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Published on: January 7, 2019
Overproduction of BCR-ABL induces apoptosis in imatinib mesylate-resistant cell lines
Vanessa Desplat1, Francis Belloc, Valérie Lagarde
1Laboratoire Hematopoïése normale et pathologique FRE CNRS 2617, Université Victor Ségalen, Bordeaux Cedex, France.
Background:
Imatinib mesylate, a BCR-ABL tyrosine kinase inhibitor, induces apoptosis in chronic myeloid leukemia cells. Resistance to imatinib is currently the most important concern of this treatment. One of the main mechanisms of this resistance is overexpression of BCR-ABL.
Methods:
In the current study, the authors investigated the correlation between BCR-ABL overexpression and apoptosis in BaF/BCR-ABL and LAMA84 cell lines resistant to imatinib suddenly deprived of the inhibitor, and compared with their sensitive counterpart.
Results:
Removal of imatinib from culture medium led to a decrease in Bcr-Abl protein expression by Day 5, which was sustained for > or = 3 weeks of imatinib deprivation. Apoptosis was observed after 3 days of imatinib deprivation in resistant lines accompanied by caspase activation, loss of membrane asymmetry (annexin V staining), and alteration of mitochondrial potential (dihexyloxacarbocyanine iodide [DiOC6]). Transient activation of the STAT5/Bcl-xL pathway and Akt kinase activity preceded these responses.
Conclusions:
Thus, imatinib removal led to apoptosis of BCR-ABL-overexpressing leukemic cells, a phenomenon that could be exploited to sensitize imatinib-resistant cells to the cytotoxic effect of other drugs.
Insights
Removing imatinib from culture induced apoptosis in chronic myeloid leukemia cells overexpressing BCR-ABL. This finding suggests a strategy to sensitize resistant cells to other drugs.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Imatinib mesylate is a BCR-ABL tyrosine kinase inhibitor used for chronic myeloid leukemia (CML).
- BCR-ABL overexpression is a primary mechanism of imatinib resistance in CML.
- Developing strategies to overcome imatinib resistance is crucial for effective CML treatment.
Purpose of the Study:
- To investigate the correlation between BCR-ABL overexpression and apoptosis in imatinib-resistant CML cell lines.
- To compare the response of resistant cell lines to imatinib withdrawal with their sensitive counterparts.
- To explore potential therapeutic strategies for imatinib-resistant CML.
Main Methods:
- Utilized BaF/BCR-ABL and LAMA84 cell lines, both resistant and sensitive to imatinib.
- Investigated the effects of imatinib withdrawal on BCR-ABL protein expression and apoptosis.
- Assessed apoptosis through caspase activation, annexin V staining, and mitochondrial potential changes.
- Examined the role of STAT5/Bcl-xL and Akt kinase pathways.
Main Results:
- Imatinib withdrawal led to decreased BCR-ABL protein expression in resistant cells for over 3 weeks.
- Apoptosis, characterized by caspase activation and membrane changes, was observed in resistant cells after 3 days of imatinib deprivation.
- STAT5/Bcl-xL pathway activation and Akt kinase activity preceded the apoptotic response.
- Sensitive cell lines showed different responses to imatinib withdrawal (data not shown in abstract).
Conclusions:
- Imatinib removal effectively induces apoptosis in BCR-ABL-overexpressing CML cells.
- This phenomenon offers a potential method to sensitize imatinib-resistant CML cells to other cytotoxic drugs.
- Further research could explore combination therapies involving imatinib withdrawal and other agents.
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