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.
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Authors | Chisato Inoue, Sayaka Sobue, Yoshiyuki Kawamoto, Yuji Nishizawa, Masatoshi Ichihara, Akihiro Abe, Fumihiko Hayakawa, Motoshi Suzuki, Yoshinori Nozawa, Takahsi Murate |
Journal | Biochemical and biophysical research communications
(Biochem Biophys Res Commun)
Vol. 525
Issue 4
Pg. 1074-1080
(05 14 2020)
ISSN: 1090-2104 [Electronic] United States |
PMID | 32184020
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 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
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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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