Theophylline, a new inducer of apoptosis in B-CLL: role of cyclic nucleotides

Br J Haematol. 1995 Aug;90(4):957-9. doi: 10.1111/j.1365-2141.1995.tb05225.x.

Abstract

We report a case of indolent B-chronic lymphocytic leukaemia (B-CLL) in a stage A patient, treated for 10 years only by theophylline for bronchial asthma. As suggested by the spontaneous apoptosis in the patient's blood (10%), theophylline at 50 micrograms/ml increased spontaneous apoptosis after 72 h in culture by a mean percentage of 90% (range 79-98%) in six B-CLL cases studied in vitro. This effect was partially reversed with Rp-cAMP, a cAMP antagonist, which implies a potent role for this second messenger. We describe a new property of theophylline, which might be an alternative treatment in B-CLL.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Apoptosis / drug effects*
  • B-Lymphocytes / pathology
  • Cyclic AMP / analogs & derivatives
  • Cyclic AMP / pharmacology
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell / drug therapy*
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology
  • Lymphopenia
  • Theophylline / pharmacology*
  • Thionucleotides / pharmacology

Substances

  • Thionucleotides
  • adenosine-3',5'-cyclic phosphorothioate
  • Theophylline
  • Cyclic AMP