Decreased polyglutamylation of methotrexate in acute lymphoblastic leukemia blasts in adults compared to children with this disease Journal Article


Authors: Göker, E.; Lin, J. T.; Trippett, T.; Elisseyeff, Y.; Tong, W. P.; Niedzwiecki, D.; Tan, C.; Steinherz, P.; Schweitzer, B. I.; Bertino, J. R.
Article Title: Decreased polyglutamylation of methotrexate in acute lymphoblastic leukemia blasts in adults compared to children with this disease
Abstract: We compared blast cells from adult and pediatric patients with untreated acute lymphoblastic leukemia (ALL) (as separated groups of T-lineage cell and B-lineage cell ALL) to determine if methotrexate (MTX) polyglutamate formation in adult patients might be a contributing cause to the known difference in clinical outcome, since MTX is a key drug in chemotherapy regimens. Adult B-lineage cell ALL blasts and blasts from the patients with T-lineage cell ALL accumulated lower amounts of total MTX and polyglutamates, especially long-chain MTX polyglutamates (glu3-6) than pediatric B-lineage cell ALL blasts. In view of the importance of polyglutamylation of MTX as a determinant of cytotoxicity of this drug, decreased formation of MTX polyglutamates is likely a contributing cause to the lower cure rate in adult ALL and T-lineage cell ALL as compared to childhood B-lineage cell ALL.
Keywords: adolescent; adult; child; human cell; comparative study; methotrexate; age factors; drug resistance; tumor cells, cultured; acute lymphoblastic leukemia; drug accumulation; drug cytotoxicity; t cell leukemia; in vitro; b cell leukemia; blast cell; polyglutamic acid; leukemia, lymphocytic, acute; human; male; female; priority journal; article; support, non-u.s. gov't
Journal Title: Leukemia
Volume: 7
Issue: 7
ISSN: 0887-6924
Publisher: Nature Publishing Group  
Date Published: 1993-07-01
Start Page: 1000
End Page: 1004
Language: English
PUBMED: 7686600
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 March 2019 -- Source: Scopus
Citation Impact
MSK Authors
  1. William Ping-Yiu Tong
    158 Tong
  2. Tanya M Trippett
    126 Trippett
  3. Joseph Bertino
    363 Bertino
  4. Peter G Steinherz
    221 Steinherz
  5. Charlotte T C Tan
    42 Tan
  6. Erdem Göker
    24 Goker
  7. James T. Lin
    14 Lin