The serotonin transporter (SLC6A4) is present in B-cell clones of diverse malignant origin: probing a potential antitumor target for psychotropics
Elizabeth J. Meredith, Michelle J. Holder, Anita Chamba, Anita Challa, Adrian Drake Lee, Christopher M. Bunce, Mark T. Drayson, Geoffrey Pilkington,
Randy D. Blakely, Martin J. S. Dyer, Nicholas M. Barnes, and John Gordon
The FASEB Journal Express Article doi:10.1096/fj.04-3477fje
Published online May 3, 2005
Abstract
Following our previous description of the serotonin transporter (SERT) acting as a conduit to 5-hydroxytryptamine (5-HT)-mediated apoptosis,
specifically in Burkitt's lymphoma, we now detail its expression among a broad spectrum of B cell malignancy, while exploring additional SERT
substrates for potential therapeutic activity. SERT was readily detected in derived B cell lines with origins as diverse as B cell precursor acute
lymphoblastic leukemia, mantle cell lymphoma, diffuse large B cell lymphoma, and multiple myeloma. Concentration and timecourse kinetics for the
antiproliferative and proapoptotic activities of the amphetamine derivatives fenfluramine (an appetite suppressant) and
3,4-methylenedioxymethamphetamine (MDMA; "Ecstasy" revealed them as being
similar to the endogenous indoleamine. A tricyclic antidepressant, clomipramine, instead mirrored the behavior of the selective serotonin reuptake
inhibitor fluoxetine, both being effective in the low micromolar range. A majority of neoplastic clones were sensitive to one or more of the
serotonergic compounds. Dysregulated bcl-2 expression, either by t(14;1(q32;q21) translocation or its introduction as a constitutively active
transgene, provided protection from proapoptotic but not antiproliferative outcomes. These data indicate a potential for SERT as a novel anti-tumor
target for amphetamine analogs, while evidence is presented that the seemingly more promising antidepressants are likely impacting malignant B cells
independently of the transporter itself.
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