment. The level of Bcl-2 expression in AML cells treated with Bcl-2-AS or NS did not change significantly when ara-C was added. All measurements of the Bcl-2 expression were analyzed after appropriate gating on live CD34+ AML cells.

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