Threshold levels of ABL tyrosine kinase inhibitors retained in chronic myeloid leukemia cells determine their commitment to apoptosis

The imatinib paradigm in chronic myelogenous leukemia (CML) established continuous BCR-ABL inhibition as a design principle for ABL tyrosine kinase inhibitors (TKI). However, clinical responses seen in patients treated with the ABL TKI dasatinib despite its much shorter plasma half-life and the apparent rapid restoration of BCR-ABL signaling activity following once-daily dosing suggested acute, potent inhibition of kinase activity may be sufficient to irrevocably commit CML cells to apoptosis. To determine the specific requirements for ABL TKI-induced CML cell death for a panel of clinically important ABL TKIs (imatinib, nilotinib, dasatinib, ponatinib, and DCC-2036), we interrogated response of CML cell lines and primary CML cells following acute drug exposure using intracellular fluorescence-activated cell sorting and immunoblot analyses of BCR-ABL signaling, apoptosis measurements, liquid chromatography/tandem mass spectrometry of intracellular drug levels, and biochemical TKI dissociation studies. Importantly, significant intracellular TKI stores were detected following drug washout, levels of which tracked with onset of apoptosis and incomplete return of BCR-ABL signaling, particularly pSTAT5, to baseline. Among TKIs tested, ponatinib showed the most robust capacity for apoptotic commitment showing sustained suppression of BCR-ABL signaling even at low intracellular levels following extensive washout, consistent with high-affinity binding and slow dissociation from ABL kinase. Together, our findings suggest commitment of CML cells to apoptosis requires protracted incomplete restoration of BCR-ABL signaling mediated by intracellular retention of TKIs above a quantifiable threshold. These studies refine our understanding of apoptotic commitment in CML cells and highlight parameters important to design of therapeutic kinase inhibitors for CML and other malignancies.

Preservation of cocoa antioxidant activity, total polyphenols, flavan-3-ols, and procyanidin content in foods prepared with cocoa powder

Little is known about the effects of common cooking processes on cocoa flavanols. Antioxidant activity, total polyphenols (TP), flavanol monomers, and procyanidin oligomers were determined in chocolate frosting, a hot cocoa drink, chocolate cookies, and chocolate cake made with natural cocoa powder. Recoveries of antioxidant activity, TP, flavanol monomers, and procyanidins ranged from 86% to over 100% in the chocolate frosting, hot cocoa drink, and chocolate cookies. Losses were greatest in the chocolate cake with recoveries ranging from 5% for epicatechin to 54% for antioxidant activity. The causes of losses in baked chocolate cakes were investigated by exchanging baking soda with baking powder or combinations of the 2 leavening agents. Use of baking soda as a leavening agent was associated with increased pH and darkening color of cakes. Losses of antioxidant activity, TP, flavanol monomers, and procyanidins were associated with an increased extractable pH of the baked cakes. Chocolate cakes made with baking powder for leavening resulted in an average extractable pH of 6.2 with essentially complete retention of antioxidant activity and flavanol content, but with reduced cake heights and lighter cake color. Commercially available chocolate cake mixes had final pHs above 8.3 and contained no detectable monomeric flavanols after baking. These results suggest that baking soda causes an increase in pH and subsequent destruction of flavanol compounds and antioxidant activity. Use of an appropriate leavening agent to moderate the final cake pH to approximately 7.25 or less results in both good leavening and preservation of cocoa flavanols and procyanidins.

A flow cytometric application for screening of new anti-inflammatory compounds (42.18)

Septic shock is a major public health problem. Organ failure during sepsis has been attributed to an extensive inflammatory response. Consequently, inflammatory reactions are important targets for drug development.

Inflammatory cytokine production is the result of the activation of signaling pathways. The Toll-Like receptor (TLR) family can recognize every known human pathogen. They trigger the host defense by activating signaling pathway such as NF-kB, MAPK, AKT and JAK/STAT. The stimulation of these pathways by pathogens will lead to an activation of transcription factors and the release of cytokines that can positively or negatively influence innate and adaptive immunity. Therefore, there is great interest in developing cell signaling inhibitors as new classes of anti-inflammatory and immuno-regulatory compounds.

We have used BD Cytometric Bead Array and BD Phosflow technologies to propose a flexible application that will facilitate the screening of compound libraries to find new anti-inflammatory drug candidates. To test this approach, we used well-characterized MAPK and PI3K/AKT inhibitors in an in vitro sepsis model. Our results demonstrated that we can simultaneously monitor the effect of a given compound on cell signaling molecules and on the inflammatory cytokines released. Moreover, we were able to specifically identify the cell population involved in the process.

In conclusion, this screening approach allows researchers to quantitatively assess and correlate the release of inflammatory cytokines with the signaling state of the cell.

Bead-based multianalyte flow immunoassays: the cytometric bead array system

Analytical cytometry has significant potential beyond cellular analysis. The inherent capability of flow cytometers to efficiently discriminate between uniformly sized particles based on their intrinsic properties provides the foundation for multiplex bead assays. The technology can be exploited in designing immunoassays, Western blot-like antibody assays, and nucleic acid hybridization assays. This chapter focuses on immunoassay applications. The multiplex bead assays have recently evolved as a new and increasingly popular area for flow cytometry, becoming a good alternative to enzyme-linked immunosorbent assay for efficient evaluation of panels of analytes. This chapter provides detailed information about two bead platforms, the BD Cytometric Bead Array kits and the BD Cytometric Bead Array Flex Set Assays.

ZAP-70 directly enhances IgM signaling in chronic lymphocytic leukemia

Chronic lymphocytic leukemia (CLL) B cells that express unmutated immunoglobulin heavy-chain variable region genes (IgV(H)) generally express ZAP-70, in contrast to normal B cells or most CLL cases with mutated IgV(H). Following IgM ligation, ZAP-70+ CLL cells had significantly higher levels of phosphorylated p72(Syk), BLNK, and phospholipase-Cgamma (PLCgamma) and had greater[Ca2+]i flux than did ZAP-70-negative CLL cases, including unusual ZAP-70-negative cases with unmutated IgV(H). IgM ligation of ZAP-70-negative CLL B cells infected with an adenovirus vector encoding ZAP-70 induced significantly greater levels of phosphorylated p72(Syk), BLNK, and PLCgamma and had greater[Ca2+]i flux than did similarly stimulated, noninfected CLL cells or CLL cells infected with a control adenovirus vector. We conclude that expression of ZAP-70 in CLL allows for more effective IgM signaling in CLL B cells, a feature that could contribute to the relatively aggressive clinical behavior generally associated with CLL cells that express unmutated IgV(H).

Characterization of a new HLA-C allele: Cw*0719

We describe a new human leukocyte antigen (HLA)-Cw*07 allele that differs from Cw*0718 by a single-coding nucleotide. DNA-based genotyping identified a clinical sample from a Black African-American patient that differed from known Cw alleles. The allele was amplified independently with a haplo-specific primer and sequenced in its entirety.

Cytometric bead array: a multiplexed assay platform with applications in various areas of biology

The introduction of flow cytometric bead-based technology has added a new approach for investigators to simultaneously measure multiple analytes in biological and environmental samples. This new technology allows for (1) evaluation of multiple analytes in a single sample; (2) utilization of minimal sample volumes to glean data; (3) reproducibility and results comparative with previous experiments; (4) direct comparison with existing assays; and (5) a more rapid evaluation of multiple samples in a single platform. The cytometric bead array (CBA) system enables simultaneous measurement of multiple analytes in sample volumes too small for traditional immunoassays. Results have been presented for the analysis of a variety of human cytokines. In addition, the technology allows for the design and creation of assays to measure a variety of analytes including inflammatory mediators, chemokines, immunoglobulin isotypes, intracellular signaling molecules, apoptotic mediators, adhesion molecules, and antibodies. New initiatives put forward by the Human Genome Project and the FDA require the development and use of assays for the rapid simultaneous quantitation of multiple analytes. The CBA technology provides the ability to quantify multiple proteins within a given sample, with precision and consistency.

Multiple-particle tracking measurements of heterogeneities in solutions of actin filaments and actin bundles

One of the central functions of actin cytoskeleton is to provide the mechanical support required for the establishment and maintenance of cell morphology. The mechanical properties of actin filament assemblies are a consequence of both the available polymer concentration and the actin regulatory proteins that direct the formation of higher order structures. By monitoring the displacement of well-dispersed microspheres via fluorescence microscopy, we probe the degree of spatial heterogeneity of F-actin gels and networks in vitro. We compare the distribution of the time-dependent mean-square displacement (MSD) of polystyrene microspheres imbedded in low- and high-concentration F-actin solutions, in the presence and absence of the F-actin-bundling protein fascin. The MSD distribution of a 2. 6-microM F-actin solution is symmetric and its standard deviation is similar to that of a homogeneous solution of glycerol of similar zero-shear viscosity. However, increasing actin concentration renders the MSD distribution wide and asymmetric, an effect enhanced by fascin. Quantitative changes in the shape of the MSD distribution correlate qualitatively with the presence of large heterogeneities in F-actin solutions produced by increased filament concentration and the presence of actin bundles, as detected by confocal microscopy. Multiple-particle tracking offers a new, quantitative method to characterize the organization of biopolymers in solution.

Serum carotenoid concentrations and their reproducibility in children in Belize

Suggestions that carotenoid-containing foods are beneficial in maintaining health have led to several studies of circulating carotenoid concentrations of adults. Because few data are available for children, we report serum carotenoid concentrations of 493 children in Belize. Carotenoid concentrations were determined as part of a survey of vitamin A status of children, most between 65 and 89 mo of age. Reproducibility was tested by collecting a second blood sample 2 wk after the first collection from a subset of children (n = 23) who consumed their habitual diet with no treatment during the interim. Predominant serum carotenoids were lutein/zeaxanthin and beta-carotene, which accounted for 26% and 24% of median total carotenoids, respectively. The three provitamin A carotenoids, alpha- and beta-carotene and beta-cryptoxanthin, constituted 51% of median total carotenoid concentrations. Partial correlations of each carotenoid with fasting retinol concentration indicated that beta-carotene had the highest correlation. Concordance correlation coefficients (rc) for fasting carotenoid concentrations determined 2 wk apart were > or = 0.89 for lycopene, beta-cryptoxanthin, and alpha- and beta-carotene. The rc for lutein/zeaxanthin and total carotenoids was lower, 0.59 and 0.68, respectively, because of higher lutein/zeaxanthin concentrations at the second sampling than at the first. The reproducibility of the concentrations suggests both that individuals have characteristic profiles and that serum carotenoid concentrations can be measured randomly over > or = 2 wk without significant bias.

Reproducibility of relative dose response (RDR) test and serum retinol and retinyl ester concentrations in children after a 2-week interval

OBJECTIVE

Reproducibility of the relative dose response test (RDR), a test designed to measure vitamin A status, was tested in 23 Belizean children, 5-8 years after 2-week interval during which no treatment was given.

METHODS

As required for the RDR test, serum retinol concentrations were determined before and 5 hours after an oral dose of vitamin A. An RDR score > 14% was used as the criterion of inadequate vitamin A status. The HPLC method used to measure serum retinol concentrations also determined the concentrations of four retinyl esters.

RESULTS

The RDR test was reproducible for 17 of 23 subjects: 3 scored > 14% on both tests; 14, < 14% on both. Six subjects scored > 14% on only one test. The concordance correlation coefficient (rc) for the percent change in the two tests was 0.24; for fasting serum retinol concentration, rc = 0.81. For retinyl palmitate and stearate, the esters present in highest concentrations at 5 hours, concordance correlation coefficients were 0.75 and 0.59, respectively.

CONCLUSION

The failure of the RDR test to classify 26% of the subjects reproducibly reduces the usefulness of the test. In addition, the reproducibility of the retinyl ester concentrations in serum 5 hours after the retinyl palmitate dose and the relatively high concentrations in some subjects suggests that some individuals may not metabolize sufficient retinol in 5 hours to cause a maximal increase in serum retinol, resulting in an underestimation of deficiency in a population in which the RDR test is used.

Comparison of methods of assessing vitamin A status in children

OBJECTIVE

A study of children (2-8 years; n = 613) in Belize, Central America, was conducted to determine what proportion of the children might be at risk of vitamin A (vit A) deficiency. The data provide an opportunity to compare results of three methods of assessing vit A status in a population which was not severely malnourished. Serum retinyl ester concentrations were also determined; their relevance to one of the tests, the relative dose response (RDR) test, is discussed.

METHODS

The three methods of assessing vit A status were: RDR test, fasting serum retinol concentration, and conjunctival impression cytology (CIC). Retinol-binding protein (RBP), serum retinyl esters and serum zinc concentrations were also determined.

RESULTS

Inadequate vit A status was indicated for 17% of subjects by the RDR test (14% cutoff), for 24% by fasting serum retinol concentration (< 0.87 mumol/L), and for 49% by "abnormal" CIC score. Retinyl esters constituted 24% of serum retinoids at the time (5 hours after a retinyl palmitate dose) at which the second blood sample is taken for the RDR test. Regression tree analyses (CART) indicated ethnicity was a predictor of RDR score; ethnicity, stunting and age were predictors of fasting serum retinol concentration; ethnicity and stunting were predictors of 0-hour retinyl ester concentration.

CONCLUSION

The three indices of vit A status did not identify the same individuals nor indicate the same percentage of the population to be at risk for vit A deficiency. Increased concentrations of retinyl esters at 5 hours compared to those at 0 hours suggest that insufficient retinol may have been taken up by the liver at 5 hours to release all accumulated retinol-binding protein (RBP) in deficient individuals; prevalence of vit A deficiency might therefore be underestimated by the RDR test. The selection of ethnicity as a predictor of RDR score and of 0-hour retinol and retinyl ester concentrations suggests that factors other than vit A status affect vit A metabolism and may affect the RDR test.

Reduced survival of neonates due to vitamin A deficiency during pregnancy in the guinea pig

Neonatal vitamin A stores are limited even in well-nourished full-term infants and are yet smaller in the premature infant. The object of this experiment was to determine whether vitamin A deficiency could be induced in pregnant guinea pigs and, if so, whether it would affect vitamin A status of the neonate. Adult (600 g) guinea pigs were fed a casein-agar diet that was vitamin A deficient (AD). Controls (vitamin A adequate) were orally dosed weekly with 2 mg of retinyl palmitate. Weight gains of dams and birth weights of neonates did not differ. No external signs of deficiency were observed. Six of eight AD and seven of eight vitamin A-adequate dams carried pregnancy to term (greater than or equal to Day 64). One AD dam died during delivery. Liver retinol concentrations were below the detection limit (less than 3 micrograms/g) for all AD neonates and dams and in postpartum serum of AD dams. Of neonates born greater than or equal to Day 64, 15 of 18 AD were dead or moribund compared with 4 of 22 vitamin A adequate. The unexpectedly severe effect on the neonate indicates that the guinea pig will be a sensitive model for investigating the affect of poor maternal vitamin A status on neonatal vitamin A-dependent functions. However, a less severe maternal deprivation should be used for such studies.

Low zinc intake affects maintenance of pregnancy in guinea pigs

Zinc deficiency during pregnancy has severe effects in animals. To what extent the effects in animals apply to human pregnancy is not known. Because the pregnant guinea pig shares characteristics with pregnant women that make it a useful model, three experiments were done with guinea pigs in which Zn intake was reduced beginning on the 30th d of gestation. Reduced Zn intake in two of the three experiments resulted in abortion or premature delivery. Zinc-supplemented animals with feed intake restricted to that of Zn-deficient animals also aborted or delivered prematurely. Zinc-supplemented animals fed for ad libitum access delivered living young at term. Fetal/neonatal liver Zn concentration was low in the guinea pigs compared to that reported for other animals and was affected to a lesser extent by low Zn intake by the dam. Zinc concentration of neonatal plasma was also less than that in several other species. Change in activity of angiotensin-converting enzyme with addition of Zn in vitro was greater in the plasma of Zn-deficient guinea pigs than in that of Zn-adequate guinea pigs and may be useful as an indicator of Zn status.

Changes in angiotensin-converting enzyme during pregnancy in the guinea pig

Angiotensin-converting enzyme (ACE) activity was measured weekly in plasma of pregnant guinea pigs either during the last half of pregnancy (experiment 1) or throughout pregnancy (experiment 2). ACE activity increased about the time of the first missed estrus, reached a maximum about days 35-40, and then declined. A similar rise and decline in plasma ACE activity does not appear to have been reported in other animals or in humans.

Effect on the ewe and lamb of low zinc intake throughout pregnancy

Throughout pregnancy, 30 primiparous Finn cross ewes were given a low Zn (less than or equal to 1 ppm) semi-purified diet. A 100-g hay supplement was fed three to seven times/week. Supplemental Zn (20 ppm) was provided in the drinking water of 14 ewes. At parturition, lambs were removed from ewes before suckling. Viable lambs not taken for tissue analysis were given 200 ml cow colostrum and raised on an artificial feeder. Throughout gestation, unsupplemented (-Zn) ewes gained less weight and had lower plasma Zn levels than Zn-supplemented (+Zn) ewes. One -Zn ewe was not pregnant, three aborted, one resorbed, one delivered mummified twins at term and two delivered malformed lambs. Average weight of lambs born to -Zn ewes d 136 or later (excluding mummified twins and one weighing less than 20% as much as its twin) was 1.8 +/- .6 (SE) kg. Only three lambs born to -Zn ewes were vigorous enough to put on the artificial feeder; none survived. One +Zn ewe was not pregnant. Of 23 lambs born to the remaining +Zn ewes, five were used for tissue analysis, two lambs of triplets were born dead, twins born d 138 died at birth. One twin died 6 d after birth. The 14 remaining lambs were weaned in good health. Average birth weight of +Zn lambs was 3.3 +/- 1.0 kg. Increased salivation was seen in -Zn ewes after 6 wk of low Zn intake.(ABSTRACT TRUNCATED AT 250 WORDS)

Effect of zinc status on salivary zinc concentrations in the rat

Three experiments were done to determine whether salivary zinc concentration is a more sensitive indicator of zinc status than plasma zinc. Weanling male rats fed a low zinc (less than 1 ppm) diet for 5 weeks with or without zinc (100 ppm) in the drinking water had salivary zinc concentration of 0.19, 0.16, and 0.20 microgram/ml for the zinc-deficient, zinc-supplemented restricted-intake, and zinc-supplemented ad libitum-fed groups, respectively. Combined values for male and female rats after 4 weeks of the same treatments in experiment 2 were 0.60, 1.2 and 0.44 microgram/ml. Saliva collected on day 22 of pregnancy contained 0.30 and 0.24 microgram/ml from zinc-supplemented and zinc-deficient rats, respectively. Salivary zinc concentrations in the deficient rats did not differ from those of the zinc-supplemented ad libitum-fed controls in any of the experiments. Salivary zinc concentration in the zinc-supplemented restricted-intake group in experiment 2 was significantly higher than that in the other two groups. Decreases in serum, bone, and fetal zinc concentrations indicated that the rats were definitely zinc-deficient. Since zinc concentration of mixed saliva in the rat was not decreased by even a severe zinc deficiency, salivary zinc does not appear to be as good an indicator of zinc status as plasma zinc.

Effects of zinc deficiency and zinc repletion during pregnancy on parturition in two strains of rats

The effects on parturition of a low zinc diet during pregnancy and of three levels of zinc repletion late in pregnancy were compared in two strains of rats, Sprague Dawley and Long Evans. Long Evans rats had a higher hematocrit and higher plasma protein levels than did Sprague Dawley rats. Long Evans rats also had heavier mammary glands and tended to deliver somewhat later than the Sprague Dawley rats. Weight gains during pregnancy and weights of the liver, spleen, adrenal glands, and pups did not vary between strains. No differences were detectable in the degree of stress at parturition between the unsupplemented females of the two strains. Injection of 300, 600, or 900 microgram zinc on day 18 of pregnancy increased female weight gains, pup weight, and spleen and mammary gland weights, and decreased hematocrit level. Three females in the unsupplemented groups died about the expected time of parturition; none died in the supplemented groups. Although there were some differences between the strains, the effects of a low zinc diet and the requirement for zinc for normal parturition were the same in the two strains. An injection of 900 microgram zinc on day 18 resulted in normal parturition in both strains.

Use of EDTA to produce zinc deficiency in the pregnant rat

The effectiveness of EDTA in reducing the endogenous zinc supply in pregnant rats was determined by two experiments. In experiment 1, a high level of zinc (100 ppm) was given to rats days 15 through 17 of gestation. In experiment 2, a low level of zinc (3 ppm) was given from days 1 through 17. On day 18, half the rats were given EDTA in two intraperitoneal injections 6 hours apart with or without zinc supplementation. The -Zn + EDTA group lost weight continuously after the injections, had increased hematocrit levels prior to parturition,and showed greater stress at parturition than did the -Zn group. Weight gains, hematocrit level, and parturition in the +Zn + EDTA group did not differ significantly from those of the +Zn controls. Spleen weights were decreased in the -Zn + EDTA and -Zn groups and zinc concentration in the spleen increased in the -Zn + EDTA group. Iron concentration decreased in the spleen and increased in the liver of EDTA-treated rats. Use of EDTA to remove endogenous zinc appears to offer a mechanism for study of the effects of short-term zinc supplementation at critical periods in the pregnant zinc-deficient rat.

Effects of some nutritional deficiencies on parturition in rats

Relation of food consumption to stress at parturition in rats was investigated in three experiments. (1) Females receiving a low thiamin intake during gestation were compared with those receiving a low zinc intake and those receiving either a restricted or ad libitum food intake with adequate zinc. Litter size was reduced in the low thiamin group. Malformed offspring were noted in the other three groups. Little stress at parturition was evident in any of the groups. Serum progesterone concentrations on day 18 were elevated in all three experimental groups relative to ad libitum controls. Urinary hydroxyproline in females with low zinc intakes did not differ from that in ad libitum controls. (2) A 5% protein diet increased food intake only slightly in females with low zinc intake and resulted in death at the end of gestation. (3) Force feeding of pregnant females was unsuccessful, but results with females given the low zinc diet or restricted amounts of the diet plus zinc supported results obtained in the other two experiments. The possibility that stress at parturition was related to the ability of the females to make normal hemodynamic adjustments to pregnancy is discussed.