0 5 AM580 AM580 NNP 5 6 , , , 7 8 a a DT 9 15 stable stable JJ 16 23 benzoic benzoic JJ 24 34 derivative derivative NN 35 37 of of IN 38 46 retinoic retinoic JJ 47 51 acid acid NN 51 52 , , , 53 56 has have VBZ 57 65 powerful powerful JJ 66 69 and and CC 70 79 selective selective JJ 80 100 cyto-differentiating cyto-differentiating JJ 101 108 effects effect NNS 109 111 on on IN 112 117 acute acute JJ 118 131 promyelocytic promyelocytic JJ 132 140 leukemia leukemia NN 141 146 cells cell NNS 146 147 . . . 149 158 All-trans all-trans JJ 159 167 retinoic retinoic JJ 168 172 acid acid NN 173 174 ( ( ( 174 178 ATRA ATRA NNP 178 179 ) ) ) 180 182 is be VBZ 183 195 successfully successfully RB 196 200 used use VBN 201 203 in in IN 204 207 the the DT 208 228 cyto-differentiating cyto-differentiating JJ 229 238 treatment treatment NN 239 241 of of IN 242 247 acute acute JJ 248 261 promyelocytic promyelocytic JJ 262 270 leukemia leukemia NN 271 272 ( ( ( 272 275 APL APL NNP 275 276 ) ) ) 276 277 . . . 278 291 Paradoxically paradoxically RB 291 292 , , , 293 296 APL APL NNP 297 302 cells cell NNS 303 310 express express VBP 311 318 PML-RAR PML-RAR NNP 318 319 , , , 320 322 an an DT 323 331 aberrant aberrant JJ 332 336 form form NN 337 339 of of IN 340 343 the the DT 344 352 retinoic retinoic JJ 353 357 acid acid NN 358 366 receptor receptor NN 367 371 type type NN 372 377 alpha alpha NN 378 379 ( ( ( 379 382 RAR RAR NNP 383 388 alpha alpha NN 388 389 ) ) ) 390 397 derived derive VBN 398 402 from from IN 403 406 the the DT 407 424 leukemia-specific leukemia-specific JJ 425 433 t(15;17) t(15;17) NN 434 445 chromosomal chromosomal JJ 446 459 translocation translocation NN 459 460 . . . 461 463 We we PRP 464 468 show show VBP 469 473 here here RB 474 478 that that IN 479 484 AM580 AM580 NNP 484 485 , , , 486 487 a a DT 488 494 stable stable JJ 495 508 retinobenzoic retinobenzoic JJ 509 519 derivative derivative NN 520 530 originally originally RB 531 542 synthesized synthesize VBN 543 545 as as IN 546 547 a a DT 548 551 RAR RAR NNP 552 557 alpha alpha NN 558 565 agonist agonist NN 565 566 , , , 567 569 is be VBZ 570 571 a a DT 572 580 powerful powerful JJ 581 588 inducer inducer NN 589 591 of of IN 592 604 granulocytic granulocytic JJ 605 615 maturation maturation NN 616 618 in in IN 619 622 NB4 NB4 NNP 622 623 , , , 624 626 an an DT 627 638 APL-derived apl-derived JJ 639 643 cell cell NN 644 648 line line NN 648 649 , , , 650 653 and and CC 654 656 in in IN 657 664 freshly freshly RB 665 673 isolated isolate VBN 674 677 APL APL NNP 678 684 blasts blast NNS 684 685 . . . 686 691 After after IN 692 701 treatment treatment NN 702 704 of of IN 705 708 APL APL NNP 709 714 cells cell NNS 715 719 with with IN 720 725 AM580 am580 NN 726 732 either either CC 733 738 alone alone RB 739 741 or or CC 742 744 in in IN 745 756 combination combination NN 757 761 with with IN 762 773 granulocyte granulocyte NN 774 792 colony-stimulating colony-stimulating JJ 793 799 factor factor NN 800 801 ( ( ( 801 806 G-CSF G-CSF NNP 806 807 ) ) ) 807 808 , , , 809 812 the the DT 813 821 compound compound NN 822 829 induces induce VBZ 830 842 granulocytic granulocytic JJ 843 853 maturation maturation NN 853 854 , , , 855 857 as as IN 858 866 assessed assess VBN 867 869 by by IN 870 883 determination determination NN 884 886 of of IN 887 890 the the DT 891 897 levels level NNS 898 900 of of IN 901 910 leukocyte leukocyte NN 911 919 alkaline alkaline NN 920 931 phosphatase phosphatase NN 931 932 , , , 933 938 CD11b CD11b NNP 938 939 , , , 940 944 CD33 CD33 NNP 944 945 , , , 946 949 and and CC 950 955 G-CSF G-CSF NNP 956 964 receptor receptor NN 965 969 mRNA mRNA NNP 969 970 , , , 971 973 at at IN 974 988 concentrations concentration NNS 989 993 that that WDT 994 997 are be VBP 998 1001 10- 10- CD 1002 1004 to to TO 1005 1013 100-fold 100-fold RB 1014 1019 lower low JJR 1020 1024 than than IN 1025 1030 those those DT 1031 1033 of of IN 1034 1038 ATRA ATRA NNP 1039 1048 necessary necessary JJ 1049 1051 to to TO 1052 1059 produce produce VB 1060 1067 similar similar JJ 1068 1075 effects effect NNS 1075 1076 . . . 1077 1079 By by IN 1080 1088 contrast contrast NN 1088 1089 , , , 1090 1095 AM580 AM580 NNP 1096 1098 is be VBZ 1099 1102 not not RB 1103 1112 effective effective JJ 1113 1115 as as IN 1116 1120 ATRA ATRA NNP 1121 1123 in in IN 1124 1134 modulating modulate VBG 1135 1138 the the DT 1139 1149 expression expression NN 1150 1152 of of IN 1153 1158 these these DT 1159 1174 differentiation differentiation NN 1175 1182 markers marker NNS 1183 1185 in in IN 1186 1189 the the DT 1190 1195 HL-60 HL-60 NNP 1196 1200 cell cell NN 1201 1205 line line NN 1206 1209 and and CC 1210 1212 in in IN 1213 1220 freshly freshly RB 1221 1229 isolated isolate VBN 1230 1242 granulocytes granulocyte NNS 1243 1251 obtained obtain VBN 1252 1256 from from IN 1257 1260 the the DT 1261 1271 peripheral peripheral JJ 1272 1277 blood blood NN 1278 1280 of of IN 1281 1288 chronic chronic JJ 1289 1300 myelogenous myelogenous JJ 1301 1309 leukemia leukemia NN 1310 1318 patients patient NNS 1319 1325 during during IN 1326 1329 the the DT 1330 1336 stable stable JJ 1337 1342 phase phase NN 1343 1345 of of IN 1346 1349 the the DT 1350 1357 disease disease NN 1357 1358 . . . 1359 1361 In in IN 1362 1365 NB4 nb4 NN 1366 1371 cells cell NNS 1371 1372 , , , 1373 1376 two two CD 1377 1382 other other JJ 1383 1392 synthetic synthetic JJ 1393 1405 nonselective nonselective JJ 1406 1409 RAR rar NN 1410 1417 ligands ligand NNS 1418 1421 are be VBP 1422 1429 capable capable JJ 1430 1432 of of IN 1433 1441 inducing induce VBG 1442 1445 LAP LAP NNP 1446 1448 as as RB 1449 1453 much much RB 1454 1456 as as IN 1457 1462 AM580 AM580 NNP 1462 1463 , , , 1464 1471 whereas whereas IN 1472 1475 RAR rar NN 1476 1481 beta- beta- NN 1482 1484 or or CC 1485 1488 RAR rar NN 1489 1503 gamma-specific gamma-specific JJ 1504 1511 ligands ligand NNS 1512 1515 are be VBP 1516 1523 totally totally RB 1524 1535 ineffective ineffective JJ 1535 1536 . . . 1537 1542 These these DT 1543 1550 results result NNS 1551 1555 show show VBP 1556 1560 that that IN 1561 1566 AM580 am580 NN 1567 1569 is be VBZ 1570 1574 more more RBR 1575 1583 powerful powerful JJ 1584 1588 than than IN 1589 1593 ATRA ATRA NNP 1594 1596 in in IN 1597 1607 modulating modulate VBG 1608 1611 the the DT 1612 1622 expression expression NN 1623 1625 of of IN 1626 1641 differentiation differentiation NN 1642 1650 antigens antigen NNS 1651 1655 only only RB 1656 1658 in in IN 1659 1664 cells cell NNS 1665 1667 in in IN 1668 1673 which which WDT 1674 1681 PML-RAR PML-RAR NNP 1682 1684 is be VBZ 1685 1692 present present JJ 1692 1693 . . . 1694 1701 Binding binding NN 1702 1713 experiments experiment NNS 1713 1714 , , , 1715 1720 using use VBG 1721 1726 COS-7 cos-7 NN 1727 1732 cells cell NNS 1733 1744 transiently transiently RB 1745 1756 transfected transfecte VBN 1757 1761 with with IN 1762 1769 PML-RAR PML-RAR NNP 1770 1773 and and CC 1774 1777 the the DT 1778 1784 normal normal JJ 1785 1788 RAR rar NN 1789 1794 alpha alpha NN 1794 1795 , , , 1796 1800 show show VBP 1801 1805 that that IN 1806 1811 AM580 AM580 NNP 1812 1815 has have VBZ 1816 1817 a a DT 1818 1823 lower low JJR 1824 1832 affinity affinity NN 1833 1837 than than IN 1838 1842 ATRA ATRA NNP 1843 1846 for for IN 1847 1851 both both DT 1852 1861 receptors receptor NNS 1861 1862 . . . 1863 1870 However however RB 1870 1871 , , , 1872 1874 in in IN 1875 1878 the the DT 1879 1887 presence presence NN 1888 1890 of of IN 1891 1898 PML-RAR PML-RAR NNP 1898 1899 , , , 1900 1903 the the DT 1904 1913 synthetic synthetic JJ 1914 1922 retinoid retinoid NN 1923 1925 is be VBZ 1926 1927 a a DT 1928 1932 much much RB 1933 1939 better good JJR 1940 1954 transactivator transactivator NN 1955 1957 of of IN 1958 1966 retinoic retinoic JJ 1967 1982 acid-responsive acid-responsive JJ 1983 2001 element-containing element-containing JJ 2002 2011 promoters promoter NNS 2012 2016 than than IN 2017 2020 the the DT 2021 2028 natural natural JJ 2029 2037 retinoid retinoid NN 2037 2038 , , , 2039 2046 whereas whereas IN 2046 2047 , , , 2048 2050 in in IN 2051 2054 the the DT 2055 2063 presence presence NN 2064 2066 of of IN 2067 2070 RAR RAR NNP 2071 2076 alpha alpha NN 2076 2077 , , , 2078 2083 AM580 AM580 NNP 2084 2087 and and CC 2088 2092 ATRA ATRA NNP 2093 2097 have have VBP 2098 2105 similar similar JJ 2106 2114 activity activity NN 2114 2115 . . . 2116 2120 This this DT 2121 2124 may may MD 2125 2132 explain explain VB 2133 2136 the the DT 2137 2143 strong strong JJ 2144 2164 cyto-differentiating cyto-differentiating JJ 2165 2174 potential potential NN 2175 2177 of of IN 2178 2183 AM580 am580 NN 2184 2186 in in IN 2187 2205 PML-RAR-containing pml-rar-containing JJ 2206 2214 leukemic leukemic JJ 2215 2220 cells cell NNS 2220 2221 . . .