Volume 50, Issue 3 p. 345-355

Regulation of the expression of death receptors and their ligands by melatonin in haematological cancer cell lines and in leukaemia cells from patients

Sara Casado-Zapico

Sara Casado-Zapico

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

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Vanesa Martín

Vanesa Martín

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

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Guillermo García-Santos

Guillermo García-Santos

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

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Jezabel Rodríguez-Blanco

Jezabel Rodríguez-Blanco

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

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Ana M. Sánchez-Sánchez

Ana M. Sánchez-Sánchez

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

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Elisa Luño

Elisa Luño

Servicio de Hematología, Hospital Universitario Central de Asturias, Oviedo, Spain

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Carlos Suárez

Carlos Suárez

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Spain

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Juana M. García-Pedrero

Juana M. García-Pedrero

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Spain

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Sofía T. Menendez

Sofía T. Menendez

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Spain

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Isaac Antolín

Isaac Antolín

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

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Carmen Rodriguez

Carmen Rodriguez

Departamento de Morfología y Biología Celular, Facultad de Medicina, Universidad de Oviedo, Oviedo, Spain

Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

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First published: 24 February 2011
Citations: 44
Address reprint requests to Carmen Rodriguez, Departamento de Morfología y Biología Celular, Facultad de Medicina, c/Julian Claveria, 33006 Oviedo, Spain.
E-mail: [email protected].

Abstract

Abstract: Incorporation of new therapeutic agents remains as a major challenge for treatment of patients with malignant haematological disorders. Melatonin is an indolamine without relevant side effects. It has been shown previously to exhibit synergism with several chemotherapeutic drugs in Ewing sarcoma cells by potentiating the extrinsic pathway of apoptosis. It also sensitizes human glioma cells against TRAIL by increasing DR5 expression. Here, we report the induction of cell death by melatonin in several human malignant haematological cell lines through the activation of the extrinsic pathway of apoptosis. Such activation was mediated by the increase in the expression of the death receptors Fas, DR4 and DR5 and their ligands Fas L and TRAIL, with a remarkable rise in the expression of Fas and Fas L. The cytotoxic effect and the increase in Fas and Fas L were dependent on Akt activation. Results were corroborated in blasts from bone marrow and peripheral blood of acute myeloid leukaemia patients, where melatonin induced cell death and increased both Fas and Fas L expressions. We conclude that melatonin may be considered as a potential antileukaemic agent and its therapeutic use, either alone or in combination with current chemotherapeutic drugs, should be taken into consideration for further research.

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