Rapamycin is active against B-precursor leukemia in vitro and in vivo, an effect that is modulated by IL-7-mediated

Valerie I Brown1, Junjie Fang, Keith Alcorn

  • 1Division of Oncology, Children's Hospital of Philadelphia, and University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.

Insights

Rapamycin, an mTOR inhibitor, halts B-precursor acute lymphoblastic leukemia cell growth and induces apoptosis. This effect is reversible by IL-7, suggesting mTOR inhibitors as potential leukemia treatments.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • B cell development relies on a balance of survival and apoptotic signals, tightly regulated by molecules like IL-7.
  • Aberrant signaling can lead to neoplastic transformation of progenitor B cells.
  • Signal transduction inhibitors offer potential therapeutic avenues for modulating these abnormal signals.

Purpose of the Study:

  • To investigate the efficacy of rapamycin, a mammalian target of rapamycin (mTOR) inhibitor, against B-precursor acute lymphoblastic leukemia (B-ALL).
  • To explore the role of IL-7 in mediating resistance or sensitivity to mTOR inhibition in B-ALL.
  • To assess the in vivo activity of rapamycin in a relevant preclinical model of B-ALL.

Main Methods:

  • In vitro studies using B-ALL cell lines to assess rapamycin's effect on cell growth and apoptosis.
  • Experiments to determine if IL-7 can reverse rapamycin-induced growth inhibition.
  • In vivo studies in Eμ-ret transgenic mice, a model for pre-B leukemia/lymphoma, to evaluate rapamycin's impact on survival.

Main Results:

  • Rapamycin significantly inhibited the growth of B-ALL cell lines in vitro, inducing apoptotic cell death.
  • IL-7 was found to reverse the growth-inhibitory effects of rapamycin.
  • Rapamycin treatment led to a greater than two-fold increase in survival in Eμ-ret transgenic mice with advanced disease.

Conclusions:

  • mTOR inhibitors, such as rapamycin, show potential as effective therapeutic agents against B-ALL.
  • IL-7-mediated signaling may represent a critical pathway targeted by mTOR inhibitors in precursor B leukemic cells.
  • p70 S6 kinase is a potential signaling intermediate cross-regulated by rapamycin and IL-7.

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