1. Disulfiram, an old drug with new potential therapeutic uses for human haematological malignancies
- Author
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Francesco Di Raimondo, Annalisa Chiarenza, Massimo Gulisano, Laura Lombardo, Rosario Giustolisi, Concetta Conticello, Ruggero De Maria, Simona Buccheri, Daniela Martinetti, Luana Adamo, Gabriella Amato, and Maide Cavalli
- Subjects
Chemotherapy ,biology ,Bortezomib ,medicine.medical_treatment ,Immunology ,Cancer ,Aldehyde dehydrogenase ,Cell Biology ,Hematology ,Pharmacology ,medicine.disease ,Biochemistry ,Disulfiram ,medicine ,Proteasome inhibitor ,biology.protein ,Etoposide ,Multiple myeloma ,medicine.drug - Abstract
Proteasome is a novel, interesting target in cancer drug therapy, and the proteasome inhibitor Bortezomib has been used for its antitumor activity in multiple myeloma and other lymphoid malignancies. The commonly used thiocarbamate alcohol-abuse deterrent disulfiram (DSF) is an aldehyde dehydrogenase (ALDH) inhibitor with documented proteasome-inhibiting activity. Recent reports indicate that DSF and other dithiocarbamates may have a significant potential in the treatment of human cancer without significant side effects. It was previously shown that this compound is able to block the P-glycoprotein extrusion pump, to inhibit the transcription factor nuclear factor-kappaB (NF-kB), to sensitize tumors to chemotherapy, to reduce angiogenesis, and to inhibit tumor growth in mice. In addition a recent work has described several compounds with proteasome-inhibiting activity, among which in the hit was DSF. Here we show that MM (18 samples), AML (14 samples) and ALL (5 samples) primary cells from newly diagnosed and relapsed/resistant patients were significantly sensitive to DSF at doses < 5 mM (dose achievable in vivo). Median IC50 was DSF 0,5 mM for MM and DSF 0,35 mM for AML and r ALL samples after 48 hours of incubation. These cells are ALDH weakly positive and we did not find any difference in the sensitivity to DFS on the basis of amount of ALDH expression or status of disease (diagnosis vs relapse). Conversely, DSF, at the dose of 0,5 mM had only a weak effect on normal CD34 and peripheral blood mononuclear cells (
- Published
- 2009