%0 Journal Article %T Novel Vpx virus-like particles to improve cytarabine treatment response against acute myeloid leukemia. %A Nair R %A Salinas-Illarena A %A Sponheimer M %A Wullkopf I %A Schreiber Y %A CĂ´rte-Real JV %A Del Pozo Ben A %A Marterer H %A Thomas D %A Geisslinger G %A Cinatl J %A Subklewe M %A Baldauf HM %J Clin Exp Med %V 24 %N 1 %D 2024 Jul 13 %M 39003408 %F 5.057 %R 10.1007/s10238-024-01425-w %X Knowledge of the molecular pathogenesis of acute myeloid leukemia has advanced in recent years. Despite novel treatment options, acute myeloid leukemia remains a survival challenge for elderly patients. We have recently shown that the triphosphohydrolase SAMHD1 is one of the factors determining resistance to Ara-C treatment. Here, we designed and tested novel and simpler virus-like particles incorporating the lentiviral protein Vpx to efficiently and transiently degrade SAMHD1 and increase the efficacy of Ara-C treatment. The addition of minute amounts of lentiviral Rev protein during production enhanced the generation of virus-like particles. In addition, we found that our 2nd generation of virus-like particles efficiently targeted and degraded SAMHD1 in AML cell lines with high levels of SAMHD1, thereby increasing Ara-CTP levels and response to Ara-C treatment. Primary AML blasts were generally less responsive to VLP treatment. In summary, we have been able to generate novel and simpler virus-like particles that can efficiently deliver Vpx to target cells.