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17h
Acute Promyelocytic Leukemia Accompanied with Venous Thrombosis Subsequent to Upadacitinib Therapy. (PubMed, Indian J Hematol Blood Transfus)
Upadacitinib is an oral selective Janus kinase 1 (JAK1) inhibitor that targets specific pathways in immune-inflammatory responses. The patient achieved complete remission following standard induction therapy with all-trans retinoic acid and arsenic trioxide, with an uneventful treatment course. Notably, this clinical presentation markedly differs from typical APL cases, demonstrating unique biological characteristics.
Journal
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JAK1 (Janus Kinase 1)
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arsenic trioxide
1d
UBE2O Drives Immune Evasion and Radioimmunotherapy Resistance in Lung Cancer by Degrading CDKL1 to Induce PD-L1 Transcription. (PubMed, Adv Sci (Weinh))
Notably, the UBE2O crosslinking inhibitor arsenic trioxide (ATO) reduced PD-L1 expression and enhanced the efficacy of radioimmunotherapy in preclinical lung cancer models while exhibiting acceptable short-term tolerability. Our findings indicate that targeting the UBE2O/CDKL1 axis may represent a highly promising strategy for increasing lung cancer sensitization to radioimmunotherapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • YBX1 (Y-Box Binding Protein 1) • CDK1 (Cyclin-dependent kinase 1)
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PD-L1 expression
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arsenic trioxide
7d
A promising combination strategy: oncolytic adenovirus (ΔE1B-55 K/E3) and arsenic trioxide for potent cancer therapy. (PubMed, Sci Rep)
Histopathological analysis showed that the combination group had less cell proliferation (as evidenced by reduced Ki-67 expression) and greater tumor necrosis. This study reveals the synergistic effects of Oncomed and ATO, suggesting a potential combinatorial strategy to address the limitations of current cancer treatments and improve patient outcomes.
Journal
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TP53 (Tumor protein P53)
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arsenic trioxide
9d
Clinical Presentation and Treatment Outcomes of Pediatric Acute Promyelocytic Leukemia: A Study From a Developing Country. (PubMed, J Pediatr Hematol Oncol)
Acute promyelocytic leukemia (APL) is a highly curable form of acute myeloid leukemia (AML) when treated early with all-trans retinoic acid (ATRA) and arsenic trioxide (ATO)...The ATRA-ATO regimen showed substantial remission rates, but early deaths remain a concern. Increased survival rates in resource-constrained environments require improved early detection, referral, and supportive care.
Journal
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PML (Promyelocytic Leukemia)
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arsenic trioxide
12d
Identification and Management of Differentiation Syndrome in Emergency Settings: A Narrative Review. (PubMed, Cancers (Basel))
Suspicion for DS should be heightened in patients with acute promyelocytic leukemia (M3 AML) who recently started induction chemotherapy, including all-trans retinoic acid or arsenic trioxide, and in those with non-M3 AML receiving differentiation agents (i.e., isocitrate dehydrogenase inhibitors, menin inhibitors, FMS-like tyrosine kinase 3 inhibitors)... DS represents a diagnostic challenge in the ED due to its nonspecific presentation and mimicry of infection. A high index of suspicion, combined with targeted imaging, laboratory evaluation, and early corticosteroid therapy, can improve outcomes.
Review • Journal
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FLT3 (Fms-related tyrosine kinase 3)
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arsenic trioxide
16d
A PML1-CCL5-PI3K/MAPK feedback loop governs survival of endocrine-resistant breast cancer cells. (PubMed, Cell Death Differ)
In therapy-sensitive wild-type ER cells with low basal PML1 levels and PI3K/MAPK activity, fulvestrant's ER-suppressive effects overcome drug-induced elevated PML1 and PI3K/MAPK activity, thereby maintaining therapeutic efficacy...Notably, reducing PML1 levels through knockdown or arsenic trioxide (ATO), an FDA-approved PML1 degrader, disrupts this resistance circuit and restores endocrine sensitivity. Treatment of ATO resensitizes ER Y537S-bearing resistant tumors to endocrine therapy in xenograft models. These findings establish PML1 as a central hub of resistance, linking ER signaling to the activation of the PI3K/MAPK survival pathway.
Review • Journal
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CCL5 (Chemokine (C-C motif) ligand 5)
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fulvestrant • arsenic trioxide
20d
A study on the antitumor effect and mechanism of arsenic trioxide on lung adenocarcinoma. (PubMed, J Cancer Res Ther)
These results indicate that ATO suppresses the malignant phenotype of A549 cells by inhibiting mTOR phosphorylation, downregulating key BER components, and activating the extrinsic and intrinsic apoptotic pathways, providing experimental evidence for further studies of ATO in lung adenocarcinoma therapy.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • CASP8 (Caspase 8) • CASP9 (Caspase 9)
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arsenic trioxide
1m
Superior anti-DLBCL efficacy of novel organic arsenical Z2-A-Z2 through ROS-mediated apoptosis and critical NF-κB/IκBα signaling pathway inhibition. (PubMed, J Exp Clin Cancer Res)
Z2-A-Z2 is a promising organic arsenical with superior efficacy and safety over ATO. Its unique dual-action strategy of simultaneously inducing oxidative stress and critically inhibiting the NF-κB/IκBα signaling axis, positioning it as a strong clinical candidate for effectively treating DLBCL.
Journal
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NFKBIA (NFKB Inhibitor Alpha 2) • RELA (RELA Proto-Oncogene)
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arsenic trioxide
1m
Isotretinoin Use During Consolidation in Acute Promyelocytic Leukemia Following Standard All-Trans Retinoic Acid (ATRA)-Based Induction: A Case Report. (PubMed, Cureus)
The combination of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) has significantly improved outcomes in patients with APL. The patient achieved molecular complete remission within two months of initiating isotretinoin-based consolidation therapy and continues to have negative PML::RARA reverse transcriptase polymerase chain reaction (RT-PCR) results, with sustained remission at 18 months of follow-up with ongoing molecular monitoring every three months. Although the concurrent use of ATO and prior ATRA-based induction are important confounders, this case highlights the potential role of isotretinoin as a cost-effective alternative retinoid for consolidation therapy in APL when ATRA is inaccessible, although ATRA remains the recommended standard treatment.
Journal
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RARA (Retinoic Acid Receptor Alpha)
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arsenic trioxide
1m
New P2/3 trial
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Chr t(15;17)
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arsenic trioxide
2ms
Sex-Specific Modulation of Drug Metabolizing Enzymes, Transporters, and Pro-Inflammatory Cytokines by Arsenic Trioxide in C57Bl/6 Mice. (PubMed, Chem Res Toxicol)
These transcriptional changes paralleled a transient inflammatory response, including early Tnf-α induction and female-specific Il-6 elevation. Collectively, these findings highlight sex-dependent modulation of hepatic ATO handling and drug metabolizing capacity, with important implications for risk assessment and individualized ATO containing regimens.
Preclinical • Journal
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IL6 (Interleukin 6) • ABCB1 (ATP Binding Cassette Subfamily B Member 1) • TNFA (Tumor Necrosis Factor-Alpha) • ABCC1 (ATP Binding Cassette Subfamily C Member 1) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4) • IL1B (Interleukin 1, beta) • CYP1A1 (Cytochrome P450 Family 1 Subfamily A Member 1)
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arsenic trioxide
2ms
Evaluating Outcomes in Acute Promyelocytic Leukemia Patients Treated with All-Trans-Retinoic Acid and Arsenic Trioxide. (PubMed, Indian J Hematol Blood Transfus)
Acute promyelocytic leukemia (APML) is characterized by promyelocytic leukemia retinoic acid receptor alpha (PML-RARA) fusion gene resulting from at (15;17) translocation. While, TLC significantly decreased from baseline in high risk cases to last follow-up (24 × 109/L vs. 9 × 109/L; P = 0.016). Patients with APML can be successfully treated with a combination of ATO and ATRA.
Journal
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KIT (KIT proto-oncogene, receptor tyrosine kinase) • RARA (Retinoic Acid Receptor Alpha) • CD33 (CD33 Molecule) • PML (Promyelocytic Leukemia) • ANPEP (Alanyl Aminopeptidase, Membrane)
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Vesanoid (tretinoin) • arsenic trioxide