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Updated: Jun 17, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Tribbles-1 and -2 are tumour suppressors, down-regulated in human acute myeloid leukaemia
Daniel C Gilby1, Hye Youn Sung, Peter R Winship
1Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom.
Abstract:
Constitutive MAPK signalling is observed in approximately 50% of acute myeloid leukaemia (AML) cases. JNK activation in particular is associated with treatment failure in AML. Tribbles proteins (trb-1, trb-2 and trb-3) are potent negative regulators of MAPK pathways influencing apoptosis, differentiation and cell-cycle progression. Here we aimed to examine tribbles gene expression in AML and to characterise their role in leukaemic cells. A microarray dataset was interrogated for tribbles expression levels in AML cases and healthy controls. Myeloid cell proliferation and apoptosis were assayed in response to trb-1/trb-2 gene knockdown and overexpression, as well as a physical and functional interaction between trb and C/EBPalpha. Trb-2 expression was reduced in AML compared to healthy controls (correlating with nucleophosmin (NPM1) mutations), while low trb-1 expression was associated with inactive C/EBPalpha. In vitro assays indicated that trb-1/trb-2 are growth restrictive and pro-apoptotic in Me-1 cells, each capable of inhibiting JNK activation. JNK inactivation was itself associated with reduced Bcl-2 Ser70 phosphorylation, a residue which, when phosphorylated, maintains the anti-apoptotic activity of Bcl-2. Consistent with this, tribbles-mediated dephosphorylation of Bcl-2 Ser70 was associated with subsequent apoptosis. Trb-1/trb-2 transcription appeared to be moderately C/EBPalpha-responsive, and physical interaction between C/EBPalpha and trb-1/trb-2 was observed, suggesting a potential for auto-regulation of trb-1 and trb-2 transcription. In conclusion, we propose that trb-1 and trb-2 tumour suppressor activity may be abrogated in a proportion of AML patients. This may lead to enhanced cell survival, and therefore contribute to pathogenesis of the disease. Trb-1/trb-2 may, therefore, represent useful therapeutic targets for the treatment of AML in patients with dys-regulated trb activity.
Insights
Tribbles proteins (trb-1, trb-2) are reduced in acute myeloid leukaemia (AML), inhibiting apoptosis and promoting cancer cell survival. Restoring trb-1/trb-2 function could be a therapeutic strategy for AML.
Area of Science:
- Cellular Biology
- Molecular Biology
- Oncology
Background:
- Constitutive MAPK signaling, particularly JNK activation, is prevalent in acute myeloid leukemia (AML) and linked to treatment failure.
- Tribbles proteins (trb-1, trb-2, trb-3) are negative regulators of MAPK pathways, impacting cell apoptosis, differentiation, and cell cycle progression.
Purpose of the Study:
- To investigate tribbles gene expression in AML.
- To characterize the role of tribbles proteins in leukaemic cells.
- To explore the interaction between tribbles and C/EBPalpha.
Main Methods:
- Microarray analysis of tribbles expression in AML and healthy controls.
- In vitro assays assessing myeloid cell proliferation and apoptosis following trb-1/trb-2 gene knockdown and overexpression.
- Analysis of physical and functional interactions between tribbles and C/EBPalpha.
Main Results:
- Trb-2 expression was decreased in AML, correlating with NPM1 mutations; low trb-1 expression was linked to inactive C/EBPalpha.
- Trb-1 and trb-2 exhibited growth-restrictive and pro-apoptotic effects in Me-1 cells, inhibiting JNK activation.
- Tribbles-mediated JNK inactivation led to reduced Bcl-2 Ser70 phosphorylation, promoting apoptosis.
Conclusions:
- Trb-1 and trb-2 function as tumor suppressors in AML, with their activity potentially abrogated in some patients.
- Reduced trb-1/trb-2 expression may enhance cancer cell survival and contribute to AML pathogenesis.
- Trb-1/trb-2 represent potential therapeutic targets for AML treatment, especially in cases with dysregulated activity.
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