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Pyrrolidinium fullerene induces apoptosis by activation of procaspase-9 via suppression of Akt in primary effusion lymphoma.
[primary effusion lymphoma]
Primary
effusion
lymphoma
(
PEL
)
is
a
subtype
of
non-
Hodgkin
's
B-
cell
lymphoma
and
is
an
aggressive
neoplasm
caused
by
Kaposi
's
sarcoma
-associated
herpesvirus
(
KSHV
)
in
immunosuppressed
patients
.
In
general
,
PEL
cells
are
derived
from
post-germinal
center
B-
cells
and
are
infected
with
KSHV
.
To
evaluate
potential
novel
anti-
tumor
compounds
against
KSHV-associated
PEL
,
seven
water-soluble
fullerene
derivatives
were
evaluated
as
potential
drug
candidates
for
the
treatment
of
PEL
.
Herein
,
we
discovered
a
pyrrolidinium
fullerene
derivative
,
1
,
1
,
1
'
,
1
'
-
tetramethyl
[
60
]
fullerenodipyrrolidinium
diiodide
,
which
induced
apoptosis
of
PEL
cells
via
a
novel
mechanism
,
the
caspase-
9
activation
by
suppressing
the
caspase-
9
phosphorylation
,
causing
caspase-
9
inactivation
.
Pyrrolidinium
fullerene
treatment
reduced
significantly
the
viability
of
PEL
cells
compared
with
KSHV-uninfected
lymphoma
cells
,
and
induced
the
apoptosis
of
PEL
cells
by
activating
caspase-
9
via
procaspase-
9
cleavage
.
Pyrrolidinium
fullerene
additionally
reduced
the
Ser
473
phosphorylation
of
Akt
and
Ser
196
of
procaspase-
9
.
Ser
473
-
phosphorylated
Akt
(
i
.
e
.
,
activated
Akt
)
phosphorylates
Ser
196
in
procaspase-
9
,
causing
inactivation
of
procaspase-
9
.
We
also
demonstrated
that
Akt
inhibitors
suppressed
the
proliferation
of
PEL
cells
compared
with
KSHV-uninfected
cells
.
Our
data
therefore
suggest
that
Akt
activation
is
essential
for
cell
survival
in
PEL
and
a
pyrrolidinium
fullerene
derivative
induced
apoptosis
by
activating
caspase-
9
via
suppression
of
Akt
in
PEL
cells
.
In
addition
,
we
evaluated
whether
pyrrolidinium
fullerene
in
combination
with
the
HSP
90
inhibitor
(
geldanamycin
;
GA
)
or
valproate
,
potentiated
the
cytotoxic
effects
on
PEL
cells
.
Compared
to
treatment
with
pyrrolidinium
fullerene
alone
,
the
addition
of
low
-concentration
GA
or
valproate
enhanced
the
cytotoxic
activity
of
pyrrolidinium
fullerene
.
These
results
indicate
that
pyrrolidinium
fullerene
could
be
used
as
a
novel
therapy
for
the
treatment
of
PEL
.
Diseases
Validation
Diseases presenting
"induced apoptosis by activating caspase-9 via suppression"
symptom
primary effusion lymphoma
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