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.

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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