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Involvement of MCL1, c-myc, and cyclin D2 protein degradation in ponatinib-induced cytotoxicity against T315I(+) Ph+leukemia cells.

Abstract
T315I mutation found in chronic myelogenous leukemia (CML) and Ph + ALL patients is the most serious one among resistance against BCR/ABL kinase inhibitors including imatinib and is only responsive to ponatinib (PNT). However, the novel strategy is required to reduce life-threatening adverse effects of PNT including ischemic cardiovascular disease. We examined the mechanism of PNT-induced cytotoxicity against a T315I(+) Ph + ALL cell line, TccY/Sr. PNT induced apoptosis (increased sub G1 cells, and cleaved caspase3 and PARP), and suppressed protein expression of MCL1, cyclin D2 and c-myc, which were reversed by a proteasome inhibitor, MG132, suggesting enhanced proteasomal degradation by PNT. Among BCL2 family inhibitors, MCL1 inhibitors (maritoclax and AZD5991) robustly induced cell death, showing the MCL1-dependent survival of TccY/Sr cells. Decreased MCL1 and c-myc expression by PNT was also observed in T315I(+) MEGA2/STIR cells. PNT suppressed PI3K activation followed by AKT inhibition and GSK3 dephosphorylation. PI3K/AKT inhibitors mimicked PNT, suggesting that PI3K/AKT signaling is important for survival of TccY/Sr cells. Moreover, GSK3 inhibitor (SB216763) reduced PNT-induced cytotoxicity and degradation of c-myc and MCL1. AZD5991 exhibited the synergistic action with PNT, anti-cancer drugs and venetoclax (BCL2 inhibitor), suggesting the utility of MCL1 inhibitor alone or in combination as a future clinical option for Ph + leukemia patients.
AuthorsChisato Inoue, Sayaka Sobue, Yoshiyuki Kawamoto, Yuji Nishizawa, Masatoshi Ichihara, Akihiro Abe, Fumihiko Hayakawa, Motoshi Suzuki, Yoshinori Nozawa, Takahsi Murate
JournalBiochemical and biophysical research communications (Biochem Biophys Res Commun) Vol. 525 Issue 4 Pg. 1074-1080 (05 14 2020) ISSN: 1090-2104 [Electronic] United States
PMID32184020 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2020 Elsevier Inc. All rights reserved.
Chemical References
  • AZD5991
  • Antineoplastic Agents
  • CCND2 protein, human
  • Cyclin D2
  • Imidazoles
  • Leupeptins
  • MCL1 protein, human
  • MYC protein, human
  • Macrocyclic Compounds
  • Myeloid Cell Leukemia Sequence 1 Protein
  • Phosphoinositide-3 Kinase Inhibitors
  • Protein Kinase Inhibitors
  • Proto-Oncogene Proteins c-bcl-2
  • Proto-Oncogene Proteins c-myc
  • Pyridazines
  • Pyrroles
  • marinopyrrole A
  • ponatinib
  • Imatinib Mesylate
  • Glycogen Synthase Kinase 3
  • Protein Phosphatase 2
  • benzyloxycarbonylleucyl-leucyl-leucine aldehyde
  • Wortmannin
Topics
  • Antineoplastic Agents (pharmacology)
  • Cell Death (drug effects, genetics)
  • Cell Line, Tumor
  • Cyclin D2 (genetics, metabolism)
  • Drug Resistance, Neoplasm (genetics)
  • Drug Synergism
  • Glycogen Synthase Kinase 3 (antagonists & inhibitors, metabolism)
  • Humans
  • Imatinib Mesylate (pharmacology)
  • Imidazoles (pharmacology)
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive (drug therapy, genetics, metabolism)
  • Leupeptins (pharmacology)
  • Macrocyclic Compounds (pharmacology)
  • Myeloid Cell Leukemia Sequence 1 Protein (antagonists & inhibitors, genetics, metabolism)
  • Phosphatidylinositol 3-Kinases (metabolism, pharmacology)
  • Phosphoinositide-3 Kinase Inhibitors (pharmacology)
  • Phosphorylation
  • Protein Kinase Inhibitors (pharmacology)
  • Protein Phosphatase 2 (metabolism)
  • Proteolysis (drug effects)
  • Proto-Oncogene Proteins c-bcl-2 (antagonists & inhibitors, metabolism)
  • Proto-Oncogene Proteins c-myc (genetics, metabolism)
  • Pyridazines (pharmacology)
  • Pyrroles (pharmacology)
  • Signal Transduction (drug effects, genetics)
  • Wortmannin (pharmacology)

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