Paper
9-cis retinoic acid — a better retinoid for the modulation of differentiation, proliferation and gene expression in human neuroblastoma
Published 2004 · P. Lovat, H. Irving, A. Malcolm
Journal of Neuro-Oncology
23
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1
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Abstract
To date, the clinical success of 13-cis or all-trans retinoic acid in the treatment of neuroblastoma has been disappointing. In vivo, 13-cis will isomerise to both all-trans and 9-cis retinoic acid, believed to be the main biologically-active isomers. In vitro studies with an N-type neuroblastoma cell line, SH SY 5Y, show that 9-cis is better than other isomers at both inducing morphological differentiation and inhibiting proliferation. RAR-β, a gene which may mediate retinoic acid responsiveness and be of prognostic significance, is also more-effectively induced by 9-cis retinoic acid. 9-cis and all-trans retinoic acid do not have synergistic effects on SH SY 5Y cell proliferation and gene expression. A retinoid X receptor (RXR)-specific analogue of 9-cis retinoic acid had similar effects on gene expression to 9-cis retinoic acid alone. In view of these results, 9-cis retinoic acid or stable analogues of this retinoid may have potential for the treatment of neuroblastoma.
9-cis retinoic acid shows potential for treating neuroblastoma by inducing differentiation and inhibiting proliferation, with potential synergistic effects with all-trans retinoic acid.
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