PTEN reverses MDM2-mediated chemotherapy resistance by interacting with p53 in acute lymphoblastic leukemia cells

Muxiang Zhou1, Lubing Gu, Harry W Findley

  • 1Division of Pediatric Hematology/Oncology/Bone Marrow Transplantation, Emory University School of Medicine, 2040 Ridgewood Drive N.E., Atlanta, GA 30322, USA. mzhou@emory.edu

Cancer Research
|October 16, 2003
PubMed

Insights

The tumor suppressor PTEN enhances sensitivity to doxorubicin in acute lymphoblastic leukemia (ALL) by inhibiting MDM2 and protecting p53. Loss of PTEN leads to chemoresistance via MDM2-mediated antiapoptotic mechanisms.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • PTEN (phosphatase and tensin homolog) is a tumor suppressor involved in apoptosis regulation.
  • MDM2 (mouse double minute 2 homolog) plays a role in chemoresistance.
  • PI3K/Akt signaling pathway is implicated in cellular survival and proliferation.

Purpose of the Study:

  • To investigate the role of PTEN expression in MDM2-mediated chemoresistance in acute lymphoblastic leukemia (ALL).
  • To determine the relationship between PTEN, MDM2, and p53 in ALL cell lines treated with doxorubicin.

Main Methods:

  • Analysis of PTEN and MDM2 expression in 9 ALL cell lines.
  • Assessment of doxorubicin sensitivity in ALL cell lines.
  • Forced expression of PTEN in a PTEN-negative ALL cell line (EU-1).
  • Immunoprecipitation and cotransfection assays to study protein interactions.

Main Results:

  • High PTEN expression correlated with doxorubicin sensitivity, while PTEN loss resulted in resistance.
  • Forced PTEN expression in resistant cells decreased growth and increased doxorubicin sensitivity.
  • PTEN physically binds to p53, attenuating MDM2-mediated inhibition of p53.
  • PTEN influences MDM2 cellular localization, shifting it from the nucleus to the cytoplasm.

Conclusions:

  • PTEN inhibits MDM2 and protects p53 through both PI3K/Akt-dependent and -independent pathways.
  • Loss of PTEN function contributes to chemoresistance in ALL by activating MDM2-mediated antiapoptotic mechanisms.
  • PTEN is a critical regulator of chemoresistance in ALL, making it a potential therapeutic target.

Related Concept Videos

Negative Regulator Molecules01:23

Negative Regulator Molecules

Positive regulators allow a cell to advance through cell cycle checkpoints. Negative regulators have an equally important role as they terminate a cell’s progression through the cell cycle—or pause it—until the cell meets specific criteria.
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...