GRACIELA APARECIDA BROCARDO

(Fonte: Lattes)
Índice h a partir de 2011
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Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina

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  • article 10 Citação(ões) na Scopus
    Azidothymidine is Effective Against Human Multiple Myeloma: A New Use for an Old Drug?
    (2013) PEREIRA, Juliana; LEVY, Debora; RUIZ, Jorge L. M.; BROCARDO, Graciela A.; FERREIRA, Kleber A.; COSTA, Renata O.; QUEIROZ, Rodrigo G.; MARIA, Durvanei A.; HALLACK NETO, Abrahao E.; CHAMONE, Dalton A. F.; BYDLOWSKI, Sergio P.
    Azidothymidine (AZT) is an antiretroviral drug that affects cell proliferation, apoptosis, and the NF-kappa B pathway. As multiple myeloma (MM) presents with constitutive activation of NF-kappa B, we analyzed the effect of AZT on human MM cell lines. We evaluated the cytotoxic effect of AZT in human MM cell lines sensitive (8226/S) or resistant to doxorubicin (8226/DX5) and human T cell lymphoblast-like cells, uterine sarcoma cells, and HUVEC using MTT assay. Cytotoxicity was also evaluated in vivo in nude mice xenografted with 8226/S tumor. The effect of AZT on the expression of genes involved in cell proliferation, apoptosis, angiogenesis, and the NF-kappa B pathway was analyzed in the xenografts using real-time polymerase chain reaction. AZT was effective against both 8226/S and 8226/DX5 cells in a dose and time-dependent manner (p = 0.02) in vitro and promoted cell cycle arrest in S phase in these cells. The tumor volume was lower in mice treated with AZT compared to untreated mice (p = 0.0003). AZT down-regulated the pro-proliferative genes encoding AKT1, MYC, STAT1, MAPK8, MAPK9, CCL-3, Bcl-3, and cyclin D2; pro-angiogenenic genes encoding VEGF and IL8; and genes involved in cell adhesion (ICAM1 and FN1) and the NF-kappa B pathway. AZT up-regulated the expression of tumor suppressor gene FOXP1 and the pro-apoptotic genes encoding BID, Bcl-10, and caspase-8. Thus, we demonstrated the cytotoxic effect of AZT in human MM cell lines for the first time. Our data may provide the rationale for future clinical trials of AZT for treating MM.
  • conferenceObject
    IN VITRO AND IN VIVO ANTITUMOR EFFECTS OF AZIDOTHYMIDINE IN A HUMAN MULTIPLE MYELOMA CELL LINE
    (2012) LEVY, Debora; RUIZ, Jorge Luis; BROCARDO, Graciela; FERREIRA, Adilson; QUEIROZ, Rodrigo; MARIA, Durvanei; BYDLOWSKI, Sergio; PEREIRA, Juliana
    Background: Azidothymidine (AZT) is an antiretroviral nucleoside analogous inhibitor ofreverse transcriptase with known effects on cell proliferation, apoptosis, and angiogenesis Multiple myeloma is a severe disease and one of the steps involved in the malignant transformation of plasma cells is the activation of the nuclear factor kappa B (NF-κB) pathway. Objective: Evaluate the in vitro cytotoxic activity of AZT in human myeloma cell lines (RPMI 8226/S and RPMI 8226/Dx5) as well as in other cell lines: human T cell lymphoblast-like, T cell leukemia, uterine sarcoma and HUVEC. The in vivo effect was also evaluated in tumor xenograft model of human multiple myeloma in nude mice. Methods: Cells were treated with increasing concentrations of AZT (32.2 to 500μM) for 24 to 72 hours. Cytotoxicity was measured by MTT. Cell cycle and proteins Bcl-2 and p53 were evaluated by flow cytometry. For the in vivo experiments, 1x107 RPMI 8226/S cells were injected SC in the right flank of nude mice. After 7 days, animals were treated or not with AZT 12.5 μM IV every other day for 5 weeks. Thirty five genes were then investigated in the grafted tumor cells by real time polymerase chain reaction. Results: AZT showed in vitro antitumor activity in cell lines 8226/S and 8226/Dx5 in a dose and time dependent way (p = 0.02), but not in the other studied cells. Histological signs of apoptosis were seen, such as cytoplasmic blebs, nuclear condensation. A significant decrease of Bcl-2 (p<0.001) and p53 (p = 0.0139) proteins was observed in cells treated with AZT. A cell cycle arrest in Sphase was also seen after 72 hours of treatment with AZT 62.5 μM. Tumor volume in nude mice reated with AZT was reduced (p = 0.0003). In these tumors, AZT decreased the expression of genes associated with cell proliferation (AKT1, MYC, STAT1, MAPK8, MAPK9, CCL-3, Bcl-3 and Cyclin D2), angiogenesis (VEGF, IL8), cell adhesion (ICAM1 and FN1) and NF-κB. Moreover, also in tumors, AZT induced expression of the tumor suppressor gene FOXP1, pro-apoptotic genes BID, Bcl-10 and caspase-8. Conclusion: Azidothymidine promotes a cytotoxic effect in human multiple myeloma cells both in vitro and in vivo. This action involves the cell cycle arrest in S phase, inhibition of expression of genes that activate cell proliferation, as well as proangiogenic genes and NF- κB, and activation of apoptosis genes. Therefore, AZT could be potentially promising in the treatment of multiple myeloma.