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Updated: May 20, 2026

Flow Cytometry to Estimate Leukemia Stem Cells in Primary Acute Myeloid Leukemia and in Patient-derived-xenografts, at Diagnosis and Follow Up
Published on: March 26, 2018
The Blk pathway functions as a tumor suppressor in chronic myeloid leukemia stem cells
Haojian Zhang1, Cong Peng, Yiguo Hu
1Department of Medicine, Division of Hematology/Oncology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Abstract:
A therapeutic strategy for treating cancer is to target and eradicate cancer stem cells (CSCs) without harming their normal stem cell counterparts. The success of this approach relies on the identification of molecular pathways that selectively regulate CSC function. Using BCR-ABL-induced chronic myeloid leukemia (CML) as a disease model for CSCs, we show that BCR-ABL downregulates the Blk gene (encoding B-lymphoid kinase) through c-Myc in leukemic stem cells (LSCs) in CML mice and that Blk functions as a tumor suppressor in LSCs but does not affect normal hematopoietic stem cells (HSCs) or hematopoiesis. Blk suppresses LSC function through a pathway involving an upstream regulator, Pax5, and a downstream effector, p27. Inhibition of this Blk pathway accelerates CML development, whereas increased activity of the Blk pathway delays CML development. Blk also suppresses the proliferation of human CML stem cells. Our results show the feasibility of selectively targeting LSCs, an approach that should be applicable to other cancers.
Insights
Targeting cancer stem cells (CSCs) is a promising therapy. Researchers found that Blk gene acts as a tumor suppressor in leukemic stem cells (LSCs), offering a selective therapeutic strategy for chronic myeloid leukemia (CML).
Area of Science:
- Oncology
- Stem Cell Biology
- Molecular Biology
Background:
- Targeting cancer stem cells (CSCs) is crucial for effective cancer therapy.
- Identifying molecular pathways selectively regulating CSC function is key.
- Chronic myeloid leukemia (CML) serves as a model for studying CSCs.
Purpose of the Study:
- To investigate the role of the Blk gene in regulating leukemic stem cells (LSCs) in CML.
- To identify molecular targets for selective eradication of LSCs.
- To explore the therapeutic potential of modulating the Blk pathway in CML.
Main Methods:
- Utilized a BCR-ABL-induced CML mouse model.
- Investigated gene regulation by BCR-ABL and c-Myc in LSCs.
- Analyzed the function of the Blk gene and its pathway involving Pax5 and p27.
- Assessed the impact of Blk pathway modulation on CML development and LSC proliferation.
- Evaluated Blk's effect on human CML stem cells.
Main Results:
- BCR-ABL downregulates the Blk gene in LSCs via c-Myc.
- Blk functions as a tumor suppressor in LSCs but not in normal hematopoietic stem cells (HSCs).
- The Blk pathway, involving Pax5 and p27, suppresses LSC function.
- Inhibition of the Blk pathway accelerates CML progression.
- Activation of the Blk pathway delays CML development and suppresses human CML stem cell proliferation.
Conclusions:
- The Blk pathway is a critical regulator of LSC function in CML.
- Blk acts as a selective tumor suppressor for LSCs.
- Targeting the Blk pathway offers a feasible strategy for selective LSC eradication in CML.
- This approach may be applicable to other cancer types.
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