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Updated: May 8, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
PKR negatively regulates leukemia progression in association with PP2A activation, Bcl-2 inhibition and increased
1Department of Medicine, Division of Hematology and Oncology and the University of Florida Shands Cancer Center, University of Florida, Gainesville, FL, USA.
Abstract:
Reduced expression and activity of the proapoptotic, double-stranded RNA-dependent protein kinase, PKR (protein kinase R) is observed in breast, lung and various leukemias, suggesting that loss of PKR potentiates transformation. Now we report that decreased PKR activity inhibits chemotherapy-induced apoptosis of leukemia cells both in vitro and in vivo. Inhibition of PKR expression or activity reduces protein phosphatase 2A (PP2A) activity, a B-cell lymphoma 2 (Bcl-2) phosphatase, resulting in enhanced Bcl-2 phosphorylation. Thus, inhibition of PKR activity leads to hyperphosphorylation of Bcl-2, stabilization of Bcl-2/Bax interaction and decreased Bax insertion into the outer mitochondrial membrane. Treatment with the PP2A activator, FTY720, restores Bcl-2 dephosphorylation and apoptosis in cells with reduced PKR expression following stress. Significantly, xenografts of REH leukemic cells with reduced PKR display significantly increased tumor volume, increased resistance to doxorubicin treatment and shorter survival. Importantly, FTY720 treatment restores sensitivity to chemotherapy and prolongs overall survival of these mice. Collectively, these findings suggest that PP2A activation is a downstream target of PKR and the PKR/PP2A signaling axis is required for rapid and potent stress-induced apoptosis. Importantly, loss of PKR promotes leukemia progression and may serve as a biomarker for predicting chemosensitivity.
Insights
Reduced protein kinase R (PKR) activity hinders chemotherapy-induced apoptosis in leukemia by affecting protein phosphatase 2A (PP2A) and Bcl-2. Restoring PP2A activity with FTY720 re-sensitizes leukemia cells to chemotherapy.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Signaling
Background:
- Reduced protein kinase R (PKR) expression is linked to various cancers, including leukemia.
- Loss of PKR function suggests a role in cancer progression and resistance to therapy.
Purpose of the Study:
- To investigate the role of PKR in chemotherapy-induced apoptosis in leukemia.
- To elucidate the downstream signaling pathways affected by PKR loss.
- To evaluate the therapeutic potential of targeting the PKR pathway.
Main Methods:
- In vitro and in vivo studies using leukemia cell lines and xenograft models.
- Analysis of PKR, protein phosphatase 2A (PP2A), Bcl-2, and Bax protein levels and activity.
- Assessment of apoptosis induction and mitochondrial membrane potential.
- Treatment with PP2A activator FTY720.
Main Results:
- Decreased PKR activity inhibited chemotherapy-induced apoptosis in leukemia cells.
- PKR inhibition led to reduced PP2A activity, increased Bcl-2 phosphorylation, and impaired Bax insertion into mitochondria.
- FTY720 treatment restored apoptosis and chemosensitivity in PKR-deficient cells.
- Leukemic xenografts with reduced PKR showed increased tumor growth, chemoresistance, and reduced survival, which was reversed by FTY720.
Conclusions:
- The PKR/PP2A signaling axis is crucial for stress-induced apoptosis in leukemia.
- Loss of PKR promotes leukemia progression and chemoresistance.
- Targeting PP2A activation may be a viable strategy to overcome chemoresistance in leukemia.
- Reduced PKR expression could serve as a biomarker for predicting chemosensitivity.
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