RT Journal Article SR Electronic T1 The Organic Arsenic Derivative GMZ27 Induces PML–RARα-Independent Apoptosis in Myeloid Leukemia Cells JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 2871 OP 2880 VO 32 IS 7 A1 XIAODONG CHENG A1 ALFONSO QUINTÁS-CARDAMA A1 MIRNA GOLEMOVIC A1 RALPH ZINGARO A1 MING-ZHANG GAO A1 EMIL J. FREIREICH A1 MICHAEL ANDREEFF A1 HAGOP M. KANTARJIAN A1 SRDAN VERSTOVSEK YR 2012 UL http://ar.iiarjournals.org/content/32/7/2871.abstract AB Arsenic trioxide (ATO) is an inorganic arsenic derivative that is very effective against acute promyelocytic leukemia. However, organic arsenic derivatives (OAD) have a more favorable toxicity profile than ATO. We herein characterized dipropil-S-glycerol arsenic (GMZ27), a novel OAD. GMZ27 had potent antiproliferative activity against human acute myeloid leukemia (AML) cell lines that was higher than that of ATO. In contrast to ATO, GMZ27 only marginally induced maturation of leukemia cells and had no effect on the cell cycle. The anti-leukemia activity of GMZ27 against AML cells was independent of the presence of the PML–RARα fusion protein. GMZ27 dissipates mitochondrial transmembrane potential, and induces cleavage of caspase 9 and activation of caspase 3 without altering the expression levels of (BCL-2), BAX and BCL-xl. GMZ27 induces the formation of intracellular superoxide, a reactive oxygen species (ROS) which plays a major role in the antileukemia activity of this OAD. In addition to ROS generation, GMZ27 concomitantly reduces intracellular glutathione which markedly weakens the cellular antioxidant capacity, thus enhancing the detrimental intracellular effects of ROS production. These results indicate that GMZ27 induces apoptosis in AML cells in a PML–RARα-independent fashion, through the induction of ROS production. This activity provides the rationale for the testing of GMZ27 in patients with AML.