Induction of Differentiation of Myeloid Leukemic Cells by Busulphan: in Vivo and in Vitro Observations
作者:
MichaeliJoseph,
FibachEitan,
RachmilewitzEliezer A.,
期刊:
Leukemia&Lymphoma
(Taylor Available online 1993)
卷期:
Volume 11,
issue 3-4
页码: 287-291
ISSN:1042-8194
年代: 1993
DOI:10.3109/10428199309087006
出版商: Taylor&Francis
关键词: Busulphan;CML;differentiation;vitamin B-12 binding proteins
数据来源: Taylor
摘要:
Treatment of a 74 year old patient with chronic myelogenous leukemia (CML) with busulphan resulted in an abrupt and pronounced decrease of the white blood cell (WBC) count with restoration of normal peripheral blood cell morphology and regression of splenomegaly. The Philadelphia positive (Ph+) clone was however still detectable. The alterations in the WBC count and morphology were not preceded by marrow hypoplasia but correlated closely with a marked decrease in the serum levels of Transcobalamin I (TC I), a vitamin B12-binding protein derived from immature myeloid precursors and a reciprocal rise in serum TC III, a vitamin B12-binding protein originating from terminally differentiated mature granulocytes. Studies on the HL-60 cell line showed that busulphan is capable of inducing leukemic cells to differentiate into granulocyte-like cells. These observations, taken together, suggest that in addition to its potent myelosuppressive effects, busulphan may induce apparent clinical remissions in some CML patients by promoting terminal cell differentiation.
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