they undergo permanent cell cycle arrest or apoptosis 7 . The G2 M checkpoint response is mediated by both p53 dependent and p53 independent mechanism, both of which regulate the Conjugating enzyme inhibitor activation of Cdc2 cyclin B1 32 . Both the p53 dependent and p53 independent pathways are triggered by the kinases ATM and ATR, which act as sensors of DNA damage and coordinate the DNA damage response pathways. ATM and ATR activate quite a few kinases, which includes the signal transducers Chk1 and Chk2 7,14 and can stabilize p53 by direct phosphorylation or indirectly through Chk1 or Chk2 33 . The present study showed that the G2 M phase arrest of osteoblasts brought on by therapy with 6 mM ATO was not permanent and that, at the time of arrest, expression from the central components from the checkpoint machinery, ATM and ATR, was increased.
In addition, expression of NBS1, through which ATM activates DNA repair, but not that of ATRIP, the ATR interaction aspect, was also increased. These data indicate that ATO induced DNA damage would primarily be repaired by an ATMdependent Conjugating enzyme inhibitor pathway. Considering that DNA PK, one from the PI3 Ks, and its DNA lesion interaction aspect, Ku 80, were not examined in this study, the possibility of their involvement within the osteoblast response to ATO therapy cannot be excluded. Phosphorylation of Chk1, Chk2, and p53 was increased by ATO therapy and was reduced by the presence of an ATM or ATR inhibitor. This suggests that ATM mediates Chk1, Chk2, and p53 phosphorylation in ATO treated osteoblasts. p53 protein plays a essential function in regulating cell cycle progression immediately after DNA damage.
The mechanism by which it mediates cell cycle arrest at the G2 checkpoint requires transactivation mapk inhibitor from the cyclin dependent kinase inhibitor p21waf1 cip1 27,34 . Furthermore, p21waf1 cip1 can associate with all the activated Tyr 15 dephosphorylated type of Cdc2, rendering it inactive, indicating that p21waf1 cip1 may play a function in Cdc2 inhibition and G2 arrest 27,35 . It has been reported that p21waf1 cip1 expression is seldom p53 independent, e.g. p21waf1 cip1 expression is blocked in cells from p53 knockout mice 36,37 . Nonetheless, p53 independent p21waf1 cip1 expression is induced in antioxidant treated colorectal cancer cells 38 .
Considering that our results showed that, immediately after ATO therapy, Neuroendocrine_tumor osteoblasts showed increased levels of active phosphorylated p53 and of mapk inhibitor p21waf1 cip1 and that p21waf1 cip1 upregulation was attenuated when phosphorylated p53 levels were reduced by an ATM inhibitor, we speculate that p53 dependent p21waf1 cip1 expression may possibly happen in ATO treated osteoblasts. Nonetheless, p53 independent p21waf1 cip1 expression cannot be excluded, due to the fact the attenuating effects from the ATM inhibitor on p21waf1 cip1 expression and p53 phosphorylation appear to be quantitatively various, with all the former becoming affected to a greater degree. Nonetheless, further studies are necessary to establish no matter if p53 independent p21waf1 cip1 expression is induced in ATO treated osteoblast. In the p53 independent mechanism, Chk1 or Chk2 blocks Cdc2 cyclin B1 activation by directly phosphorylating Cdc25C and inhibiting the activity 14,15 . Furthermore, Chk1 upregulates Wee1 39 .
In accordance with this p53 independent Conjugating enzyme inhibitor mechanism, our results showed increased levels of active Chk1 and Chk2, leading to increased levels of inactive Cdc25C, resulting in blocking of Cdc2 cyclin B1 activation, and that Wee1 expression was also increased. mapk inhibitor Leach et al. 40 reported that p53 downregulates Wee1 expression, resulting in Cdc2 dephosphorylation along with the overriding of an essential cellular checkpoint that protects against apoptosis. Nonetheless, our results showed that Wee1 expression was upregulated Conjugating enzyme inhibitor by ATO therapy, regardless of the simultaneous improve in active p53. This suggests that Chk1 mediated upregulation overcomes p53 mediated down regulation of Wee1 expression in osteoblasts immediately after ATO therapy. The clinical dosage of ATO for acute promyelocytic leukemia APL individuals is 0.
15 mg kg or 10 mg day by intravenous mapk inhibitor injection and pharmacokinetic analysis of clinical sample has shown peak plasma arsenic concentrations to be 5.5 7.3 mM along with the steady state is believed to be amongst 0.1 and 2 mM 41,42 . Our results showed that, at concentrations in therapeutic range, ATO induced apoptosis in osteosarcoma cells, but not in primary osteoblasts. Accordingly, we proposed that the clinical dosage of ATO should not lead to apoptosis of normal bone osteoblast cells. A prior study reported that ATO induces apoptosis in cultured osteoblasts 43 , seemingly conflicting with our results. Nonetheless, based on the materials and techniques of this prior paper, the cells actually employed were the osteosarcoma cell lines MG63, hFOB and MC3T3 E1, as an alternative to primary cultured osteoblasts. In summary, our results show that, under clinical therapeutic dosage of ATO, osteoblasts have the ability to repair ATO induced damage and survive by activating ATM mediated signal pathway. Estrogen receptors ERs belong to the subfamily o
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