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Molecular mechanisms underlying the enhanced sensitivity of thiopurine-resistant T-lymphoblastic cell lines to methyl
Alan Kambiz Fotoohi1, Anna Wrabel, Ali Moshfegh
1Department of Oncology and Pathology, Cancer Center Karolinska (CCK), Karolinska Hospital and Institute, 171 76 Stockholm, Sweden.
Abstract:
Methylmercaptopurine riboside (meMPR), a cellular metabolite of 6-mercaptopurine (6-MP), is a potent inhibitor of de novo purine synthesis (DNPS). Human MOLT4 T-lymphoblastic leukaemia cells that have acquired resistance to 6-MP or 6-thioguanine (6-TG) as a consequence of defective transport exhibit enhanced sensitivity to meMPR. HPLC-based analysis of the transport of meMPR revealed normal uptake of this compound by our thiopurine-resistant cell sublines, suggesting a route of transport distinct from that for 6-MP and 6-TG. Studies on the wild-type parental leukemic cells showed that adenosine, dipyridamole and nitrobenzylthioinosine inhibit uptake of meMPR to a significant extent, whereas Na+ ions have no influence on this process. Transfection of these leukemic cells with small interference RNA molecules targeting the gene encoding the first member of the family of equiliberative nucleoside transporters (ENT1) strongly reduced the initial rate of meMPR transport. Our resistant cell lines exhibited 30-52% reductions (p < 0.005) in their levels of mRNA encoding several proteins involved in de novo purine synthesis, i.e., aminoimidazole carboxamide ribonucleotide formyltransferase, glycinamide ribonucleotide transformylase and guanine monophosphate synthetase. Consequently, the rate of de novo purine synthesis in these resistant sublines was decreased by 50%. Furthermore, the levels of ribonucleoside triphosphates in these cells were significantly lower than in the non-resistant parental cells. In combination, a reduced rate of de novo purine synthesis together with low levels of ribonucleoside triphosphates can explain the enhanced sensitivity of our thiopurine-resistant cell lines to meMPR. In this manner, meMPR bypasses the mechanisms of resistance to thiopurines and is even more cytotoxic towards resistant than towards wild-type cells.
Insights
Methylmercaptopurine riboside (meMPR) overcomes resistance to thiopurines like 6-MP and 6-TG by inhibiting purine synthesis. Resistant cells show increased sensitivity to meMPR due to altered transport and reduced purine synthesis pathways.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Thiopurines such as 6-mercaptopurine (6-MP) and 6-thioguanine (6-TG) are crucial in treating certain leukemias.
- Resistance to thiopurines often arises from defective cellular transport mechanisms.
- Methylmercaptopurine riboside (meMPR), a metabolite of 6-MP, is a potent inhibitor of de novo purine synthesis (DNPS).
Purpose of the Study:
- To investigate the mechanism of enhanced sensitivity to meMPR in thiopurine-resistant T-lymphoblastic leukemia cells.
- To elucidate the transport pathway of meMPR and its relationship to thiopurine transport.
- To determine how meMPR affects purine synthesis and nucleotide levels in resistant cells.
Main Methods:
- HPLC analysis to assess meMPR uptake in wild-type and resistant cell lines.
- Inhibition studies using adenosine, dipyridamole, and nitrobenzylthioinosine to identify meMPR transporters.
- siRNA-mediated gene silencing of equilibrative nucleoside transporter 1 (ENT1).
- Quantitative analysis of mRNA levels for key DNPS enzymes and ribonucleoside triphosphate concentrations.
Main Results:
- Thiopurine-resistant cells exhibited normal meMPR uptake, indicating a distinct transport mechanism from 6-MP and 6-TG.
- meMPR uptake was significantly inhibited by adenosine, dipyridamole, and nitrobenzylthioinosine, and reduced by ENT1 knockdown.
- Resistant cell lines showed decreased mRNA levels for key DNPS enzymes, leading to a 50% reduction in DNPS rate.
- Lower ribonucleoside triphosphate levels were observed in resistant cells compared to parental cells.
Conclusions:
- meMPR utilizes a transport system, likely involving ENT1, that is independent of the defective transporters for 6-MP and 6-TG.
- Reduced de novo purine synthesis and lower ribonucleoside triphosphate pools in resistant cells contribute to their heightened sensitivity to meMPR.
- meMPR effectively bypasses thiopurine resistance mechanisms, offering a potential therapeutic strategy for resistant leukemia.
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