Imatinib induces H2AX phosphorylation and apoptosis in chronic myelogenous leukemia cells in vitro via caspase-3/Mst1 pathway
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Updated: May 24, 2026

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Published on: October 17, 2025
Yan-jun Zhang1, Cheng-rong Lu, Yan Cao
1Aviation Medicine Research Lab, General Hospital of Air Force, Beijing, China.
Aim:
Histone H2AX is a novel tumor suppressor and its phosphorylation at the C terminus (Ser139 and Tyr142) is required for tumor cell apoptosis. The aim of the present study was to elucidate the mechanisms underlying imatinib-induced C-terminal phosphorylation of H2AX in chronic myelogenous leukemia cells in vitro.
Methods:
BCR-ABL-positive K562 cells were used. Microscopy, Western blotting and flow cytometry were used to study the signaling pathways that regulate imatinib-induced H2AX phosphorylation and the apoptotic mechanisms.
Results:
Treatment of K562 cells with imatinib (1-8 μmol/L) induced phosphorylation of H2AX at Ser139 and Tyr142 in time- and dose-dependent manners. In contrast, imatinib at the same concentrations did not affect H2AX acetylation at Lys 5, and the acetylated H2AX maintained a higher level in the cells. Meanwhile, imatinib (1-8 μmol/L) activated caspase-3 and its downstream mammalian STE20-like kinase 1 (Mst1), and induced apoptosis of K562 cells. The caspase-3 inhibitor Z-VAD (40 μmol/L) reduced imatinib-induced H2AX phosphorylation at Ser139 and Tyr142 and blocked imatinib-induced apoptosis of K562 cells. Imatinib (4 μmol/L) induced expression of Williams-Beuren syndrome transcription factor (WSTF), but not wild-type p53-induced phosphatase 1 (Wip1) in K562 cells.
Conclusion:
The caspase-3/Mst1 pathway is required for H2AX C-terminal phosphorylation at Ser139 and Tyr142 and subsequent apoptosis in Bcr-Abl-positive K562 cells induced by imatinib.
Insights
Imatinib induces H2AX phosphorylation and apoptosis in chronic myelogenous leukemia cells via the caspase-3/Mst1 pathway. This pathway is crucial for H2AX C-terminal phosphorylation and subsequent cell death.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Histone H2AX phosphorylation is critical for tumor cell apoptosis.
- Imatinib is a targeted therapy for chronic myelogenous leukemia (CML).
Purpose of the Study:
- To investigate the mechanisms of imatinib-induced H2AX phosphorylation in CML cells.
- To understand the role of H2AX phosphorylation in imatinib-induced apoptosis.
Main Methods:
- Utilized BCR-ABL-positive K562 cells.
- Employed microscopy, Western blotting, and flow cytometry.
- Investigated signaling pathways regulating H2AX phosphorylation and apoptosis.
Main Results:
- Imatinib induced H2AX phosphorylation at Ser139 and Tyr142 in a dose- and time-dependent manner.
- Imatinib activated caspase-3 and mammalian STE20-like kinase 1 (Mst1), leading to apoptosis.
- Caspase-3 inhibition blocked imatinib-induced H2AX phosphorylation and apoptosis.
Conclusions:
- The caspase-3/Mst1 pathway is essential for imatinib-induced H2AX C-terminal phosphorylation.
- This pathway mediates imatinib-induced apoptosis in Bcr-Abl-positive K562 cells.
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