PKR negatively regulates leukemia progression in association with PP2A activation, Bcl-2 inhibition and increased

X Cheng1, R L Bennett, X Liu

  • 1Department of Medicine, Division of Hematology and Oncology and the University of Florida Shands Cancer Center, University of Florida, Gainesville, FL, USA.

Blood Cancer Journal
|September 10, 2013
PubMed

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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