RT Journal Article SR Electronic T1 Intracellular Glutathione Levels Determine Cell Sensitivity to Apoptosis Induced by the Antineoplasic Agent N-(4-hydroxyphenyl)retinamide JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1945 OP 1951 VO 25 IS 3B A1 MARIA-CELIA MORALES A1 GORKA PÉREZ-YARZA A1 NAIARA NIETO-REMENTERIA A1 MARIA-DOLORES BOYANO A1 MUHIALDIN JANGI A1 RAFAEL ATENCIA A1 AINTZANE ASUMENDI YR 2005 UL http://ar.iiarjournals.org/content/25/3B/1945.abstract AB Background: We have previously demonstrated that the synthetic retinoid N-(4-hydroxyphenyl) retinamide (4-HPR) induces the overproduction of reactive oxygen species (ROS) in human leukemia cells, which in turn triggers the intrinsic (mitochondrial) apoptotic pathway. In order to study the role of glutathione in 4-HPR-induced apoptosis, the levels of this antioxidant were analyzed in cell lines which are sensitive and resistant to the effects of 4-HPR, and the effect of the modulation of glutathione levels on 4-HPR cytotoxicity was characterized. Materials and Methods: Mitochondrial membrane potential (Δæm) and the levels of glutathione were measured by flow cytometry. A fluorometric assay was used to measure intracellular ROS generation and Western blot was employed to analyze tissue transglutaminase expression. Results: 4-HPR generated large quantities of ROS in cell lines which expressed low glutathione levels, these cells being the most sensitive to the retinoid. The sensitivity of leukemia cells to 4-HPR could be modulated, either by increasing intracellular glutathione contents using all-trans retinoic acid (ATRA), or by decreasing it using DL-buthionine-S,R-sulfoximine (BSO). ATRA increased the level of expression of tissue transglutaminase, whereas inhibition of this enzyme led to enhanced apoptosis. Conclusion: Our findings indicate that the glutathione content contributes to determining the sensitivity of cells to 4-HPR and points to the potential application of glutathione-inhibiting agents as enhancers in 4-HPR-based therapies. Copyright© 2005 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved