[NF-kappaB regulating expression of mdr1 gene and P-gp to reverse drug-resistance in leukemic cells]
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Published on: January 7, 2019
Yi Wang1, Xin Liu, Hai-Tao Zhang
1Department of Hematology, The First Affiliated Hospital, Xi'an Jiaotong University, Xi'an 710061, China.
Abstract:
This study was purposed to investigate whether the mdr1 participates in antiapoptotic mechanisms of hematologic malignant cells regulated by NF-kappaB and to explore the reversal effect of inhibiting NF-kappaB on drug-resistance of hematologic malignant cells so as to search a novel way for treatment of refractory leukemia. NF-kappaB activity and P-gp expression in K562/A02 cells cultured with PDTC in different concentration or different time were detected by immunohistochemistry and computerized picture analysis. The mdr1 was detected by reverse transcription-polymerase chain reaction, and the relationship among NF-kappaB, P-gp and mdr1 was analyzed. The results showed that in K562/A02 cells the expression of P-gp and mdr1 were positively correlated with NF-kappaB/p65, which showed the concentration and time dependent manner. It is concluded the mechanism of NF-kappaB regulating anti-apoptosis in K562/A02 cells has the correlation with the expression of mdr1 and P-gp. The expression of mdr 1 mRNA and P-gp can be reduced through inhibiting NF-kappaB in K562/A02 cells, so that the sensitivity of chemical therapy can be enhanced on hematologic malignant cells.
Insights
Inhibiting NF-kappaB (nuclear factor kappa B) reduces drug resistance in hematologic malignant cells by decreasing P-glycoprotein (P-gp) and mdr1 expression, offering a new treatment strategy for leukemia.
Area of Science:
- Hematology
- Molecular Biology
- Cancer Research
Background:
- Hematologic malignant cells often develop drug resistance.
- Nuclear factor kappa B (NF-kappaB) plays a role in anti-apoptotic mechanisms.
- P-glycoprotein (P-gp) and mdr1 are key mediators of multidrug resistance.
Purpose of the Study:
- To investigate the role of mdr1 in NF-kappaB-regulated anti-apoptosis in hematologic malignant cells.
- To explore the potential of inhibiting NF-kappaB to reverse drug resistance.
- To identify novel therapeutic strategies for refractory leukemia.
Main Methods:
- Immunohistochemistry and computerized picture analysis to detect NF-kappaB activity and P-gp expression.
- Reverse transcription-polymerase chain reaction (RT-PCR) to detect mdr1 expression.
- Analysis of the relationship between NF-kappaB, P-gp, and mdr1 in K562/A02 cells treated with PDTC.
Main Results:
- NF-kappaB/p65 expression was positively correlated with P-gp and mdr1 expression in a concentration- and time-dependent manner.
- Inhibition of NF-kappaB led to reduced expression of mdr1 mRNA and P-gp.
- Reduced mdr1 and P-gp expression enhanced the sensitivity of hematologic malignant cells to chemotherapy.
Conclusions:
- NF-kappaB regulates anti-apoptosis in K562/A02 cells through the expression of mdr1 and P-gp.
- Inhibiting NF-kappaB is a viable strategy to overcome drug resistance in hematologic malignancies.
- Targeting the NF-kappaB pathway offers a promising approach for treating refractory leukemia.
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