Combinational Treatment with Retinoic Acid Derivatives in Non-small Cell Lung Carcinoma In Vitro.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3346/jkms.2007.22.S.S52
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Eun Jung CHOI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Young Mi WHANG
			        		
			        		;
		        		
		        		
		        		
			        		Seok Jin KIM
			        		
			        		;
		        		
		        		
		        		
			        		Hyun Jin KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yeul Hong KIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Internal Medicine and Brain Korea 21 Program for Biomedical Sciences, Korea University College of Medicine, Seoul, Korea. yhk0215@korea.ac.kr
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Non-Small-Cell Lung Carcinoma;
			        		
			        		
			        		
				        		Retinoids;
			        		
			        		
			        		
				        		Chemoprevention;
			        		
			        		
			        		
				        		Fenretinide;
			        		
			        		
			        		
				        		Receptors;
			        		
			        		
			        		
				        		Retinoic Acid
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Base Sequence;
				        		
			        		
				        		
					        		Carcinoma, Non-Small-Cell Lung/*drug therapy/genetics/metabolism;
				        		
			        		
				        		
					        		Cell Line, Tumor;
				        		
			        		
				        		
					        		DNA Primers/genetics;
				        		
			        		
				        		
					        		Drug Therapy, Combination;
				        		
			        		
				        		
					        		Fenretinide/administration & dosage;
				        		
			        		
				        		
					        		Gene Expression/drug effects;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Isotretinoin/administration & dosage;
				        		
			        		
				        		
					        		Lung Neoplasms/*drug therapy/genetics/metabolism;
				        		
			        		
				        		
					        		Receptors, Retinoic Acid/genetics;
				        		
			        		
				        		
					        		Retinoid X Receptors/genetics;
				        		
			        		
				        		
					        		Tretinoin/administration & dosage/*analogs & derivatives
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Journal of Korean Medical Science
	            		
	            		 2007;22(Suppl):S52-S60
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	The growth inhibitory effects of four retinoic acid (RA) derivatives, 9-cis RA, 13-cis RA, N-(4-hydroxyphenyl) retinamide (4-HPR), and all-trans retinoic acid (ATRA) were compared. In addition, the effects of various combinations of these four agents were examined on non-small cell lung carcinoma (NSCLC) cell-lines, and on the expressions of retinoic acid receptors (RARs) and retinoid X receptors (RXRs) on these cells. At the clinically achievable concentration of 1 micrometer, only 4-HPR inhibited the growths of H1299 and H460 cells-lines. However, retinoic acid receptor beta(RAR beta) expression was up-regulated on H460 and H1299 cells treated with 1 micrometer of ATRA, 13-cis RA, or 9-cis RA. All NSCLC cell lines showed growth inhibition when exposed sequentially to 1 micrometer ATRA and 0.1 micrometer 4-HPR. In particular, sequential treatment with 1 micrometer ATRA or 13-cis RA and 4-HPR markedly inhibited H1703 cell growth; these cells exhibited no basal RAR beta expression and were refractory to 4-HPR. However, in NSCLC cell lines that expressed RAR beta, the expressional levels of RAR beta were up-regulated by ATRA alone and by sequential treatment with ATRA and 4-HPR. 4-HPR was found to be the most active of the four agents in terms of NSCLC growth-inhibition. Moreover, sequential treatments with ATRA or 13-cis RA followed by 4-HPR were found to have synergistic growth-inhibitory effects and to regulate RAR expression.