Imatinib increases apoptosis index through modulation of survivin subcellular localization in the blast phase of CML

Paula Sabbo Bernardo1, Flaviana Ruade de Souza Reis, Raquel Ciuvalschi Maia

  • 1Laboratório de Hemato-Oncologia Celular e Molecular, Programa de Pesquisa em Hemato-Oncologia Molecular, Instituto Nacional de Câncer (INCA), Rio de Janeiro (RJ), Brazil.

Leukemia Research
|September 15, 2012
PubMed

Insights

Imatinib induces apoptosis in chronic myeloid leukemia (CML) cells by altering survivin localization. P-glycoprotein (Pgp) and survivin may be co-targeted for CML blast phase therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Chronic myeloid leukemia (CML) blast phase is an aggressive form of the disease.
  • Imatinib is a tyrosine kinase inhibitor used in CML treatment.
  • Survivin is a protein that inhibits apoptosis and is often dysregulated in cancer.

Purpose of the Study:

  • To investigate the effect of imatinib on apoptosis in P-glycoprotein (Pgp)-negative (K562) and Pgp-positive (Lucena) CML cell lines.
  • To determine the role of survivin localization in imatinib-induced apoptosis in CML.

Main Methods:

  • Cell viability assays (MTT)
  • Apoptosis detection (Annexin V/flow cytometry)
  • Protein localization analysis (immunocytochemistry, subcellular fractionation)
  • Protein expression analysis (Western blotting)

Main Results:

  • Imatinib significantly increased apoptosis in K562 cells, associated with nuclear survivin.
  • Imatinib showed a lower apoptotic effect in Lucena cells, with survivin localized in the cytoplasm.
  • P-glycoprotein (Pgp) expression correlated with cytoplasmic survivin and reduced imatinib sensitivity.

Conclusions:

  • Survivin localization (nuclear vs. cytoplasmic) influences imatinib-induced apoptosis in CML blast phase.
  • P-glycoprotein (Pgp) and survivin may share common regulatory pathways.
  • Targeting both Pgp and survivin could be a potential therapeutic strategy for CML blast phase.

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